A SURVEY OF STATIC AND DYNAMIC WORK POSTURES OF OPERATING-ROOM STAFF
A SURVEY OF STATIC AND DYNAMIC WORK POSTURES OF OPERATING-ROOM STAFF
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DOI：
10.1007/bf00386939
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发表时间：
1992-02-01
影响因子：
3
通讯作者：
BORM, PJA
中科院分区：
文献类型：
--
作者：
KANT, IJ;DEJONG, LCGM;BORM, PJA
在医疗保健单位工作会带来相当大的身体压力和许多肌肉骨骼疾病。大多数调查都集中在综合医院护士的工作上；人们对其他医护人员的身体压力负荷知之甚少。因此，我们在手术室工作人员中进行了一项人体工程学研究，以便 (i) 确定这一特定医护人员群体的工作（姿势）压力负荷以及静态姿势对这种压力的影响，(ii) 识别涉及不良工作姿势的活动，以及 (iii) 确定专业之间在工作姿势压力负荷方面的差异。使用指定的奥沃科工作姿势分析系统（OWAS）记录和评估手术室四组不同工作人员（外科医生、助理麻醉师、仪器护士和巡回护士）的工作姿势和相关工作活动。在普通外科和耳鼻喉 (ENT) 外科专科的 18 个日常手术项目过程中的观察（观察总数：3714）表明，根据 OWAS，循环护士和助理麻醉师的工作量没有害处。然而，仪器护士和外科医生的一些工作姿势需要改进。这些群体的工作姿势压力负荷主要是由于“手术”（外科医生）和“协助手术”（器械护士）活动期间静态工作姿势的普遍存在。普通外科医生和耳鼻喉外科医生之间观察到人体工程学压力负荷存在显着差异。这项手术室调查将工作姿势与基本活动联系起来，可以作为改善工作条件的起点，以减少或消除手术室工作人员的身体不适。
Work in health care units is associated with considerable physical strain and many musculoskeletal complaints. Most investigations have concentrated on the work of general hospital nurses; little is known about the physical stress load on other health care workers. We therefore carried out an ergonomic study amongst operating room staff in order to (i) determine the work (posture) stress load on this particular group of health care workers and the effect of static posture on this stress, (ii) identify activities involving poor work postures, and (iii) determine differences between specialities in regard to work posture stress load. The work postures and related work activities of four different groups of staff in operating rooms (surgeons, assistant anaesthesists, instrumentation nurses and circulating nurses) were recorded and evaluated using the specified Ovako Working posture Analysing System (OWAS). Observation during the course of 18 daily surgical programmes (total number of observations: 3714) in the specialities general surgery and ear-nose-throat (ENT) surgery revealed that the workload according to OWAS for circulating nurses and assistant anaesthesists was not harmful. Some work postures seen among instrumentation nurses and surgeons, however, need improvement. The work posture stress load in these groups is mainly due to the high prevalence of static work postures during the activities "surgery" (surgeons) and "assisting surgery" (instrumentation nurses). Significant differences in ergonomic stress load were observed between general surgeons and ENT surgeons. This survey in operating theatres relates work postures to basic activities and can be used as a starting point from which to improve work conditions in order to reduce or eliminate physical complaints among operating room staff.