[医疗保健和零售工作者的相同水平的跌倒伤害:关注户外事件]。

Ryutaro Matsugaki, Sakumi Yamakawa, Hajime Ando, Akira Ogami
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引用次数: 0

摘要

目的:在日本,同水平跌落是最常见的职业事故类型,其中约35%的事故发生在医疗保健和零售工人中。本研究的目的是分析在医疗保健和零售行业中,这类事件发生较多的状况,重点是户外相同水平的下降,并阐明其特点。方法:本研究基于2021年职业伤害数据库的数据,针对医疗保健和零售工人因相同水平的跌倒而导致四天或更长时间缺工的职业事故。从29,605例职业伤害病例中,我们确定了2,536例相同水平的跌倒,并最终提取了2,424例进行分析。一名物理治疗师和一名工业医生合作,对选定的病例进行了详细的事故发病状态的文本检查。准备了与事故原因、致病物质和事故地点有关的变量。为了进行分析,进行了简单的制表和交叉聚合。采用卡方检验调查事故地点、事故原因和致病物质之间的相关性。结果:工伤工人平均年龄57.0岁(标准差12.7)。室外事故占35.9%。冬季(12月- 2月)室外事故占比在44.2% - 49.5%之间上升。户外事故最常见的原因是滑倒(35.4%),最常见的导致物质是雪/冰(20.6%)。冬季发生在户外的相同高度的坠落中,有44.1%与雪/冰有关,其中一些发生在停车场运送其他人时。结论:研究结果显示,冬季医疗保健和零售从业人员除室内同水平跌倒外,室外同水平跌倒也很常见。我们发现,在雪地或冰上滑倒是这些事故的主要原因。因此,重要的是,除了针对室内相同水平跌倒的风险降低措施外,还应针对医疗保健和零售工作者的室外相同水平跌倒采取预防措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Same-level fall injuries among healthcare and retail workers: Focus on outdoor incidents].

Objectives: Same-level falls are the most frequent type of occupational accidents in Japan, and approximately 35% of these accidents occurred among healthcare and retail workers. The aim of this study was to analyze the status of same-level falls in the healthcare and retail industries, where many such incidents occur, with a focus on outdoor same-level falls and to elucidate their characteristics.

Methods: This study targeted occupational accidents due to same-level falls that resulted in four or more days of absence from work among healthcare and retail workers, based on data from the 2021 Occupational Injury Database. From 29,605 occupational injury cases, we identified 2,536 same-level falls and ultimately extracted 2,424 cases for analysis. A physical therapist and industrial physician collaborated to conduct a detailed textual examination of the selected cases in terms of accident onset status. Variables related to the cause of the accident, causative substances, and accident locations were prepared. For the analysis, simple tabulation and cross-aggregation were performed. A chi-square test was used to investigate the correlations between accident location, accident cause, and causative substances.

Results: The mean age of the injured workers was 57.0 years (standard deviation, 12.7). The accident location was outdoors in 35.9% of cases. In winter (December to February), the proportion of outdoor accidents increased between 44.2% and 49.5%. The most common cause of outdoor accidents was slipping (35.4%), and the most common causative substance was snow/ice (20.6%). Snow/ice was involved in 44.1% of the same-level falls that occurred outdoors during winter, with some occurring in parking lots while transporting other people.

Conclusions: The results revealed that, in addition to indoor same-level falls, outdoor same-level falls during winter were common among healthcare and retail workers. We found that slipping on snow or ice was the primary cause of these accidents. Therefore, it is important that, in addition to risk reduction measures targeting indoor same-level falls, preventive measures should be introduced for outdoor same-level falls among healthcare and retail workers.

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