Impact of heat stress and protective clothing on healthcare workers: health, performance, and well-being in hospital settings.

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Razan Wibowo, Malte Satow, Caroline Quartucci, Tobias Weinmann, Daniela Koller, Hein A M Daanen, Dennis Nowak, Stephan Bose-O Reilly, Stefan Rakete
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Abstract

Introduction: Heat stress poses a recognized threat to human health. Despite growing evidence, its impact on healthcare workers (HCWs) remains underexplored. This study evaluates occupational heat stress in HCWs, assessing physiological responses and subjective well-being.

Methods: Twelve HCWs from a German university hospital were monitored in non-air-conditioned intensive care units (ICU) and non-ICU settings during the summer of 2022 (mean indoor temperature of 26.5 °C) and again in the autumn of the same year or in March 2023 (mean indoor temperature of 23.6 °C). Physiological data (core body temperature, heart rate, and skin temperature) and subjective perceptions were measured using wearable sensors and questionnaires.

Results: In summer, mean core body and skin temperatures were higher by 0.4 °C and 0.3 °C, respectively. ICU workers exhibited higher heart rates and reported greater mental demands, frustration, and discomfort, particularly when using personal protective equipment (PPE). Common symptoms included sweating, fatigue, and headaches.

Conclusion: We observed some evidence suggesting that elevated indoor temperatures and reported PPE usage contribute to increased HCWs' heat strain, which could potentially affect health, safety, and performance. Given the observed trends, we recommend considering cooling vests and revising workplace standards to mitigate heat stress.

热应激和防护服对医护人员的影响:医院环境中的健康、表现和福祉。
导读:热应激对人体健康构成公认的威胁。尽管越来越多的证据表明,它对卫生保健工作者(HCWs)的影响仍未得到充分探讨。本研究评估了医护人员的职业热应激,评估了生理反应和主观幸福感。方法:于2022年夏季(室内平均温度26.5°C)和同年秋季或2023年3月(室内平均温度23.6°C)分别在非空调重症监护病房(ICU)和非ICU环境中对12名HCWs进行监测。生理数据(核心体温、心率和皮肤温度)和主观感知使用可穿戴传感器和问卷进行测量。结果:夏季大鼠体核和皮肤平均温度分别升高0.4℃和0.3℃。ICU工作人员表现出更高的心率,并报告了更大的精神需求、沮丧和不适,特别是在使用个人防护装备(PPE)时。常见的症状包括出汗、疲劳和头痛。结论:我们观察到一些证据表明,室内温度升高和报告的PPE使用会增加医护人员的热应变,这可能会影响健康、安全和工作表现。鉴于观察到的趋势,我们建议考虑冷却背心和修订工作场所标准,以减轻热应激。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals Of Work Exposures and Health
Annals Of Work Exposures and Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.60
自引率
19.20%
发文量
79
期刊介绍: About the Journal Annals of Work Exposures and Health is dedicated to presenting advances in exposure science supporting the recognition, quantification, and control of exposures at work, and epidemiological studies on their effects on human health and well-being. A key question we apply to submission is, "Is this paper going to help readers better understand, quantify, and control conditions at work that adversely or positively affect health and well-being?" We are interested in high quality scientific research addressing: the quantification of work exposures, including chemical, biological, physical, biomechanical, and psychosocial, and the elements of work organization giving rise to such exposures; the relationship between these exposures and the acute and chronic health consequences for those exposed and their families and communities; populations at special risk of work-related exposures including women, under-represented minorities, immigrants, and other vulnerable groups such as temporary, contingent and informal sector workers; the effectiveness of interventions addressing exposure and risk including production technologies, work process engineering, and personal protective systems; policies and management approaches to reduce risk and improve health and well-being among workers, their families or communities; methodologies and mechanisms that underlie the quantification and/or control of exposure and risk. There is heavy pressure on space in the journal, and the above interests mean that we do not usually publish papers that simply report local conditions without generalizable results. We are also unlikely to publish reports on human health and well-being without information on the work exposure characteristics giving rise to the effects. We particularly welcome contributions from scientists based in, or addressing conditions in, developing economies that fall within the above scope.
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