occupational

职业
  • 文章类型: Journal Article
    采茶是一种常见的农业职业,通常在有陡坡和高海拔的山区进行。尽管在农业中使用了现代技术和机械化设备,茶的很大一部分收获仍然是传统的和身体上的艰苦。这种对体力劳动的依赖可能导致采茶农民发生肌肉骨骼疾病的可能性更高。
    这项研究的目的是调查采茶农民肌肉骨骼疾病的患病率和危险因素。
    在本综述研究中,我们分析了2010年3月10日至2023年11月10日(最后搜索日期)所有发表的关于采茶农民肌肉骨骼疾病患病率和影响因素的文章.我们使用关键词系统地搜索文章(风险因素,风险评估,下肢,上肢,肌肉骨骼疾病,采茶,姿势,手动处理,不适,人体工程学,患病率,农民)在PubMed,谷歌学者,SID,WebofScience,Scopus,马吉兰,伊朗Medex,科克伦图书馆,和Embase。使用混合方法评估工具(MMAT)评估文章的质量,2018版本。根据PRISMA声明指南,不相关的文章被排除在外,仅对与本研究直接相关的文章进行了综述。还利用灰色源和BASE数据库来识别灰色源。.
    最初,在不同的数据库中找到了128篇文章,共选出17篇文章进行最终评估。工人通常暴露于肌肉骨骼问题的身体主要区域是背部,手,手腕,肩膀,脖子,和膝盖。研究确定了四大类因素:个人,职业,环境,和导致肌肉骨骼问题的社会心理。这些因素包括在体力要求苛刻的环境中工作的妇女,举起沉重的收获茶的袋子,茶收集过程中的时间压力,使用收割工具重复的手部动作,田里茶树的高度,在潮湿和湿滑的条件下工作,不平坦的地面,延长工作时间,低薪,缺乏雇主的支持。
    人体工程学干预措施,例如重新设计采茶工具,加强茶树和工作空间,教授人体姿势和手动运动的人体工程学原理,建议通过轮岗和充分休息来组织工作,以减轻肌肉骨骼疾病症状。
    UNASSIGNED: Tea harvesting is a common agricultural occupation, usually conducted in mountainous regions with steep slopes and high altitudes. Despite the utilization of modern technology and mechanized equipment in agriculture, a substantial portion of tea harvesting continues to be traditional and physically strenuous. This dependence on manual labor can lead to a higher likelihood of musculoskeletal disorders among tea harvesting farmers.
    UNASSIGNED: The objective of this research was investigation of prevalence and risk factors of musculoskeletal disorders in tea harvesting farmers.
    UNASSIGNED: In this review study, we analyzed all published articles on the prevalence and factors influencing musculoskeletal disorders in tea harvesting farmers from March 10, 2010, to November 10, 2023 (last search date). We systematically searched for articles using keywords (risk factor, risk assessment, lower limb, upper limb, musculoskeletal disorders, tea harvesting, posture, manual handling, discomfort, ergonomics, prevalence, farmers) in PubMed, Google Scholar, SID, Web of Science, Scopus, Magiran, Iran Medex, Cochrane Library, and Embase. The quality of the articles was evaluated using the Mixed Methods Appraisal Tool (MMAT), 2018 version. Unrelated articles were excluded following PRISMA statement guidelines, and only articles directly related to the study were reviewed. GraySource and BASE databases were also utilized to identify Gray sources..
    UNASSIGNED: Initially, 128 articles were found across different databases, and a total of 17 articles were selected for the final assessment. The primary areas of the body that workers are commonly exposed to musculoskeletal issues are the back, hands, wrists, shoulders, neck, and knees. The research identified four main categories of factors: personal, occupational, environmental, and psychosocial that contribute to musculoskeletal problems. Among these factors are women working in physically demanding environments, lifting heavy bags of harvested tea, time pressures during tea collection, repetitive hand motions from using harvesting tools, the height of the tea plants in the field, working in wet and slippery conditions, uneven ground surfaces, extended working hours, low pay, and lack of support from employers.
    UNASSIGNED: Ergonomic interventions such as redesigning tea harvesting tools, enhancing tea plants and workspaces, teaching ergonomic principles of body posture and manual movement, and organizing work with job rotation and adequate rest are recommended to alleviate musculoskeletal disorder symptoms.
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  • 文章类型: Journal Article
    对病毒的职业暴露进行评估对于在早期阶段确定病毒储库和传播源以及有助于防止在员工之间和普通人群之间传播至关重要。测量工人的暴露量有助于评估保护和缓解措施的有效性。本范围审查的目的是概述在不同的职业和室内环境中进行空气传播病毒暴露评估的可用方法和已经实施的方法。从不同研究中获得的结果可能有助于制定未来的标准和指南,以确保在职业环境中进行可靠的风险表征,这对于实施有效的控制措施至关重要。该搜索旨在在选定的数据库中选择2010年1月1日至2023年6月30日之间的研究。50篇关于病毒暴露评估的论文符合资格标准,并被选择用于数据提取。总的来说,这项研究发现了有关病毒评估的知识差距,并指出了进一步研究的需求。发现了几个差异(运输温度,洗脱步骤,...),以及缺乏与暴露条件相关的重要数据(上下文信息)的公布。有了可用的信息,不可能在采用不同方法的研究之间比较结果,即使使用相同的方法,由于在检索的上下文信息和/或数据解释方面缺乏共识,因此报告了基于专家判断的不同结论/建议。应考虑到评估的不同目标,开展有关现场靶向采样方法和实验室中有关要采用的测定方法的未来研究。
    Assessment of occupational exposure to viruses is crucial to identify virus reservoirs and sources of dissemination at an early stage and to help prevent spread between employees and to the general population. Measuring workers\' exposure can facilitate assessment of the effectiveness of protective and mitigation measures in place. The aim of this scoping review is to give an overview of available methods and those already implemented for airborne virus\' exposure assessment in different occupational and indoor environments. The results retrieved from the different studies may contribute to the setting of future standards and guidelines to ensure a reliable risk characterization in the occupational environments crucial for the implementation of effective control measures. The search aimed at selecting studies between January 1st 2010 and June 30th 2023 in the selected databases. Fifty papers on virus exposure assessment fitted the eligibility criteria and were selected for data extraction. Overall, this study identified gaps in knowledge regarding virus assessment and pinpointed the needs for further research. Several discrepancies were found (transport temperatures, elution steps, …), as well as a lack of publication of important data related to the exposure conditions (contextual information). With the available information, it is impossible to compare results between studies employing different methods, and even if the same methods are used, different conclusions/recommendations based on the expert judgment have been reported due to the lack of consensus in the contextual information retrieved and/or data interpretation. Future research on the field targeting sampling methods and in the laboratory regarding the assays to employ should be developed bearing in mind the different goals of the assessment.
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  • 文章类型: Journal Article
    多环芳烃(PAHs)是广泛存在的污染物,具有重要的公共卫生问题。有几种对人类有剧毒的,包括一些已证实或可疑的致癌物。考虑到在职业环境中遇到的PAH混合物的高变异性,通过空气中的总芘(PyrT)/苯并[a]芘(BaP)比率调整尿1-羟基芘(1-OHP)水平对于人类生物监测(HBM)至关重要。考虑到系统监测大气水平的复杂性和成本,需要同时采用机载和HBM的替代方法。这篇评论的目的是对在不同工业活动中测量的机载PyrT/BaP比率进行分类,并推荐1-OHP专用生物指导值(BGV)。进行了文献检索。包括71项研究,有5619个样本属于15个工业部门,79个排放过程,213项职业活动。这篇综述总结了近20个国家40多年的数据,并强调了PAH排放的多样性和演变。PyrT/BaP比率高度可变,从焦炭生产的0.8到轮胎和橡胶生产的近40。单个PyrT/BaP值不能适用于所有职业环境,提出了在PyrT/BaP比率变异性高的工业部门中定义1-OHP的单个生物学极限值的相关性问题。根据库存,提出了一种系统的PAH暴露和风险评估的实用方法,根据职业背景和免费PAHHBM交互式工具的设置,根据特定的1-OHPBGV遵循一个简单的框架。
    Polycyclic aromatic hydrocarbons (PAHs) are ubiquitous pollutants of significant public health concern, with several that are highly toxic to humans, including some proven or suspected carcinogens. To account for the high variability of PAH mixtures encountered in occupational settings, adjusting urinary 1-hydroxypyrene (1-OHP) levels by the total airborne pyrene (PyrT)/benzo[a]pyrene (BaP) ratio is essential for human biomonitoring (HBM). Given the complexity and cost of systematically monitoring atmospheric levels, alternative approaches to simultaneous airborne and HBM are required. The aim of this review was to catalog airborne PyrT/BaP ratios measured during different industrial activities and recommend 1-OHP-dedicated biological guidance values (BGV). A literature search was conducted. Seventy-one studies were included, with 5619 samples pertaining to 15 industrial sectors, 79 emission processes, and 213 occupational activities. This review summarized more than 40 years of data from almost 20 countries and highlighted the diversity and evolution of PAH emissions. PyrT/BaP ratios were highly variable, ranging from 0.8 in coke production to nearly 40 in tire and rubber production. A single PyrT/BaP value cannot apply to all occupational contexts, raising the question of the relevance of defining a single biological limit value for 1-OHP in industrial sectors where the PyrT/BaP ratio variability is high. Based upon the inventory, a practical approach is proposed for systematic PAH exposure and risk assessment, with a simple frame to follow based upon specific 1-OHP BGVs depending upon the occupational context and setup of a free PAH HBM interactive tool.
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  • 文章类型: Case Reports
    虽然由于烟草和酒精消费的减少,头颈癌的总体发病率有所下降,在几个工业化国家,HPV阴性口腔鳞状细胞癌(SCC)的发病率正在上升,特别是不吸烟和不饮酒的患者。
    我们记录了一例56岁的从不吸烟患者的牙龈SCC病例,报告其饮酒量低和不寻常的职业溶剂暴露。HPV阴性病变于2018年手术切除,2019年复发手术后4年,患者仍处于完全缓解状态。2021年,该患者被转诊至职业癌症咨询。病人做了18年的丝网印刷机。他报告说,每2-3天吸嘴将有机溶剂(主要是芳烃和酮)从容器转移到较小的容器中,有规律的溶剂进入他的嘴里。
    根据文献,使用口腔虹吸溶剂的频率可能被低估。虽然我们的综述没有发现报告口腔虹吸对口腔的长期影响的研究,目前的证据支持上消化道SCC与职业暴露于有机溶剂和印刷过程呈正相关。在没有主要的非专业因素的情况下,该患者的HPV阴性牙龈SCC可能归因于常规的职业性口服溶剂暴露.虽然现有的证据仍然限于正式建立因果关系,临床医师应调查OSCC患者和溶剂暴露史患者的这一危险工作实践.
    UNASSIGNED: While overall head and neck cancer incidence decreases due to reduced tobacco and alcohol consumption, the incidence of HPV negative oral cavity squamous cell carcinoma (SCC) is raising in several industrialized countries, especially in non-smoking and non-drinking patients.
    UNASSIGNED: We document a case of gingiva SCC in a 56 years old never-smoker patient reporting low alcohol consumption and unusual occupational solvent exposure. The HPV-negative lesion was surgically removed in 2018, and the patient remains in complete remission 4 years after recurrent surgery in 2019. In 2021, the patient was referred to the occupational cancer consultation. The patient worked as screen printer for 18 years. He reported mouth siphoning every 2-3 days to transfer organic solvents (mainly aromatic hydrocarbons and ketones) from containers into smaller recipients, with regular passage of solvents into his mouth.
    UNASSIGNED: According to the literature, the frequency of solvent siphoning using mouth is likely to be underestimated. While our review did not find studies reporting longterm consequences to the oral cavity of mouth siphoning, current evidence supports a positive association of upper aero digestive tract SCC with occupational exposures to organic solvents and printing processes. In absence of major extraprofessional factors, the HPV-negative gingiva SCC of this patient might be attributable to the regular occupational oral solvent exposure. While the available evidence remains limited to formally establish a causal relationship, clinicians should investigate this hazardous work practice in patients with OSCC and history of solvent exposures.
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  • 文章类型: Journal Article
    背景:髋关节骨性关节炎(HOA)是残疾随年龄增长而增加的主要原因,在女性和各种身体要求高的职业中更为普遍。本系统综述确定并总结了女性在身体要求苛刻的职业中的职业暴露,并讨论了性别差异和后果。
    方法:在这篇系统综述中,我们在各种电子数据库中搜索了从数据库开始日期到2022年10月之间发布的报告.我们纳入了队列研究和病例对照研究,这些研究评估了暴露于身体要求苛刻的职业与HOA发展之间的关系。然后,我们评估了选定研究的方法学质量,提取的相对效果,比较女性和男性的风险,并进行荟萃分析评估体力要求高的职业的影响。所有步骤均基于PROSPERO(CRD42015016894)中公布的研究方案。
    结果:本系统综述包括6项队列研究和2项病例对照研究。这些研究表明,男女患HOA的风险大大增加。从事传统上由女性主导的职业的妇女,如清洁、销售,餐饮,对身体要求很高的育儿和美发,在同样的体力要求高的职业中,与男性相比,患HOA的风险更高。相反,在传统上以男性为主的职业中,工作活动的异质性很高,比如农业,工艺品,建筑,以及低技能职业,男性的风险更高。一个例外是健康职业,与广泛的其他技术职业组合在一起,很难得出结论。
    结论:现有研究表明,各种职业与高体力劳动和增加患HOA的风险之间存在关联。职业预防和个人健康促进战略应侧重于减少工作中繁重的体力劳动的影响。上述以及早期发现应特别提供给女性主导职业的妇女和从事基本职业的人。
    BACKGROUND: Hip osteoarthritis (HOA) is a leading cause of disability increasing with age and is more prevalent in women and in various physically demanding occupations. This systematic review identifies and summarises occupational exposures for women in physically demanding occupations and discusses sex differences and consequences.
    METHODS: In this systematic review, we searched various electronic databases for reports published between date of database inception and October 2022. We included cohort studies and case-control studies that assessed the association between exposure to physically demanding occupations and the development of HOA. We then assessed the methodological quality of selected studies, extracted relative effects, compared the risk for women and men and meta-analytically reviewed the effects of physically demanding occupations. All steps were based on a study protocol published in PROSPERO (CRD42015016894).
    RESULTS: We included six cohort studies and two case-control studies in this systematic review. These studies showed a considerably increased risk of developing HOA in both sexes. Women working in traditionally female-dominated occupations such as cleaning, sales, catering, childcare and hairdressing that are physically demanding, have a higher risk of developing HOA than men in similarly physically demanding occupations. Conversely, in traditionally male-dominated occupations with a high heterogeneity of work activities, such as agriculture, crafts, construction, as well as in low-skilled occupations, the risk was higher for men. One exception are health occupations, which are grouped together with a wide range of other technical occupations, making it difficult to draw conclusions.
    CONCLUSIONS: Existing studies indicate an association between various occupations with a high physical workload and an increased risk of developing HOA. Occupational prevention and individual health promotion strategies should focus on reducing the effects of heavy physical workloads at work. The aforementioned as well as early detection should be specifically offered to women in female-dominated occupations and to people working in elementary occupations.
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  • 文章类型: Journal Article
    目的:本系统综述调查了工作场所干预措施的有效性,以支持年轻工人的工作环境,安全和健康。
    方法:在包括PubMed在内的书目数据库中进行了系统搜索,WebofScienceCoreCollectionandPsycInfoforEnglishorScandinavianarticlespublishedfrom2007to2022.PICO策略指导了研究相关性的评估以及对随机对照试验(RCT)和非RCT的文献搜索,其中(1)参与者是年轻工人(平均年龄:15-29),(2)在工作场所启动和/或实施干预措施,(3)纳入对照组,(4)与工作环境相关的成果衡量标准,报告了安全和健康。我们使用干预分类框架对每个纳入的研究进行了分类。质量评估和证据综合遵循了工作与健康研究所(多伦多,加拿大)。
    结果:总共33项高质量和中等质量的研究显示了中等水平的证据,表明“心理训练”对压力没有益处。我们发现以下干预类型的积极作用的证据有限:“态度和信念”对心理健康问题,“基于焦虑的行为”,和“多面性”手部湿疹。我们发现有限的证据表明以下干预类型没有益处:关于心理健康问题的“心理训练”,和肌肉骨骼疾病的“生理改变”。其余干预类型显示混合或证据不足。
    结论:除了中等水平的证据表明“心理训练”对压力没有益处,证据综合建议,科学文献中没有足够的证据来指导当前的实践。结果强调了对高质量干预措施的强烈需求,特别是旨在增加或维持年轻工人的工作环境。安全和健康。纳入的研究主要集中在个别措施,强调需要研究在团体或组织层面调查可能的预防措施。
    OBJECTIVE: This systematic review investigates the effectiveness of workplace interventions to support young workers\' work environment, safety and health.
    METHODS: A systematic search was conducted in bibliographic databases including PubMed, Web of Science Core Collection and PsycInfo for English or Scandinavian articles published from 2007 to 2022. The PICO strategy guided the assessment of study relevance and the bibliographical search for randomized controlled trials (RCTs) and non-RCTs in which (1) participants were young workers (mean age: 15-29), (2) interventions were initiated and/or carried out at the workplace, (3) a comparison group was included, and (4) an outcome measure related to work environment, safety and health was reported. We categorized each included study using the intervention classification framework. The quality assessment and evidence synthesis adhered to the guidelines developed by the Institute for Work & Health (Toronto, Canada).
    RESULTS: A total of 33 high and medium quality studies showed a moderate level of evidence for no benefit of \'Mental training\' on stress. We found limited evidence of a positive effect of the following intervention types: \'Attitude and belief\' on mental health problems, \'Behavior based\' on anxiety, and \'Multifaceted\' on hand eczema. We found limited evidence for no benefit of the following intervention types: \'Mental training\' on mental health problems, and \'Physiological modifications\' on musculoskeletal disorders. The remaining intervention types showed mixed or insufficient evidence.
    CONCLUSIONS: Except for a moderate level of evidence for no benefit of \'Mental training\' on stress, the evidence synthesis recommends, that there is not enough evidence from the scientific literature to guide current practices. The results emphasizes a strong need for high quality interventions specifically aiming at increasing or maintaining young workers\' work environment, safety and health. Included studies focused mainly on individual measures, highlighting the need for studies investigating possible preventive measures at the group or organizational level.
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  • 文章类型: Journal Article
    全身振动(WBV)在与劳动有关的活动中很普遍,可能对暴露者的健康和表现产生不利影响。然而,关于职业性WBV暴露后人类功能受到影响程度的证据尚未整理。当前的系统评价旨在综合现有文献,并评估有关职业性WBV暴露对认知的急性后效应的证据的强度和方向。视觉功能,姿势稳定性,和电机控制。我们对AMED进行了全面搜索,CINAHL,MEDLINE,PubMED,心理学与行为科学合集,SPORTDiscus,APAPsychInfo,科克伦图书馆,EMBASE,HMIC,全球卫生,ProQuestCentral,Scopus,WebofScience,和美国国家技术信息服务于2023年4月26日。量化振动暴露和测量认知急性变化的研究,视觉功能,姿势稳定性,并且考虑了从基线到振动后的运动控制,没有日期限制。在确定的2663项研究中,32人符合入选条件。基于非随机暴露研究(ROBINS-E)工具中的偏倚风险,研究表明低(66%),中度(25%)和高风险(9%)。研究结果表明,暴露于WBV后,姿势稳定性要么恶化,要么保持不变。据报道,WBV对认知的影响不一致,而视觉功能和运动控制在WBV后没有明显变化。这可能归因于评估局限性,例如神经心理学和运动任务中的学习效果,和使用的非功能性视力测量。在振动暴露的表征和对功能性能的相关影响的评估方面缺乏一致性。因此,目前的证据不足以为更新有关WBV的职业健康和安全法规提供明确的指导。然而,这篇综述强调了WBV危害暴露后人类表现的潜力,因此,安全。审查的完成得到了UKRIEPSRC培训补助金的支持。该评论已在PROSPERO上注册(参考CRD42023391075)。
    Whole-body vibration (WBV) is prevalent in labour-related activities and can have adverse effects on the health and performance of the individuals exposed. However, evidence regarding the extent to which human functionality is affected following occupational WBV exposure has not been collated. The current systematic review sought to synthesize existing literature and assess the strength and direction of evidence regarding the acute after-effects of occupational WBV exposure on cognition, visual function, postural stability, and motor control. We conducted a comprehensive search of AMED, CINAHL, MEDLINE, PubMED, Psychology and Behavioural Sciences Collection, SPORTDiscus, APA PsychInfo, Cochrane Library, EMBASE, HMIC, Global Health, ProQuest Central, Scopus, Web of Science, and the US National Technical Information Service on April 26, 2023. Studies that quantified vibration exposure and measured acute changes in cognition, visual function, postural stability, and motor control from baseline to post-vibration were considered without date restriction. Out of the 2663 studies identified, 32 were eligible for inclusion. Based on the Risk of Bias in Non-Randomized Studies of Exposure (ROBINS-E) tool, the studies demonstrated low (66%), moderate (25%) and high risk of bias (9%). The findings indicate that after exposure to WBV, postural stability either deteriorates or remains unchanged. Inconsistent effects of WBV on cognition were reported, while visual function and motor control showed no pronounced changes following WBV. This might be attributed to assessment limitations such as learning effects in neuropsychological and motor tasks, and non-functional measures of vision employed. There was a lack of consistency in the characterization of vibration exposure and the assessment of associated effects on functional performance. Current evidence is therefore insufficient to provide definitive guidance for updating occupational health and safety regulations regarding WBV. However, this review highlights the potential for WBV to jeopardize post-exposure human performance and, consequently, safety. The completion of the review was supported by a UKRI EPSRC training grant. The review has been registered on PROSPERO (ref CRD42023391075).
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  • 文章类型: Journal Article
    本综述旨在确定和分析用于评估外科手术和/或介入手术期间接受荧光透视检查的工人的整体表现的仪器。使用PRISMA方法。这些研究是通过在PubMed上进行的搜索找到的,WebofScience,丁香花,ScienceDirect,B-ON,EBSCOhost,和EBSCO发现服务于2023年3月27日。使用反向和正向引用技术确定了其他研究。遵循PEO战略模型。该搜索涵盖了2012年至2022年之间发表的研究。使用JoannaBriggs研究所的分析性横断面研究清单对研究的质量进行评估。在确定的23项研究中,包括3604个人,12(52%)讨论了仪器的可靠性和/或有效性,而3人(13%)专注于仪器的开发和心理测试。只有5种乐器(23%),经过验证和可靠,专门评估的职业放射防护。涵盖的主要维度是知识(82%,n=19)。在18项研究中对人群进行了评估,2项研究的干预前后,21项研究提供了改进建议或工具。研究中的个体使用被动剂量计(范围从5%到98%),甲状腺盾牌(15%至98%),和围裙或铅裙/外套(28%至99%)。证据质量中等(6/8)。这项研究强调了提高保护和监测设备合规性的必要性。此外,关于所用仪器的有效性和可靠性,需要额外的信息,以及开发既有效又可靠的仪器。
    This review aims to identify and analyze the instruments employed for assessing the overall performance of workers exposed to fluoroscopy during surgical procedures and/or interventional procedures, using the PRISMA methodology. The studies were located through searches conducted on PubMed, Web of Science, Lilacs, ScienceDirect, B-ON, EBSCOhost, and EBSCO Discovery Service on March 27, 2023. Additional studies were identified using backward and forward citation techniques. The PEO strategic model was followed. The search spanned studies published between 2012 and 2022. The quality of the studies underwent assessment using the Joanna Briggs Institute checklist for analytical cross-sectional studies. Out of the 23 studies identified, encompassing 3604 individuals, 12 (52%) addressed the reliability and/or validity of the instruments, while 3 (13%) focused on the development and psychometric testing of the instruments. Only 5 instruments (23%), validated and reliable, exclusively evaluated occupational radiological protection. The predominant dimension covered was knowledge (82%, n = 19). The population was assessed in 18 studies, pre- and post-intervention in 2 studies, and 21 studies provided recommendations or tools for improvement. Individuals in the studies utilized passive dosimeters (ranging from 5% to 98%), thyroid shields (15% to 98%), and aprons or lead skirts/coats (28% to 99%). The evidence quality was moderate (6/8). This study underscores the imperative to enhance compliance with protective and monitoring equipment. Furthermore, additional information is warranted concerning the validity and reliability of the instruments used, as well as the development of instruments that are both valid and reliable.
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  • 文章类型: Journal Article
    了解护士的饮酒可能会告知与护士用于工作场所压力和创伤的应对机制相关的干预措施。酒精的使用可能是由多种因素引起的,并对护士的个人健康和职业实践产生严重影响。了解心理社会因素和预防措施可能有助于制定干预措施,以改善应对机制并减少酒精滥用的发生率。
    回顾与护士饮酒相关的社会心理因素和预防措施。
    对于这篇综合评论,在CINAHL中进行了系统搜索,PubMed,PsychNet,ProQuestCentral纳入的研究进行了同行评审,并解决了美国护士的饮酒问题。文章是使用Whittemore和Knafl框架所示的特定方法工具进行评估的。使用恒定比较提取数据并确定主题。
    在筛选的6,214篇非重复文章中,在应用纳入标准后,共选择78人进行全文审查,共纳入13人。综合得出四个主题:(1)职业压力和创伤,(2)工作场所特点,(3)心理健康影响,(4)保护因素。数据显示,工作场所的压力和创伤导致护士饮酒。夜班,旋转移位,和轮班长度是与酒精使用有关的因素,心理健康问题如焦虑,抑郁症,创伤,和自杀。减少护士饮酒的保护因素包括信仰,弹性,和感知到的组织支持。
    在护士中使用酒精对护理专业和监管机构提出了挑战,与护士的角色和身份有关的特定和相互关联的现象。通过研究更好地了解这些因素将促进更健康的护理人员,更好地准备承担护理职业的奖励和挑战。
    UNASSIGNED: Understanding alcohol use among nurses may inform interventions related to the coping mechanisms nurses use for workplace stress and trauma. Alcohol use can be caused by a variety of factors and has serious implications on a nurse\'s personal health and professional practice. Understanding psychosocial factors and preventive measures may assist in the development of interventions to improve coping mechanisms and reduce the incidence of alcohol misuse.
    UNASSIGNED: To review the psychosocial factors and preventive measures associated with alcohol use among nurses.
    UNASSIGNED: For this integrative review, systematic searches were conducted in CINAHL, PubMed, PsychNet, and ProQuest Central. Included studies were peer-reviewed and addressed alcohol use among nurses in the United States. Articles were appraised using methods-specific tools indicated by the Whittemore and Knafl framework. Data were extracted and themes identified using constant comparison.
    UNASSIGNED: Of 6,214 nonduplicate articles screened, 78 were selected for full-text review and 13 were included after application of inclusion criteria. Synthesis resulted in four themes: (1) occupational stress and trauma, (2) workplace characteristics, (3) mental health implications, and (4) protective factors. The data show that workplace stress and trauma contribute to alcohol use among nurses. Night shifts, rotating shifts, and shift length are factors related to alcohol use, as are mental health problems such as anxiety, depression, trauma, and suicide. Protective factors that reduce alcohol use among nurses include faith, resilience, and perceived organizational support.
    UNASSIGNED: Alcohol use among nurses presents challenges for the nursing profession and regulatory bodies with specific and interrelated phenomena related to the role and identity of nurses. A better understanding of these factors through research will facilitate a healthier nursing workforce that is better prepared to take on the rewards and challenges of a nursing career.
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  • 文章类型: Journal Article
    职业性呼吸系统疾病(ORD)与暴露于工作场所中存在的有害因素之间的联系已得到充分证明。身体活动等因素,年龄和职业暴露持续时间在ORD严重程度中起重要作用,应该在工作场所识别,应该研究它们对工人健康的影响,最终,必须尽量减少对它们的接触。我们通过搜索PubMed进行了文献综述,Scopus,和WebofScience数据库检索1999年至2023年4月底发表的报告伊朗ORD患病率和诱发因素的研究。在伊朗工人中,几种ORD,如间质性肺病,矽肺,职业性哮喘,肺部炎症性疾病,慢性阻塞性肺疾病,和肺癌已经被报道。研究表明,ORD主要是由于在工作场所反复和长时间接触有毒物质而发生的。我们还从检索到的报告中提取了伊朗不同地区ORD的患病率。根据我们的文献综述,伊朗工人中ORD的患病率凸显了定期评估工作场所接触有毒物质的风险以制定预防潜在不利影响的措施的重要性.
    The link between occupational respiratory diseases (ORD) and exposure to harmful factors that are present in the workplace has been well shown. Factors such as physical activity, age and duration of occupational exposure playing important roles in ORD severity, should be identified in the workplace, their effects on workers health should be studied, and ultimately, exposure to them must be minimized. We carried out a literature review by searching PubMed, Scopus, and Web of Science databases to retrieve studies published from 1999 until the end of April 2023 reporting the prevalence and inducers of ORD in Iran. In Iranian workers, several ORD such as interstitial lung disease, silicosis, occupational asthma, pulmonary inflammatory diseases, chronic obstructive pulmonary diseases, and lung cancers have been reported. It was indicated that ORD mainly occur due to repeated and prolonged exposure to noxious agents in the workplace. We also extracted the prevalence of ORD in different regions of Iran from the retrieved reports. Based on our literature review, the prevalence of ORD among Iranian workers highlights the importance of regular assessment of the risk of exposure to noxious agents in the workplace to develop measures for preventing potential adverse effects.
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