Occupational health of home care aides: results of the safe home care survey.
Occupational health of home care aides: results of the safe home care survey.
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DOI：
10.1136/oemed-2015-103031
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发表时间：
2016-04
影响因子：
4.9
通讯作者：
Davis L
中科院分区：
文献类型：
--
作者：
Quinn MM;Markkanen PK;Galligan CJ;Sama SR;Kriebel D;Gore RJ;Brouillette NM;Okyere D;Sun C;Punnett L;Laramie AK;Davis L
在人口老龄化的国家，家庭护理（HC）助手是增长最快的工作之一。目前对HC职业安全卫生（OSH）条件的定量研究很少。本研究的目的是：(1)定量评估各种健康护理工作条件下的职业安全与健康危害和利益；(2)比较美国马萨诸塞州不同医疗和社会服务系统雇用的健康护理助理的职业安全与健康经验。通过雇用助手并安排其与客户会面的机构以及由客户或其家属直接雇用的助手组成的工会招募HC助手进行调查。问卷包括最近健康中心访问的详细问题，以及个别助手的职业安全与健康经验。研究人群包括1249名HC助手（634名受雇于机构，615名受雇于客户），提供了3484次HC访问的信息。最常发生的危害与肌肉骨骼疲劳、接触潜在传染物和预防感染的清洁化学品以及遭受暴力有关。客户雇佣的助手和代理雇佣的助手都有类似的职业安全与健康经历，只有少数例外，包括使用利器和语言暴力的经历。健康中心助手的职业安全与健康经验与机构卫生保健设置中的助手相似。尽管存在职业安全与健康方面的挑战，但健康护理人员享受照顾他人的乐趣，健康护理工作的好处应该得到加强。对HC的危害和效益进行量化，有助于将资源优先用于发展预防性干预措施，并为政策制定提供证据基础。
In countries with ageing populations, home care (HC) aides are among the fastest growing jobs. There are few quantitative studies of HC occupational safety and health (OSH) conditions. The objectives of this study were to: (1) assess quantitatively the OSH hazards and benefits for a wide range of HC working conditions, and (2) compare OSH experiences of HC aides who are employed via different medical and social services systems in Massachusetts, USA. HC aides were recruited for a survey via agencies that employ aides and schedule their visits with clients, and through a labour union of aides employed directly by clients or their families. The questionnaire included detailed questions about the most recent HC visits, as well as about individual aides’ OSH experiences. The study population included 1249 HC aides (634 agency-employed, 615 client-employed) contributing information on 3484 HC visits. Hazards occurring most frequently related to musculoskeletal strain, exposure to potentially infectious agents and cleaning chemicals for infection prevention and experience of violence. Client-hired and agency-hired aides had similar OSH experiences with a few exceptions, including use of sharps and experience of verbal violence. The OSH experience of HC aides is similar to that of aides in institutional healthcare settings. Despite OSH challenges, HC aides enjoy caring for others and the benefits of HC work should be enhanced. Quantification of HC hazards and benefits is useful to prioritise resources for the development of preventive interventions and to provide an evidence base for policy-setting.