柳州市工作环境手外伤的干预措施探讨

Study on Intervention Approaches of Work-related Hand Injury in Liuzhou

目的探讨可能的工作环境发生手外伤的瞬时危险因素及控制策略。方法选择在医院就诊的工作场所发生的急性手外伤病人作为研究对象,利用既往职业相关手外伤瞬时危险因素研究的数据,进行分析。结果估计手外伤瞬时危险因素暴露时的相对危险度(IRR)为设备运行不良为163.54、不熟悉的工作为68.69、不熟悉的方法为22.96、身体不适为10.88、匆忙为22.04、注意力不集中为43.04、加班为3.84,戴手套为1.77,这些瞬时危险因素对手外伤发生的贡献较大。结论8个瞬时危险因素均表现出对手外伤较强的作用,应针对职业性手外伤瞬时危险因素采取相应的干预措施。

[ Objective] To discuss the transient risk factors and control strategy of work-related hand injury. [ Methods ] Hospitalized patients with work-related acute hand injury were analyzed with the data of quondam transient risk factors of occupational hand injury. [ Results] Eight transient risk factors contributed to occurrence of acute hand injury, which including equipment malfunction, unfamiliar work, unfamiliar technique, discomfort, haste, distraction, overtime and wearing gloves. The IRR of them was 163.54, 68.69, 22.96, 10.88, 22.04, 43.04, 3.84 and 1.77 respectively. [ Conclusion] Eight transient risk factors show important effect to hand injury. The relevant intervention measures of transient risk factors of occupational hand injury should be implemented.