A Multi-Pronged Approach to Shipyard Heat Stress Injury Prevention.

IF 2.1 4区 医学 Q1 NURSING
Workplace Health & Safety Pub Date : 2025-10-01 Epub Date: 2025-06-27 DOI:10.1177/21650799251345842
Emily Latimer, Aaron Georgas, Andrea McGlynn, Melissa Troncoso
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引用次数: 0

Abstract

Background: Heat stress injury (HSI) is an occupational hazard for industrial workers. For active-duty Sailors, shipyard conditions of high ambient temperatures, confined spaces, and increased fire-fighting training exacerbate those risks. This evidence-based practice project aimed to decrease Sailor HSI cases on a U.S. Navy ship undergoing multi-year shipyard maintenance after high numbers of HSI events over 5 months.

Methods: Three mitigation efforts augmented existing guidelines to decrease HSI rates among Sailors: (1) distribution of oral rehydration solution (ORS) and hydration protocol; (2) scaled personal protective equipment (PPE) wear during firefighting training based on wet-bulb globe temperature; (3) targeted education about HSI risk factors, identification, first aid, and prevention. HSI-related medical response team activations data were collected from ship's logs at baseline and for 2 years following implementation.

Findings: 1,700 Sailors received education, 185 drills occurred with scaled PPE, and 35,500 servings of ORS were distributed. Sailor HSI events at baseline were higher (n = 10) than civilians (n = 6; p = .046). After implementation, Sailor HSI events decreased in years 1 (n = 5) and 2 (n = 2) and were not significantly different from civilian HSI rate in years 1 (n = 3, p = .112) and 2 (n = 5, p = .101) who were excluded from interventions. Estimated HSI odds for 2023 Sailors were 70% lower (OR = 0.3, 95% CI [0.02, 4.06]).

Application to practice: Shipyard-specific, multi-pronged interventions effectively reduced HSI events over multiple years, which may be adapted to other occupational environments.

多管齐下的造船厂热应激损伤预防方法。
背景:热应激损伤(HSI)是工业工人的职业危害。对于现役水手来说,造船厂的高温环境、密闭空间和增加的消防训练加剧了这些风险。这个基于证据的实践项目旨在减少一艘美国海军舰艇在5个月内发生大量HSI事件后,在船厂进行多年维修的水手HSI病例。方法:三种缓解措施增强了现有指南,以降低水手的HSI发生率:(1)口服补液(ORS)的分发和水化方案;(2)基于湿球温度的消防训练中个人防护装备(PPE)佩戴比例;(3)针对HSI危险因素、识别、急救和预防进行针对性教育。在基线和实施后2年内,从船舶日志中收集了与hsii相关的医疗反应小组激活数据。结果:1700名水手接受了培训,185次训练进行了规模PPE,分发了35,500份ORS。基线时水手HSI事件(n = 10)高于平民(n = 6;p = .046)。实施后,水手HSI事件在第1年(n = 5)和第2年(n = 2)减少,与排除干预的平民HSI发生率在第1年(n = 3, p = .112)和第2年(n = 5, p = .101)无显著差异。2023名水手的估计HSI赔率降低了70% (OR = 0.3, 95% CI[0.02, 4.06])。实践应用:船厂特定的、多管齐下的干预措施在多年内有效地减少了HSI事件,这可能适用于其他职业环境。
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
CiteScore
3.70
自引率
3.80%
发文量
77
审稿时长
6-12 weeks
期刊介绍: Workplace Health & Safety: Promoting Environments Conducive to Well-Being and Productivity is the official publication of the American Association of Occupational Health Nursing, Inc. (AAOHN). It is a scientific peer-reviewed Journal. Its purpose is to support and promote the practice of occupational and environmental health nurses by providing leading edge research findings and evidence-based clinical practices. It publishes articles that span the range of issues facing occupational and environmental health professionals, including emergency and all-hazard preparedness, health promotion, safety, productivity, environmental health, case management, workers'' compensation, business and leadership, compliance and information management.
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