柴油发动机废气暴露与长途卡车司机肺癌的关系:八步概念分析》。

IF 2.3 4区 医学 Q1 NURSING
Workplace Health & Safety Pub Date : 2024-08-01 Epub Date: 2024-05-09 DOI:10.1177/21650799241248388
Cara Harris, David E Vance, Karen Heaton
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引用次数: 0

摘要

背景:长途卡车司机(LHTDs)面临着许多职业危害。其中之一就是接触柴油发动机废气(DEE)。然而,人们尚未对这一概念进行分析。为了填补这一空白,我们进行了一项概念分析,以探讨 DEE 对肺癌的影响:方法:采用 Walker 和 Avant 的八步概念分析法:概念选择、分析目的、概念用途、定义属性、模型案例、边缘案例、前因后果和经验参考。搜索了 PubMed、Scopus 和 CINAHL 数据库中的相关文献:研究结果:柴油发动机废气被认为是气体和微粒的混合物,具有致癌性。对卡车司机而言,柴油发动机废气的定义属性包括对呼吸系统的影响,如峰值流量下降和气道阻力增加,从而导致产生痰液的咳嗽、眼睛和喉咙刺激、哮喘症状加重和过敏反应等症状。与这些属性相关的 DEE 暴露水平为每天 1 到 2 小时 75 μg EC/m3 或长期暴露 10 μg EC/m3。卡车司机 DEE 的概念定义由属性、前因、后果、模型案例和经验参照物组成:结论:肺癌被认为是卡车司机职业暴露于 DEE 的一个重要后果。该分析强调了未来研究的必要性,以制定干预措施,保护卡车司机免受暴露于 DEE 对健康的不利影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diesel Engine Exhaust Exposure in Relation to Lung Cancer in Long-Haul Truck Drivers: An Eight-Step Concept Analysis.

Background: Long-haul truck drivers (LHTDs) face a number of occupational hazards. One such hazard is exposure to diesel engine exhaust (DEE). However, this concept has yet to be analyzed. To address this gap, a concept analysis was conducted to explore the effects of DEE in relation to lung cancer.

Methods: Walker and Avant's eight-step concept analysis method was utilized: concept selection, analysis purpose, concept uses, defining attributes, model case, borderline case, antecedents and consequences, and empirical referents. PubMed, Scopus, and CINAHL databases were searched for relevant literature.

Findings: Diesel engine exhaust was identified as a mixture of gases and particulates that are considered carcinogenic. Defining attributes of DEE for truckers include respiratory effects such as decreased peak flow and increased airway resistance leading to symptoms such as a phlegm-producing cough, eye and throat irritation, exacerbation of asthma symptoms, and allergic responses. The identified level of DEE exposure associated with these attributes is 75 μg EC/m3 for 1 to 2 hours daily or a long-term exposure of 10 μg EC/m3. The conceptual definition of DEE in truckers was illustrated by the attributes, antecedents, consequences, model case, and empirical referents.

Conclusion: Lung cancer was identified as a significant consequence of occupational DEE exposure for LHTDs. This analysis highlights the need for future research to develop interventions that will safeguard truckers from the adverse health effects of DEE exposure.

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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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