Iranian Journal of Ergonomics
مجله ارگونومی
Iran J Ergon
Medical Sciences
http://journal.iehfs.ir
1
admin
1735-1960
2345-5365
8
10.53208/IJE
14
13
fa
jalali
1392
6
1
gregorian
2013
9
1
1
1
online
1
fulltext
fa
بررسی تاثیر مداخله ارگونومی بر اختلالات اسکلتی- عضلانی کارکنان بیمارستان علیمرادیان نهـاوند
The Impact of Ergonomics Intervention on Musculoskeletal Disorders among Nahavand Alimoradian Hospital Staff
پژوهشي
Research
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<p style="margin-bottom: 0.0001pt text-align: justify line-height: normal background: none repeat scroll 0% 0% white direction: rtl unicode-bidi: embed" dir="rtl" class="MsoNormal"><b><span lang="FA" style="font-size: 10pt font-family: "Tahoma","sans-serif"">مقدمه: </span></b><span lang="FA" style="font-size: 10pt font-family: "Tahoma","sans-serif"">یکی از عمـده تــرین مشـکلات
در بیمارستـان که منجـر به شیـوع بالای اختلالات اسکلتی-عضلانی در بین کارکنان آن می
شود مربـوط به فعالیتـهای حمـل و جابــجایی بیـماران است. این تحقیق به منظور کاهش
اختلالات اسکلتی- عضلانی با استفاده از مداخله آموزشی ارگونومیکی در کارکنان بیمارستان
علیمرادیان نهاوند انجام گرفت.</span></p>
<p style="margin-bottom: 0.0001pt text-align: justify line-height: normal background: none repeat scroll 0% 0% white direction: rtl unicode-bidi: embed" dir="rtl" class="MsoNormal"><b><span lang="FA" style="font-size: 10pt font-family: "Tahoma","sans-serif"">مواد و روشها: </span></b><span lang="FA" style="font-size: 10pt font-family: "Tahoma","sans-serif"">این تحقیق در چهار
بخش بیمارستان 160 تخت خوابـی علیمـرادیـان نهـاونـد انجـام گرفت. روش گردآوری اطلاعات،
پرسشنامه نوردیک و آنالیز با نرم افزار </span><span style="font-size: 9pt font-family: "Tahoma","sans-serif"" dir="ltr">SPSS</span><span dir="rtl"></span><span dir="rtl"></span><span style="font-size: 9pt font-family: "Tahoma","sans-serif""><span dir="rtl"></span><span dir="rtl"></span>
</span><span lang="FA" style="font-size: 10pt font-family: "Tahoma","sans-serif"">بود. این پرسشنامه<span> </span>برای
46 نفر از کارکنان چهار بخش که بیشترین شکایـت را از ناراحتی های اسکلتی-عضلانی داشتند
قبل و بعد از مداخله آموزشی تکمیـل شد. کلاس های آموزشی در زمینه پیشگیری از
اختلالات اسکلتی-عضلانی مرتبط با کار، روش های صحیح حمل بیمار و نرمش هایی برای پیشگیری
از کمردرد برای گروه هدف برگزار گردید.</span></p>
<p style="margin-bottom: 0.0001pt text-align: justify line-height: normal background: none repeat scroll 0% 0% white direction: rtl unicode-bidi: embed" dir="rtl" class="MsoNormal"><b><span lang="FA" style="font-size: 10pt font-family: "Tahoma","sans-serif"">یافته ها: </span></b><span lang="FA" style="font-size: 10pt font-family: "Tahoma","sans-serif"">از اهم نتایج می توان به
بالا بودن شیوع اختلالات اسکلتی-عضلانی در بین کارکنان به خصوص اختلالات کمر، شانه،
مچ و غیره اشاره کرد که کمر درد بیشترین شیوع را در بین کارکنان داشت. مداخله آموزشی
به تنهایی تاثیری چندانی در کاهش اختلالات اسکلتی- عضلانی کارکنان بیمارستان نداشت(05/0></span><span style="font-size: 10pt font-family: "Tahoma","sans-serif"" dir="ltr">p</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-size: 10pt font-family: "Tahoma","sans-serif""><span dir="rtl"></span><span dir="rtl"></span>).</span></p>
<p style="margin-bottom: 0.0001pt text-align: justify line-height: normal background: none repeat scroll 0% 0% white direction: rtl unicode-bidi: embed" dir="rtl" class="MsoNormal"><b><span lang="FA" style="font-size: 10pt font-family: "Tahoma","sans-serif"">نتیجه گیری: </span></b><span lang="FA" style="font-size: 10pt font-family: "Tahoma","sans-serif"">در حال حاضر در بخش
بهداشـت و درمان با توجـه به افزایــش سطـح کاربـردهای بهداشتـی و درمانی نیاز به مداخله
ارگونومیـکی در طراحی محیط، ابزار و تجهیزات همزمان با مداخله آموزشی وجود دارد.</span></p>
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<p style="margin-bottom: 0.0001pt text-align: justify line-height: normal background: none repeat scroll 0% 0% rgb(217, 217, 217)" class="MsoNormal"><b><span style="font-family: "Times New Roman","serif"">Introduction:</span></b><span style="font-family: "Times New Roman","serif""> One of the major problems in hospitals
leading to high prevalence of musculoskeletal disorders among the health staff
is associated with patients handling. This study was aimed to reduce
musculoskeletal disorders using ergonomic intervention among Nahavand
Alimoradian hospital staff.</span></p>
<p style="margin-bottom: 0.0001pt text-align: justify line-height: normal background: none repeat scroll 0% 0% rgb(217, 217, 217)" class="MsoNormal"><b><span style="font-family: "Times New Roman","serif"">Material and Methods:</span></b><span style="font-family: "Times New Roman","serif""> This study was conducted in four wards of
160-bed Nahavand Alimoradian hospital. The data collecting tool was Nordic
Musculoskeletal Questionnaire. SPSS software was used for data analysis. The
questionnaire was completed, before and after educational intervention, for 46
employees of the four wards which had the most complaints about musculoskeletal
disorders.<span> </span>Training classes were held
for the target group covering prevention of work-related musculoskeletal
disorders, proper techniques for patient handling and stretching exercises for
low back pain prevention.</span></p>
<p style="margin-bottom: 0.0001pt text-align: justify line-height: normal background: none repeat scroll 0% 0% rgb(217, 217, 217)" class="MsoNormal"><b><span style="font-family: "Times New Roman","serif"">Results:</span></b><span style="font-family: "Times New Roman","serif""> The main results tended to be the high
prevalence of musculoskeletal disorders especially in low back, shoulders and
wrists of the employees. Low back pain was the most prevalent disorder among
the personnel. The educational intervention had not significant effect on
lessening the musculoskeletal disorders in hospital staff (p > 0.05).</span></p>
<b><span style="font-size: 11pt line-height: 115% font-family: "Times New Roman","serif"">Conclusion:</span></b><span style="font-size: 11pt line-height: 115% font-family: "Times New Roman","serif""> At
present, regarding enhancements in healthcare procedures, there is an urgent
need to ergonomic intervention in the design of environment, tools and
equipment concurrent with educational intervention.</span><!--stripped-->
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اختلالات اسکلتی- عضلانی, آسیب های کمر, حمل بیمار, مداخله ارگونومیکی
Musculoskeletal disorders, Low back injuries, Patient handling, Ergonomics intervention.
23
32
http://journal.iehfs.ir/browse.php?a_code=A-10-24-3&slc_lang=fa&sid=1
Farshid
Ali Arabian
فرشید
علی عربیان
10031947532846001417
10031947532846001417
No
Hamadan University of Medical Sciences, Iran
کارشناس ارشد بهداشت حرفه ای مرکز بهداشت شهرستان نهاوند
Majid
Motamedzade
مجید
معتمدزاده
motamedzade@yahoo.com
10031947532846001418
10031947532846001418
Yes
Ergonomics Department, School of Health and Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
گروه ارگونومی دانشکده بهداشت و عضو مرکز تحقیقات علوم بهداشتی دانشگاه علوم پزشکی همدان
Rostam
Golmohammadi
رستم
گلمحمدی
10031947532846001419
10031947532846001419
No
Department of Occupational Hygiene, School of Health and Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
گروه بهداشت حرفه ای دانشکده بهداشت دانشگاه علوم پزشکی همدان
Abbas
Moghim Beigi
عباس
مقیم بیگی
10031947532846001420
10031947532846001420
No
Department of Biostatistics and Epidemiology, School of Public Health and Center for Health Research, Hamadan University of Medical
گروه آمار دانشکده بهداشت دانشگاه علوم پزشکی همدان
Fereshteh
Pir Hayati
فرشته
پیرحیاتی
10031947532846001421
10031947532846001421
No
Nahavand Health Center, Hamadan University of Medical Sciences, Iran
مرکز بهداشت شهرستان نهاوند