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عضویت

جستجوی مقالات مرتبط با کلیدواژه « occupational injuries » در نشریات گروه « پزشکی »

  • فرزین باقری شیخانگفشه*، فرشته رضازاده خلخالی، وحید صوابی نیری، سارا ملک محمدی، عطیه السادات ناظر، علی فتحی آشتیانی
    هدف

    طی همه گیری کووید-19 پرستاران با چالش هایی روبه‏رو شدند که قبلا آن را تجربه نکرده بودند، به همین دلیل سلامتی روانی این افراد دچار آسیب های متعددی شد. پژوهش حاضر با هدف اثربخشی درمان شناختی مبتنی بر ذهن آگاهی بر خستگی، اختلال استرس پس از ضربه و شکست های شناختی شغلی پرستاران در دوران پساکووید-19 انجام شد.

    مواد و روش ها

    روش پژوهش حاضر نیمه آزمایشی و طرح آن به صورت پیش آزمون-پس آزمون با گروه گواه بود. جامعه پژوهش مطالعه حاضر پرستاران بیمارستان های منطقه شش استان تهران در سال 1401 بود. نمونه مورد مطالعه شامل 36 پرستار که با استفاده از روش نمونه گیری هدفمند انتخاب و به صورت تصادفی در گروه آزمایش و گروه گواه جای دهی شدند. ابزار گردآوری پرسش نامه های شدت خستگی، استرس پس از ضربه و شکست های شناختی شغلی بود. گروه آزمایش هشت جلسه 90 دقیقه ای شناخت درمانی مبتنی بر ذهن آگاهی را دریافت کردند ولی گروه گواه هیچ مداخله ای دریافت نکردند. داده های به دست آمده با آزمون تحلیل کوواریانس چند متغیره توسط SPSS-24 تحلیل شدند.

    یافته ها

    نتایج نشان داد که شناخت درمانی مبتنی بر ذهن آگاهی به صورت معناداری موجب کاهش خستگی، استرس پس از ضربه، حافظه، توجه، اعمال حرکتی و تخمین در پرستاران می شود (01/0>P).

    نتیجه گیری

    یافته های به دست آمده مشخص کرد شناخت درمانی مبتنی بر ذهن آگاهی به طور معنی داری باعث کاهش اختلالات روان شناختی ناشی از همه گیری کووید-19 در پرستاران شد. بدین منظور لازم است اقداماتی در جهت شناسایی و درمان روان شناختی پرستارانی که طی همه گیری در بخش های ویژه بیماران کرونایی حضور داشتند انجام شود.

    کلید واژگان: درمان شناختی مبتنی بر ذهن آگاهی, خستگی, اختلال استرس پس از ضربه, شکست های شناختی شغلی, پرستاران, کووید-19}
    Farzin Bagheri Sheykhangafshe*, Fereshteh Rezazadeh Khalkhali, Vahid Savabi Niri, Sara Malek Mohammadi, Atiyeh Alsadat Nazer, Ali Fathi-Ashtiani
    Introduction

    During the COVID-19 pandemic, nurses faced unprecedented challenges they had not experienced before, leading to multiple psychological health issues. The present study aimed to investigate the effectiveness of mindfulness-based cognitive therapy on fatigue, post-traumatic stress disorder, and cognitive job failures among nurses in the post-COVID-19 era.

    Materials and Methods

    The current research utilized a semi-experimental design with a pretest-posttest approach, employing a control group. The study population consisted of nurses from hospitals in the six provinces of Tehran in 2022. The study sample included 36 nurses who were selected purposively and randomly allocated into the experimental and control groups. The data collection tools included questionnaires assessing the severity of fatigue, post-traumatic stress, and cognitive job failures. The experimental group received eight sessions of 90-minute mindfulness-based cognitive therapy, while the control group did not receive any intervention.

    Results

    The results indicate that mindfulness-based cognitive therapy significantly reduces fatigue, post-traumatic stress disorder, memory, attention, motor skills, and estimation among nurses.

    Conclusion

    The findings demonstrate that mindfulness-based cognitive therapy significantly contributes to the reduction of psychological disorders resulting from the COVID-19 pandemic among nurses. Therefore, it is essential to identify and provide psychological treatment for nurses involved in the care of COVID-19 patients in specialized units during the pandemic.

    Keywords: Mindfulness, Cognitive Therapy, Fatigue, Stress Disorder, Post-Traumatic, Nurses, Occupational Injuries, COVID-19}
  • سید تیمور حسینی، حسین ولی تویسرکانی، امیر ایمانی*
    اهداف

    شیوع عارضه های قامتی و اسکلتی-عضلانی عواقبی نظیر کاهش توان و کیفیت کار، افزایش هزینه های درمانی و از کارافتادگی زودرس را در پی خواهد داشت. لذا این پژوهش، با هدف بررسی شیوع عارضه های قامتی و ارتباط آن با نقاط متمرکز درد در کارکنان ستاد پلیس راهور انجام شد.

    مواد و روش ها

    این پژوهش از نوع مطالعه مقطعی است که در سال 1402 در محل ستاد پلیس راهور فراجا انجام شد. 200 نمونه در دسترس با توجه به معیارهای ورود انتخاب شدند. داده ها با استفاده از دستگاه آنالیز بدن، گونیامتر فلزی، دستگاه انحراف سنج، صفحه شطرنجی به همراه خط شاقول، پرسش نامه استاندارد نوردیک جمع آوری شدند سپس با اعمال آزمون آماری کای اسکوئر در سطح معناداری 0/05>p با استفاده از نرم افزار SPSS 16 مورد تجزیه و تحلیل قرار گرفتند.

    یافته ها

    در این تحقیق که با حضور 200 نفر از کارکنان مرد ستاد پلیس راهور فراجا با میانگین سنی 3.31±39.00 سال، میانگین وزنی 4.27±98/84 کیلوگرم و میانگین قدی 31.2±174/98 سانتی متر انجام شد، مشخص گردید، بیشترین شیوع عارضه های قامتی به ترتیب، عارضه زانوی خم (49/5 درصد)، کمر گود (49 درصد)، کج گردنی (47/5 درصد)، سر به جلو (44 درصد)، گرد پشتی (42/5 درصد) و شانه نابرابر (42/5 درصد) و کمترین شیوع عارضه های موصوف، ناهنجاری زانوی عقب رفته (5/3 درصد)، زانوی ضربدر (5/4 درصد) و زانوی پرانتز (5 درصد) بود. رابطه معناداری میان عارضه زانوی خم و درد در زانوی پای راست (0/05>p) و پای چپ (0/001>p) وجود داشت اما بین درد در ناحیه گردن، پشت و کمر و عارضه های کج گردنی، سر به جلو، گردپشتی، شانه نابرابر و کمر گود رابطه معنادار نبود (0/05<p).

    نتیجه گیری

    بیشترین شیوع عارضه های قامتی در کارکنان ستاد پلیس راهور به ترتیب، عارضه زانوی خم و کمر گود است. ارتباطی بین درد در ناحیه های گردن، پشت و کمر این افراد با عارضه های کج گردنی، سر به جلو، گردپشتی، شانه نابرابر و کمر گود وجود ندارد اما، عارضه زانوی خم و درد در ناحیه زانو بهم مرتبط هستند.

    کلید واژگان: اختلالات اسکلتی-عضلانی, پلیس, آسیب های شغلی}
    Seyed Teymour Hosseini, Hossein Vali Tuiserkani, Amir Imani*
    Aims

    Prevalence of posture and skeletal-muscular disorder will result in consequences such as reduction of power and quality of work, increase in treatment costs, and premature disability. Therefore, this study was conducted to investigate the prevalence of postural disorders and their relationship with focal points of pain in traffic police employees.

    Materials and Methods

     This research is a cross-sectional study that was conducted in 2022 at the traffic police station. 200 available samples were selected according to the entry criteria. The data were collected using a body analysis device, a metal goniometer, a deviation measuring device, a checkerboard with a vertical line, and a standard Nordic questionnaire, and then analyzed by applying the chi-square statistical test at a significance level of p < 0.05 using SPSS 16 software.

    Findings

    In this research, which was conducted with the presence of 200 male employees of traffic Police with an average age of 39.00 ± 3.31 years, an average weight of 84.98 ± 4.27 kg, and an average height of 174.98 ± 2.31 cm, it was determined that the highest prevalence of posture disorders. In order, the bent knee (49.5%), hyperlordosis (49%), torticollis (47.5%), forward head (44%), kyphosis (42.5%) and uneven shoulder (42.5%), and the lowest prevalence of the described disorders was Genu recurvatum (3.5%), Genu valgum (4.5%) and Genu varum (5%). There was a significant relationship between bent knee syndrome and pain in the knee of the right leg (p<0.05) and left leg (p<001), but between pain in the neck, back, and torticollis, head forward, kyphosis, uneven shoulder, and lordosis were no significant.

    Conclusion

    The highest prevalence of posture disorders among traffic police officers is bent knee and lordosis, respectively. There is no connection between pain in the neck, back, torticollis, forward head, scoliosis, uneven shoulders, and hyperlordosis, but bent knee and pain in the knee are related.

    Keywords: Musculoskeletal Diseases, Police, Occupational Injuries}
  • سید تیمور حسینی*، حسین ولی تویسرکانی، امیر ایمانی
    اهداف

    کارکنان ستاد پلیس راهور فراجا به دلیل کم تحرکی، نشستن طولانی مدت و اعزام به ماموریت های طاقت فرسای برون استانی جهت حل مشکلات ترافیکی کشور، دچار دردهای اسکلتی-عضلانی می شوند. لذا این پژوهش، با هدف بررسی شیوع نقاط متمرکز درد در کارکنان ستاد پلیس راهور فراجا انجام شد.

    مواد و روش ها

    این پژوهش از نوع توصیفی- تحلیلی در سال 1401 در محل ستاد پلیس راهور فراجا با جامعه آماری موجود که تعداد 200 نفر از کارکنان بودند، انجام شد. بعد از مصاحبه چهره به چهره و بررسی نقاط درد با استفاده از پرسش نامه نوردیک و نقشه بدن زیر نظر متخصص مربوطه در مرکز تندرستی ستاد پلیس راهور فراجا، داده های مورد نظر جمع آوری شدند. داده ها با اعمال آزمون آماری کای دو در سطح معناداری 0/05>p تجزیه و تحلیل شدند، همچنین جهت بررسی داده های مورد نظر از نرم افزار SPSS 16 استفاده شد.

    یافته ها

    در این پژوهش 160 نفر از کارکنان ستادی با میانگین سنی 31.3±00.39 سال، میانگین وزنی 87.4±84.98 کیلوگرم و میانگین قدی 98.2±174.98 سانتی متر و 40 نفر از کارکنان ستادی-عملیاتی با میانگین سنی 3.60±39.00 سال، میانگین وزنی 51.2±89.98 کیلوگرم و میانگین قدی 71.3±172.86 سانتی متر مورد مطالعه قرار گرفتند. نتایج در کل نمونه های مورد مطالعه به این شرح بود که بیشترین گزارش درد به ترتیب در نواحی کمر (58/00 درصد)، گردن (44/50 درصد)، پشت (39/00 درصد)، زانوی راست (37/50 درصد) و زانوی چپ (37/50 درصد) و کم ترین گزارش درد نمونه ها به ترتیب در نواحی مچ پای چپ (9/00 درصد)، مچ پای راست (13/50 درصد) و مچ دست چپ (20/00 درصد) بود. نتایج آزمون کای دو نشان داد که اختلاف درد در نقاط شانه، مچ دست، ران، زانو، ساق پا و مچ پا در سمت راست بدن بین گروه ستادی و ستادی-عملیاتی معنادار بود (0/05>p) اما این اختلاف در نقاط مچ دست چپ، گردن، پشت و کمر از لحاظ آماری معنادار نبود (0/05<p).

    نتیجه گیری

    با توجه به تفاوت های شغلی کارکنان ستادی و ستادی-عملیاتی، نقاط متمرکز درد در این دو گروه با یکدیگر تفاوت هایی دارند. درد در مفاصل زانو، شانه، مچ پا، نواحی ساق و ران پا در گروه کارکنان ستادی-عملیاتی در هر دو طرف بدن نسبت به گروه کارکنان ستادی شیوع بالاتری دارد. از طرفی درد در مفاصل مچ دست و ناحیه ساعد در کارکنان گروه ستادی بیشتر از گروه ستادی-عملیاتی است اما تقریبا در هر دو گروه شیوع درد در ناحیه کمر، گردن و پشت برابر است.

    کلید واژگان: اختلالات اسکلتی-عضلانی, پلیس, نیروی انسانی, آسیب های شغلی}
    Seyed Teymour Hosseini*, Hossein Vali Tuiserkani
    AIMS

    Employees of Traffic Police Headquarters suffer from musculoskeletal pain due to inactivity, sitting for a long time, and being sent to exhausting missions outside the province to solve the country’s traffic problems. Therefore, this study was conducted to investigate the prevalence of focal points of pain in the employees of traffic police headquarters.

    MATERIALS AND METHODS

    This descriptive-analytical research was conducted in 2022 at traffic police headquarters with an available statistical population of 200 employees. After a face-to-face interview and examination of pain points using a Nordic questionnaire and a body map under the supervision of a relevant specialist at the health center of traffic police headquarters, the desired data were collected. The data were analyzed by applying Pearson’s chi-square statistical test at a significance level of p<0.05, and SPSS 16 software was used to analyze the desired data.

    FINDINGS

    In this research, 160 staff members with an average age of 39.00±3.31 years, average weight of 84.98±4.87 kg, and average height of 174.98±2.98 cm and 40 staff members with an average age of 39.00±3.60 years, average weight 89.98±2.51 kg and average height 172.86±3.71 cm were studied. The results in all the studied samples were as follows: the most reports of pain were in the back (58.00%), neck (44.50%), back (39.00%), and right knee (37.50%), respectively. Moreover, the left knee (37.50%) and the least reported pain were in the left ankle (9.00%), right ankle (13.50%) and left wrist (20.00%), respectively. The chi-square test results showed a significant difference in pain in the shoulder, wrist, thigh, knee, leg, and ankle on the right side of the body between the official and official operational groups (p<0.05). However, this difference in the left wrist, neck, back, and waist points was not statistically significant (p<0.05).

    CONCLUSION

    According to the job differences between official and official-operational staff, the focal points of pain in these two groups differ. Pain in the knee, shoulder, ankle, leg, and thigh joints is more prevalent in the official operational staff group than in the official group. On the other hand, pain in the wrist and forearm joints is more common in the official group than in the official operational group, but the prevalence of pain in the back, neck, and back is almost the same in both groups.

    Keywords: Musculoskeletal Diseases, Police, Workforce, Occupational Injuries}
  • علیرضا صفاییان، بهفر تیموری، پردیس کاویانی مقدم*
    مقدمه

    در هرکشوری پیشگیری و مدیریت آسیب های شغلی، منجر به ارتقاء سلامت شاغلین آن جامعه می گردد. شناخت آسیب های شغلی در راستای نیل به هدف فوق از اهمیت ویژه ای برخوردار می باشد. در همین راستا مطالعه حاضر با هدف تعیین آسیب های شغلی در مراجعه کنندگان به کمیسیون غرامت شغلی پزشکی قانونی اصفهان طی سال های 1395 تا 1400 انجام شد.

    روش بررسی

    این مطالعه از نوع توصیفی تحلیلی و مقطعی بود که در سال 1400 برروی کلیه مراجعه کنندگان به پزشکی قانونی با شکایت غرامت شغلی انجام شد. حجم نمونه براساس تعداد مراجعات بیماران در طی 5 سال گذشته برابربا 120 نفربود که بصورت سرشماری وارد مطالعه شدند. داده ها توسط چک لیست جمع آوری شد و در نرم افزار SPSS نسخه 22 و درسطح معناداری کمتر از 05/0 مورد بررسی قرار گرفتند.

    یافته ها

     115 نفر (8/95 درصد) از مراجعه کنندگان مرد، 48 نفر (40 درصد) بین 40  تا 50 سال داشته، 93 نفر (5/77 درصد) متاهل و 58 نفر (3/48 درصد) دارای تحصیلات دیپلم بودند. بیشترین آسیب مربوط به آسیب های اسکلتی در 66 نفر (55 درصد) از مراجعه کنندگان بود. سابقه کار 58 نفر (3/48 درصد) کمتر از 10 سال، 27 نفر (5/22 درصد) از صنایع فلزی و 119 نفر (2/99 درصد) از مشاغل خدماتی بودند. وضعیت شغلی 88 نفر (3/73 درصد) نیز قراردادی بود. بین سابقه کار و ارتباط شغلی با ارگان درگیر ارتباط معنادار وجود داشت (05/0>P).

    نتیجه گیری

     باتوجه به اینکه بیشترین آسیب ها مربوط به اختلالات اسکلتی- عضلانی است باید تدابیر لازم، سیاست های درست، آموزش های مناسب و وسایل حفاظتی مناسب جهت کاهش این آسیب ها فراهم گردد.

    کلید واژگان: آسیب های شغلی, غرامت شغلی, حوادث}
    Alireza Safaeian, Behfar Teimouri, Pardis Kaviani Moghaddam*
    Introduction

    In any country, the prevention and management of occupational injuries lead to the improvement of the health of the workers of that society. Recognizing occupational injuries is of special importance to achieve the above goal. In this regard, the present study was conducted to determine occupational injuries in the referrals to the Forensic Medical Occupational Compensation Commission of Isfahan during the years 2017 to 2022.

    Methods

    This descriptive, analytical and cross-sectional study was conducted in 1400 on all those who referred to forensic medicine with occupational compensation complaints. The sample size based on the number of patient visits in the last 5 years was equal to 120 people who were included in the study by the census. Data were collected by checklist and analyzed in SPSS version 22 software at a significance level of less than 0.05.

    Results

    115 people (95.8%) were male, 48 people (40%) were between 40 and 50 years old, 93 people (77.5%) were married, and 58 people (48.3%)had a diploma. Most injuries were related to skeletal injuries in 66 (55%)of the patients. The work experience of 58 people (48.3%) was less than 10years, 27 people (22.5%) were from other industries and 119 people (99.2%)were from service jobs. The employment status of 88 people (73.3%) was contractual. There was a significant relationship between the organ involved and work history (P<0.05).

    Conclusion

    Considering that most injuries are related to musculoskeletal disorders, necessary measures, correct policies, appropriate training and protective equipment should be provided to reduce these injuries.

    Keywords: Occupational injuries, Occupational compensation, Accidents}
  • علی محمد مصدق راد، حسین درگاهی، مهدی عباسی، مینا میرزاییان راد*
    زمینه و هدف

    آسیب های شغلی یکی از مهم ترین چالش های مدیریت منابع انسانی سازمان ها است که اثرات منفی برای کارکنان و سازمان ها دارد. آگاهی از شیوع آسیب های شغلی، اولین قدم برای حذف یا کاهش آنها است. این پژوهش با هدف تعیین شیوع آسیب های شغلی در کارکنان مالی بیمارستان های دانشگاه علوم پزشکی تهران انجام شد.

    روش کار

    این پژوهش پیمایش پرسشنامه ای توصیفی - تحلیلی به صورت مقطعی در سال 1398 در 13 بیمارستان دانشگاه علوم پزشکی تهران انجام شد. برای انجام این پژوهش از یک پرسشنامه محقق ساخته معتبر استفاده شد. تعداد 162 پرسشنامه در بین کارکنان مالی بیمارستان ها به روش تصادفی منظم توزیع شد و 147 پرسشنامه کامل جمع آوری شد. داده ها با استفاده از نرم افزار آماری SPSS تحلیل شد.

    نتایج

    شیوع آسیب های شغلی جسمی و روحی - روانی در کارکنان مالی بیمارستان ها به ترتیب 6/52% و 2/50% بود. بیشتر آسیب های جسمی شغلی مربوط به سردرد، گردن درد، کمر درد و عارضه بینایی و بیشتر آسیب های روحی -روانی شغلی استرس و اضطراب بود. کارکنان زن و کارکنان مجرد به طور معنی دار آسیب های شغلی بیشتری تجربه کرده بودند. انجام کار به صورت نشسته، عدم کارکرد صحیح تجهیزات، عدم وجود امکانات ایمنی و بهداشتی، آموزش ناکافی و بی دقتی کارکنان از دلایل بروز آسیب های اسکلتی - عضلانی بود.

    نتیجه گیری

    حدود نیمی از کارکنان مالی بیمارستان ها دچار آسیب های شغلی شدند. آسیب های شغلی هزینه های مستقیم و غیرمستقیم برای کارکنان و بیمارستان داشته است. مدیران بیمارستان ها باید اقداماتی برای حذف یا کاهش آسیب های شغلی در ابعاد فردی، گروهی و سازمانی، برنامه ریزی و اجرا کنند.

    کلید واژگان: آسیب های شغلی, آسیب های جسمی, آسیب های روحی - روانی, کارکنان مالی, بیمارستان}
    Ali Mohammad Mosadeghrad, Hosein Dargahi, Mahdi Abbasi, Mina Mirzaeianrad*
    Background and Aim

    Occupational injuries are an important human resource management challenge with negative effects on employees and organizations. A knowledge of the prevalence of occupational injuries is the first step in eliminating or reducing them. The aim of this study was to determine the prevalence of occupational injuries among financial employees of hospitals affiliated to Tehran University of Medical Sciences.

    Materials and Methods

    This was a cross-sectional questionnaire survey conducted in 2019 in 13 hospitals of Tehran University of Medical Sciences using a valid questionnaire to gather data. A total of 162 questionnaires were randomly distributed among the financial staff of the hospitals, but only 147 subjects completed the questionnaires. Data were analyzed using the SPSS statistical software.

    Result

    Analysis of the data showed that 52.6% and 50.2% of the financial staff of the hospitals were suffering from physical and mental occupational injuries, respectively. Most of the occupational physical injuries were related to headache, neck pain, back pain and visual impairment, and most of the occupational psychiatric injuries were stress and anxiety. Female and single employees experienced significantly more occupational injuries. Working in a sitting position for a long time, lack of proper equipment operation, lack of safety and health facilities, insufficient training and carelessness of staff were the causes of musculoskeletal injuries.

    Conclusions

    About half of the hospital financial staff were found to suffer from occupational injuries. Occupational injuries had had direct and indirect costs for the employees and the hospitals. Hospital managers should plan and implement measures to eliminate or reduce occupational injuries at an individual, group, and organizational level.

    Keywords: Occupational Injuries, Physical Injuries, Psychological Injuries, Financial Staff, Hospital}
  • عبدالرضا مشروفه*، محمدعلی بلبلی، علی پورباندری، حسن شروفه، سعید کریمی
    مقدمه

    بخش اعظم حوادث مهم در صنایع مختلف نه تنها قابل پیشگیری می باشند، بلکه شدت آن ها نیز قابل پیش بینی است؛ مشروط بر آنکه آنالیز حوادث با رویکرد پیشگیرانه و بر مبنای یافته های درست، به صورت اصولی ریشه یابی و تدابیر ایمنی در خصوص حوادث انجام گیرد.

    روش بررسی

    این پژوهش از نوع توصیفی- تحلیلی بوده و با استفاده از روش Tripod-Beta حوادث شغلی منجر به فوت ثبت شده در یک دوره 10 ساله در بخش خشکی یکی از پالایشگاه های طرح توسعه پارس جنوبی، مورد آنالیز قرار گرفتند و عوامل ریسک اصلی، علل سطحی، پیش شرط ها و علت های پنهان و همچنین موانع حفاظتی موجود شناسایی و درختواره هر حادثه ترسیم گردید.

    یافته ها

    نتایج حاصل از آنالیز حوادث شغلی منجر به فوت نشان داد که 26 علت سطحی، 39 پیش شرایط و 50 علل پنهان در بروز آن حوادث دخیل بوده است. 6 عامل ریسک اساسی شامل نقص در مسیولیت پذیری (با 8/57 درصد)، آموزش (با 2/22 درصد)، تجهیزات، ابزارآلات و سخت افزار (7/6 درصد)، مدیریت نگهداری (7/6 درصد)، روش های اجرایی (4/4 درصد) و نقض در شرایط تقویت کننده خطا (2/2 درصد) بیشترین سهم را در وقوع حوادث داشتند.

    نتیجه گیری

    با اصلاح دو عامل اصلی مسیولیت پذیری و آموزش می توان بیش از 80% از حوادث شغلی منجر به فوت را کنترل نمود. بنابراین، پیاده سازی سیستم نظارت موثر بر کار کارکنان، بکارگیری کارکنان دارای دانش و مهارت کافی و ارتقاء شاخص های آموزش باعث بالا رفتن درک و شناخت منابع خطر، بهبود ایمنی و کاهش بروز حوادث می گردد

    کلید واژگان: صنعت نفت و گاز, جراحات شغلی, حوادث صنعتی, آنالیز, مدل}
    Abdulreza Mashroofeh*, Mohammad Ali Bolboli, Ali Pourbandori, Hassan Shorofeh, Saeed Karimi
    Introduction

    Most critical accidents in different industries are observable, but their severity is also predictable and can be controlled. Provided that accident analysis is properly managed with a preventive approach and based on correct findings, in a principled and realistic manner, root causes, corrective actions, and safety measures regarding accidents are performed.

    Material and Methods

    The present research was a descriptive-analytic study, and the reported and recorded fatal occupational accidents were analyzed in the onshore section of one of the construction refinery projects in the South Pars Gas Refinery over a decade using the Tripod Beta method and then main risk factors, pre-conditions, and underlying causes, as well as the existing protective barriers, were identified, and an accidents tree was drawn.

    Results

    The analysis of fatal occupational accidents showed that 26 immediate causes, 39 preconditions, and 50 underlying causes were involved in those accidents. Six key risk factors include lack of responsibility/organizational impact (57.8%), training (22.2%), hardware or tools and equipment (6.7%), maintenance management (6.7%), work procedures (4.4%), and Error Enforcing conditions (2.2%) had the largest share of the occurrence of accidents.

    Conclusion

    More than 80% of fatal occupational accidents can be controlled by modifying the two main factors, responsibility and organization and training. Therefore, implementing the total productive maintenance method, effective monitoring of staff work, hiring staff with sufficient knowledge and skills, and improving training indicators will increase understanding of hazard sources, improve safety and reduce accidents.

    Keywords: Oil, Gas Industry, Occupational Injuries, Industrial Accidents, Analysis, Model}
  • علی پورباندری، امیرحسین دوامی*
    زمینه

    حوادث ناشی از کار هزینه های مستقیم و غیر مستقیم زیادی را بر اقتصاد ملی کشور تحمیل می کند. از آنجا که به عنوان یک واقعیت، همواره مخارج واقعی برای کاهش ریسک از محدودیت برخوردار بوده و ارزش گذاری پولی هزینه ها، می تواند بر سرمایه گذاری بهینه در مسایل ایمنی اثر گذار باشد، هدف از انجام مطالعه حاضر تعیین هزینه های ناشی حوادث شغلی در یکی از پالایشگاه های پارس جنوبی، عسلویه، استان بوشهر می باشد.

    روش بررسی

    این پژوهش از نوع توصیفی- تحلیلی بوده و  هزینه های ناشی از 92 مورد حادثه شغلی به وقوع پیوسته در سال های 1396 و 1397 در بخش خشکی پالایشگاه گازی پارس جنوبی برآورده شده است. با استفاده از روش آنالیز سیستماتیک اندازه گیری هزینه های حوادث (SACA) که ریز هزینه ها و اطلاعات حوادث در فرم های مربوط به هر حادثه وارد شده و براساس نوع حادثه پس از تجزیه و تحلیل هزینه ها، هزینه کل محاسبه می گردد. در این تحقیق تجزیه و تحلیل آماری داده ها با آزمون های کای دو و کلموگروف - اسمیرنوف و به کمک نرم افزار SPSS 17 و Excel انجام شد.

    یافته ها

    بیشترین روزهای کاری از دست رفته در اثر وقوع حوادث در پالایشگاه گاز (12613 روز) می باشد. ارزیابی هزینه های حوادث ثبت شده در سیستم اطلاعات حسابداری شرکت ها نشان داد که 3/2 هزینه ها شغلی را هزینه های مستقیم، در حالیکه 3/1 هزینه ها از دیدگاه مدیریت ارشد سازمان پنهان بوده است. از کل هزینه های ناشی از کار برآورد شده، غیبت پرسنل حادثه دیده با میانگین حدود 71% بالاترین میزان را به خود اختصاص داده است. بیشترین میزان هزینه حوادث شغلی برای شرکتی با 1500 کارگر در حدود 000/000/440/27 ریال برآورد شده است.

    نتیجه گیری

    هزینه های ناشی از حوادث و خسارتی که این حوادث بر کارفرمایان و نهایتا بر پیکیره اقتصاد کشور وارد می کند، قابل توجه است. لازم است تصمیم گیرندگان نسبت به شناسایی علل و کنترل نرخ بروز آنها و افزایش ایمنی محیط های کاری اهتمام بیشتری بورزند.

    کلید واژگان: حوادث صنعتی, صنعت نفت و گاز, جراحات شغلی, هزینه}
    Ali Pourbandori, Amir Hossein Davami*
    Introduction

    Occupational accidents impose a lot of direct and indirect costs on the national economy of the country. Because, as a fact, resources are  limited  for  reducing  the  risks  and  costs  can  affect  the  optimal  investment  in  safety issues, the aim of this study was to calculate the economic costs of occupational accidents in one of the South Pars Gas Refinery, Assalouyeh, Boushehr Province.

    Material and Methods

    The present research was a descriptive-analytic study, and the costs from 92 occupational accidents occurred in the South Pars Gas Refinery during the period of 2017 and 2018 is estimated. Estimation of these costs contributes to decision-making for cost control. The systematic accident cost analysis (SACA) method, which calculates their costs and information in the forms of each incident and calculates the total cost based on the type of incident after the analysis of the cost of the incident. Excel, SPSS version 17 (SPSS Inc., Chicago, IL, USA), Kolmogorov-Smironov and Chi-squared tests were used for data manipulations and statistical analysis.

    Results

    The Most working days were lost in the Gas Refinery (12613 days). The evaluations of accident cost showed that 2/3 of the costs of occupational accidents are visible in the corporate accounting information systems reviewed while 1/3 is hidden from management view. As can be seen the costs due to the absence of the injured employee are the largest cost category with an average of 71%. The highest cost of occupational accidents for a company with 1500 employees was estimated to approximately 27,440,000,000 Rials.

    Conclusion

    The costs of accidents on employers and ultimately the country's economy are noticeable.  It is really important to recognize the accidents’ causes, control the rate of them and provide sufficient and appropriate occupational health and safety services.

    Keywords: Industrial accidents, Gas, Oil Industry, Occupational Injuries, Cost}
  • Fakhradin Ghasemi, Taleb Askaripoor, Hamed Aghaei *
    Background
    Needlestick and sharps injuries (NSIs) are a major issue in healthcare settings and should be properly managed. As a type of occupational accident, NSIs are rooted in many causes, including poor safety climate. The current study was conducted to find links among safety climate, safety performance, and NSIs.
    Methods
    The study was cross-sectional and all data were collected in 2020. The sample was composed of 221 nurses. Two dimensions of safety performance and six dimensions of safety climate alongside the experience of NSIs in the last year were investigated using validated questionnaires. The path analysis model was built and tested using Mplus software package.
    Results
    The path analysis model was acceptable in terms of goodness-of-fit metrics. The model supported the mediating role of safety performance on the relationship between safety climate and NSIs. Among safety climate dimensions, safety training had the highest relationship with safety performance dimensions, followed by attitude toward error reporting and cumulative fatigue. Safety participation had a stronger effect on NSIs than safety compliance.
    Conclusion
    As all safety climate dimensions were significantly correlated with safety performance dimensions and NSIs, promoting safety climate can be effective in improving safety performance and preventing NSIs among nurses.
    Keywords: Accident prevention, Behavior, Hospitals, Occupational Injuries}
  • ناهیده نانوایی، احد نوروززاده*
    مقدمه

    ایجاد تعادل بین کار و زندگی، یکی از دغدغه های کارکنان سازمان ها در عصر کنونی است. یکی از ابزارهای ایجاد تعادل کار و زندگی، ارتباطات اثربخش سازمانی است که تحقیق حاضر در همین راستا و با هدف تحلیل اثر ارتباطات اثربخش سازمانی بر تعادل کار و زندگی با نقش میانجی آسیب های شغلی در بیمارستان سبلان تامین اجتماعی اردبیل انجام شده است.

    روش پژوهش

    از لحاظ هدف، تحقیق حاضر کاربردی، از لحاظ نوع روش، توصیفی از نوع پیمایشی می باشد. جامعه آماری این پژوهش شامل کارکنان بیمارستان سبلان تامین اجتماعی اردبیل است که تعداد آنها 600 نفر می باشد. برای تعیین حجم نمونه کارکنان از جدول مورگان استفاده و تعداد نمونه برابر 234 بدست آمد که با روش نمونه گیری تصادفی ساده انتخاب شدند. برای اندازه گیری متغیرها از پرسشنامه آسیب های شغلی دیباج، پرسشنامه ارتباطات اثربخش سازمانی سوسمان و کرینوس و پرسشنامه تعادل کار و زندگی وانگ و کو استفاده شد. داده ها با نرم افزار lisrel و SPSS تحلیل و برای آزمون فرضیه های تحقیق از تحلیل مسیر و معادلات ساختاری و رگرسیون استفاده شد.

    یافته ها

    یافته های تحقیق نشان می دهد که ارتباطات اثربخش سازمانی با نقش میانجی آسیب های شغلی بر تعادل کار و زندگی کارکنان تاثیر معنی داری دارد. هم چنین ارتباطات اثربخش سازمانی 0/76 و آسیب های شغلی 0/67- تغییرات تعادل کار و زندگی کارکنان را پیش بینی می کند.

    نتیجه گیری

    رابطه بین دو متغیر ارتباطات اثربخش سازمانی و تعادل کار و زندگی کارکنان توسط متغیر آسیب های شغلی تشدید می شود که اگر آسیب های شغلی افزایش یابد این اثر ضعیفتر و اگر آسیب های شغلی ضعیف شود طبیعتا این رابطه قوی خواهد شد.

    کلید واژگان: ارتباطات اثربخش سازمانی, تعادل کار و زندگی, آسیب های شغلی, بیمارستان}
    Nahideh Nanvayi, Ahad Norouzzadeh *
    Introduction

    Balancing work and life is one of the concerns of employees in organizations today. One of the tools to create work-life balance is effective organizational communication. The present study was conducted in this direction with the aim of analyzing the effect of effective organizational communication on work-life balance with the mediating role of occupational injuries in Sabalan Social Security Hospital in Ardabil.

    Methods

    In terms of purpose, the present applied research is descriptive-survey in terms of method. The statistical population of this study includes the staff of Sabalan Social Security Hospital in Ardabil, whose number is 600 people. Morgan table was used to determine the sample size of employees and the number of samples was 234 which were selected by simple random sampling method. To measure the variables, Dibaj Occupational Injuries Questionnaire, Susman and Krinos Effective Organizational Communication Questionnaire and Wang and Ko Work-Life Balance Questionnaire were used. Data were analyzed and path analysis and structural equations and regression were used to analyze the research hypotheses.

    Results

    Findings show that effective organizational communication with the mediating role of job injuries has a significant effect on work-life balance. Predicts effective organizational communication 0.76 and job injuries -0.67 predict changes in work-life balance of employees.

    Conclusion

    The relationship between the two variables of effective organizational communication and work-life balance of employees is intensified by the variable of occupational injuries if the occupational injuries increase, this effect will be weaker, and if the occupational injuries weaken, this relationship will naturally become stronger.

    Keywords: Effective organizational Communication, work-life balance, Occupational injuries, Hospital}
  • رجب رشیدی*، مریم خوشناموند، رسول محمدی، خاطره عنبری
    مقدمه

    نیدل استیک شدن یکی از مشکلاتی است که کارکنان مراکز بهداشتی- درمانی به ویژه پرستاران با آن مواجه هستند. با توجه به اهمیت این موضوع هدف از مطالعه حاضر بررسی میزان فراوانی و علل آسیب نیدل استیک در بین پرستاران می باشد.

    مواد و روش ها

    این پژوهش مطالعه مقطعی- تحلیلی بود و جامعه پژوهش را کلیه پرستاران شاغل در بیمارستان های آموزشی شهر خرم آباد در سال 1399 تشکیل دادند. ابزار جمع آوری اطلاعات پرسش نامه ای شامل دو بخش اصلی بود. بخش نخست در زمینه مشخصات دموگرافیک و بخش دوم شامل سوالات تخصصی درباره نیدل استیک بود. برای تحلیل داده ها از نرم افزار SPSS نسخه 15 وآزمون رگرسیون لجستیک استفاده شد.

    یافته ها

    دراین مطالعه بصورت تصادفی ساده 380پرستار از کل  بیمارستان های آموزشی شهر خرم آباد انتخاب شدند.  از کل 380 نمونه، 204 پرستار (7/53%) نیدل استیک شده بودند و 176 نفر (3/46%) نیدل استیک نداشتند، 301 نفر (2/79%) زن و 79 نفر (8/20%) مرد بودند. 194 نفر (52%) بین 20-30 سال، 142 نفر (1/38%) بین 30-40 سال و 37 نفر (9/9%) بالای 40 سال سن داشتند. به لحاظ آماری نتایج نشان داد که همبستگی معناداری بین نوبت کاری و نیدل استیک شدن (003/0=P)، سابقه کار و نیدل استیک شدن (027/0= P) و بخش محل خدمت و نیدل استیک شدن (015/0=P) وجود دارد. نتایج نشان داد که همبستگی معناداری بین جنسیت، سن، بیمارستان محل خدمت، تحصیلات و نیدل استیک شدن وجود ندارد.

    بحث و نتیجه گیری

    با توجه به این که در کشور ما به دلایل مختلف استفاده از ابزار و روش های جدید تزریق رایج نیست لذا کوشش برای تغییر رفتار شغلی پرستاران باید با تاکید بیشتری انجام گیرد.

    کلید واژگان: آسیب نیدل استیک, پرستاران, آسیب های شغلی}
    Rajab Rashidi*, Maryam Khoshnamvand, Rasool Mohammadi, Khatereh Anbari
    Background

    Needle sticking is one of the problems faced by the staff of health centers, especially nurses. Due to the importance of this issue, the aim of this study was to investigate the frequency and causes of needle head injury among nurses.

    Materials and Methods

    This study was a cross-sectional-analytical study and the study population consisted of all nurses working in teaching hospitals in Khorramabad in 1399 of this study.The data collection tool of the questionnaire is two main parts. The first part is about demographic characteristics and the second part includes specialized questions about Needle Stick. Data were analyzed using SPSS software version 15 and logistic regression test.

    Results

    In this study, 380 nurses were randomly selected from all educational hospitals in Khorramabad.out of 380 samples,204 nurses(53.7%) were needled and 176(46.3%) were not needled, 301 (79.2%) were female and 79 (20.8%) were male. They were. Of these,194 (52%) were between 20-30 years old, 142 (38.1%) were between 30-40 years old and 37 (9.9%) were over 40 years old. Statistically, the results showed that there is a significant correlation between shift work and needle sticking (P=0.003), statistically the results showed that there is a significant correlation between work experience and needle sticking (P = 0.027),in terms of The results showed that there was a significant correlation between the workplace and needle sticking (P=0.015). the results showed that there was no significant correlation between gender, age, hospital, education and needle sticking.

    Conclusion

    Considering that in our country, for various reasons, the use of new injection tools and methods is not common; Therefore,efforts to Changing nurseschr('39') job behavior should be done with more emphasis.

    Keywords: Needle Stick Injury, Nurses, Occupational Injuries}
  • محمدکریم بهادری*، ابوالفضل فیروز بخت، سید مجتبی حسینی، مهدی رعدآبادی
    زمینه و هدف

    اورژانس پیش بیمارستانی یکی از مهم ترین و حیاتی ترین بخش های سیستم سلامت می باشد و کارکنان آن اولین افرادی هستند که در شرایط اضطراری از جمله سوانح جاده ای و بلایای طبیعی بر بالین بیمار حاضر می شوند و علی رغم ایفای نقش اساسی در لحظات حساس، آسیب ها و استرس شغلی بالایی را تجربه می کنند. این مطالعه با هدف شناسایی و اولویت بندی آسیب های شغلی نیروهای اورژانس پیش بیمارستانی در مرکز مدیریت حوادث و فوریت های پزشکی استان سمنان انجام شد.

    روش بررسی

    مطالعه حاضر از نوع ترکیبی در دو فاز کیفی و کمی در سال 1396 انجام شد. جامعه پژوهش را 20 نفر از صاحب نظران و کارشناسان خبره در مرکز مدیریت حوادث و فوریت های پزشکی استان سمنان تشکیل دادند. روش نمونه گیری بصورت هدفمند بود. برای جمع آوری داده های کیفی و مشخص کردن متغیرهای مطالعه، از روش مرور متون و تکنیک دلفی و در فاز کمی از تکنیک تحلیل سلسله مراتبی استفاده شد. جهت تحلیل داده ها از  SPSS21.0 و نرم افزار 11 Expert Choice استفاده گردید.

    یافته ها

    بر اساس مرور متون و تکنیک دلفی، آسیب های شغلی نیروهای اورژانس پیش بیمارستانی در 4 گروه جسمی، روحی، خانوادگی و شغلی تقسیم بندی شدند. براساس فرآیند تحلیل سلسله مراتبی عوامل روحی، جسمی، خانوادگی و شغلی با وزن های 540/0، 176/0، 172/0 و 112/0 به ترتیب اولویت های اول تا چهارم را کسب نمودند.

    نتیجه گیری

    با توجه به اجتناب ناپذیر بودن عوامل استرس زا در کارکنان اورژانس پیش بیمارستانی، کاهش عوامل ایجاد کننده آسیب های روحی از قبیل کم کردن ساعات کاری، تعدیل شیفت های شب و عصر و برگزاری برنامه های رفاهی بصورت تیمی و همچنین بکارگیری اقدامات احتیاطی در جهت کاهش آسیب های جسمی، ساماندهی مجدد ساختار استخدامی و تصویب قوانین حمایتی مناسب می تواند از بروز آسیب ها بکاهد.

    کلید واژگان: آسیب های شغلی, اورژانس پیش بیمارستانی, فرآیند تحلیل سلسله مراتبی, استرس}
    Mohammadkarim Bahadori*
    Objective

    The present study aimed to identify and prioritization of injury risk to the EMS technicians of the Disaster and Emergency Medical Management Center in Semnan Province in 2018.

    Methods

    This was a cross-sectional and descriptive study conducted in 2018. The study population consisted of all managers and technicians of the Disaster and Emergency Medical Management Center in Semnan Province. A sample of 20 people was selected through purposeful sampling method. The required data were collected using the literature review and Delphi technique. In the quantitative step also the Analytic hierarchy process (AHP) method was used. The collected data were analyzed using SPSS 21.0 and Expert Choice 10.0 software.

    Results

    Based on the literature review and Delphi technique results, the occupational injuries to the pre-hospital emergency employees were classified into four groups of physical, psychological, family and occupational injuries. Based on the AHP results, the psychological, physical, family and occupational injuries, with the weights of 0.540, 0.176, 0.172 and 0.11, received the first to fourth priorities, respectively.

    Conclusion

    Regarding the inevitability of stress and uncontrollable stressors, decreasing the causes of psychological injuries through reducing working hours, adjusting night and evening shifts, organizing welfare programs, etc., as well as taking precautionary measures to reduce physical injuries, reorganizing the employment structure, and passing appropriate supportive laws are necessary.

    Keywords: Occupational Injuries, EMS, Analytic Hierarchy Process (AHP)}
  • فاطمه سلطانی*، موسی جباری، مصطفی علیجانزاده
    مقدمه

    مخاطرات شغلی از عمده ترین مشکلات بهداشت شغلی می باشند. سیستم های بهداشتی و درمانی مانند دیگر محیط های کاری پر خطر در معرض عوامل خطرناکی قرار دارند. مخاطرات شغلی با ایجاد آسیب های شغلی می توانند بر عملکرد کارکنان تاثیر گذاشته و زندگی افراد شاغل در این محیط ها را به خطر اندازند. امروزه مخاطرات شغلی مرتبط با کار از اهمیت زیادی برخوردارشده است.بر اساس قانون بهداشت و ایمنی شغلی،بیماری شغلی به عنوان یک بیماری است که درمحل کار ناشی از قرار گرفتن در معرض هر یک از مخاطرات فیزیکی ،شیمیایی و یا عامل بیولوژیکی ایجاد شده ،به طوریکه مکانیسم های فیزیولوژیکی طبیعی آسیب دیده اند و سلامت فرد شاغل دچار اختلال شده است.زیرا این مخاطرات می توانند علاوه بر بروز بیماری هایی مانند اختلالات اسکلتی عضلانی،مشکلات شنوایی ،سرطان،مشکلات روانی ،عوارض قلبی عروقی و غیره باعث حذف نیروی کار شده و از طرفی با ایجاد هزینه های درمانی خسارت مالی زیادی به سیستم اقتصادی جامعه تحمیل می نمایند.همچنین مخاطرات شغلی با ایجادآسیب های شغلی می توانند بر عملکرد پرسنل تاثیر گذاشته و خطر فرسودگی شغلی را افزایش و باعث کاهش رضایت شغلی می شوند.لذا پژوهش حاضر با هدف بررسی نقش سبک رهبری تبادلی در پیش بینی آسیب های شغلی درکارکنان مرکز بهداشت آبادان  انجام شد.

    روش کار

    این مطالعه توصیفی بر روی 135 نفر از کارکنان مرکز بهداشت شهرستان آبادان در سال 97-96 انجام گرفت، که با روش نمونه گیری تصادفی ساده و با استفاده از فرمول کوکران انتخاب شدند. اجرای پروژه با استفاده از مقیاس سبک رهبری تبادلی سرپرست (Bass & Avolio.1990)، پرسشنامه هوشیاری ایمنی (Westaby & Lee. 2003) و پرسشنامه رویداد های مرتبط با ایمنی و آسیب های شغلی (Barling. et al. 2002) صورت گرفت. تجزیه و تحلیل داده ها با استفاده از نرم افزار SPSS نگارش 18 و نرم افزار معادلات ساختاری انجام گرفت.

    یافته ها

    یافته ها نشان داد که سبک رهبری تبادلی سرپرست با هوشیاری ایمنی و رویداد های مرتبط با ایمنی با آسیب های شغلی رابطه معنی داری دارد(05/0 >p) ،همچنین تحلیل رگرسیون حاکی از آن بود که با افزایش یک واحد سبک  رهبری ، هوشیار ایمنی 3/0 واحد افزایش پیدا می کند . همچنین با افزایش یک واحد رویدادهای مرتبط با ایمنی ، آسیب درمحل کار 8/2 واحد افزایش پیدا می کند.برای سایر شاخص ها تاثیر معنی داری پیدا نشد.

    نتیجه گیری

    بر اساس یافته های پژوهش کارکنان مراکز بهداشتی همواره در معرض مخاطرات شغلی بالقوه ای قرار دارند و در شرایط آسیب پذیری فعالیت می کنند که این می توانند تاثیر منفی بر سلامت جسم و ذهن کارکنان این محیط ها داشته باشد.همچنین سبک رهبری تبادلی مدیران موجب تقویت ارتباطات ایمنی در میان مدیران و کارکنان سازمان می شود. وقتی کارکنان حمایت مدیران خود را درک کنند و به این نتیجه برسند که مدیران سازمان به بهزیستی و ایمنی آنها اهمیت می دهند تمایل آنها به حفظ هوشیاری ایمنی بالا می رود.لذا به مدیران سازمان ها توصیه می شود با هزینه کردن بودجه مناسب جهت فراهم نمودن تجهیزات لازم ،نسبت به کاهش مخاطرات شغلی کارکنان مراکز بهداشتی درمانی اقدام نمایند.

    کلید واژگان: سبک رهبری تبادلی, هوشیاری ایمنی, رویداد های مرتبط با ایمنی, آسیب های شغلی}
    Fatemeh Soltani*, Mousa Jabbari, Mostafa Alijanzadeh
    Introduction

    To survive and achieve competitive successes in the dynamic milieu of modern global competition, organizations should not only coordinate with the evolutions of advanced society but also predict the trajectory of changes and transformations. They ought to be able to lead these changes towards the development of desirable performance in employees for giving rise to a better future. Since leadership is considered as a fundamental process of any organization; moreover, organizations praise or blame the leadership of organizations for any success or failure, we can claim that the attitudes and perspectives of individuals in organizations depend on the leadership style of organizations. Undoubtedly, one of the influential factors in the development of human societies is the leadership styles of managers over their subordinates. Occupational hazards are of the main difficulties in occupational health. Many employees spend more than one-third of their lives in their working environments, where they encounter varying occupational hazards. We witness numerous occupational diseases and events in different occupations every day. By inspecting them, we find out that unsafe behavior is usually the main causing factor. According to the occupational health and safety law, occupational diseases are considered as an illness raised because of exposition to any physical and chemical hazards or biological factors, such that they damage the normal physiological mechanisms and bring about health disorders in working individuals. It is because, in addition to triggering musculoskeletal disorders, hyperacusis, cancer, psychological disorders, cardiovascular side effects, etc., these hazards can eliminate the workforce and impose severe financial losses on the economic system of society by resulting in therapeutic expenses. Furthermore, by leading to occupational injuries, occupational hazards can impact the performance of personnel, increase the risk of job burnout, and decrease job satisfaction. Thus, the present study aimed to investigate the effect of the transformational leadership style on predicting occupational injuries in the employees of the Abadan Health Center.  Methods and Materials: The present study had a correlational design and employed structural equation modeling (SEM). The statistical population of the study was all employees of the Abadan Health Center (environmental health, schools, nutrition, mothers, professional health, and statistic offices). The samples were selected by the random sampling method. Since the distribution ratio of employees varied in the different parts of the organization, we took into account the same ratio in selecting the samples to reduce sampling error. Because the study was correlational and employed structural equation modeling, the minimum sample size was 15 individuals for every predictive variable. This research had four predictive variables, including leadership style, safety consciousness, safety-related events, and occupational injuries. Likewise, it had eight demographic variables, including gender, age, education, marital status, history, responsibility kind, employment status, and management experience. Since the statistical population of this study comprised 208 individuals, we, finally, used the Cochranchr('39')s formula and random sampling method and selected 135 employees as the sample size of our research.  To observe this minimum size and due to the fact that some questionnaires would not fully be filled out by the respondents or some employees might be disinterested in participating in the study, we selected more employees, almost 145 individuals, using the random sampling method. The inclusion criteria for the study were working in any organizational segments and being randomly selected from their colleagues, and the exclusion criteria to the study were filling out the questionnaires incompletely and displaying disinterest in taking part in the research. The return rate of the surveys was 95 percent. By considering inclusion and exclusion criteria, we imported 145 employees with an age range between 20 and 50 to the study. Among the employees participating in the research, 79.9% were female, 62.7% were married, 60% had an associate degree, 6.9% had over 20 years of working experience, 34.9% were sanitarian, 32.5% were permanently employed, and 19.4% had management experience. To measure the data, we used the The 12-Item transformational leadership style of supervisor Scale (Bass and Avoli. 1990). The questions of this scale are based on the transformational interaction style of a supervisor with his employees. For example, “my supervisor encourages me to assert my ideas and perspectives respecting the improvement in the safety of working environment” and "my supervisor talks with me about the significance of observing safety problems." This scale is based on a five-point Likert measure ranging from 1 (strongly disagree) to 5 (strongly agree). We calculated the reliability coefficient of this research at 88% using the Cronbach alpha method. Safety consciousne With its five sections (Westaby and Lee 2003) measures the awareness and perception rates of employees towards safety issues. Example questions of this scale are, “I don’t use the equipment I feel they are unsafe.” and “I always use protective equipment or wear the requisite clothes for my job." This scale is based on a five-point Likert scale ranging from 1 (strongly agree) to 5 (strongly disagree). Using the Cronbach alpha method, we calculated the reliability coefficient of this scale at 84%. The safety-related events scale with nine items (Barling et al. 2002) provides us with information on the frequency of the safety-related events during the past month. An example of the questions of this scale is, “how many times have you been exposed to chemical materials or been in place without proper ventilation?” It is based on a five-point Likert scale ranging from 1 (never) to 5 (more than five times). The reliability coefficient of this scale was 77% for the present study. Occupational injuries scale which is a 10-item instrument (Barling et al. 2002) gives us information on the events that employees have experienced in their jobs during the past month. It is a five-point Likert scale ranging from 1 (never) to 5 (more than five times). An instance of the questions of this scale is, “how many times have you suffered from pulmonary injuries?” The reliability coefficient of this scale was 0.77 for this research.We employed the SPSS 18 and AMOS software to analyze the data and determine the regression weights in the structural equations. To investigate the manipulating factors, we provided the sample members with a calm, no distraction, and intimate environment so that they could fill out the questionnaires, conveniently. Likewise, the employees verbally declared their consent regarding their participation in the study. To prevent bias in the responses, we assured the employees that their responses would not be disclosed. Moreover, in compiling the questions of the survey, we attempted not to include value statements; otherwise, they would provoke the employeeschr('39') sensitivity, and; consequently, result in bias in the responses.  

    Results

    To test the hypothesized effects among transformational leadership style, safety consciousness, safety-related events, and occupational injuries, we employed regression analysis and structural equation modeling. The mentioned coefficients for every path are presented in Table 2. Concerning the findings of the Table, the safety-related events had a significant effect on occupational injuries, and the transformational leadership style had a significant effect on safety consciousness (p<0.05), indicating the significance of the two paths of the model. The transformational leadership style did not have a significant effect on safety-related events. The results of Table 2 demonstrate that the probability value is 0.5 at the 0.05% significance level. This hypothesis is rejected since the probability value is larger than the significance level. Similarly, the safety consciousness hypothesis did not have a significant effect on safety-related events since the probability value was 0.2 at the 0.05% significance level, and; thus, it was larger than the significance level. As observed in Table 2, the results of testing the total indices of the study’s model fit by the path analysis and AMOS software confirms the goodness of fit of the proposed model. Concerning Table 3, it was specified that the Root Mean Square Error of Approximation (RMSEA) in this research equaled 76%, which was smaller than 0.1. Thus, we can conclude that the model’s goodness of fit is perfect.

    Conclusion

    According to the findings of the study, the employees of the Health center are always exposed to potential occupational hazards and work in hazardous conditions. This can negatively affect the mental and somatic health of the employees of these environments. Furthermore, the transformational leadership styles of managers reinforce safety relationships among the managers and employees of an organization. When employees perceive their managers’ support and infer that the managers of organizations care about their well-being and safety, they are more inclined to preserve their safety consciousness. Therefore, we recommend the organizations’ managers expend proper budgets to supply requisite equipment and minimize the occupational hazards of the employees in healthcare centers. Accordingly, we can claim that this research has both theoretical and applied consequences. Erecting regular sessions and encouraging employees to express difficulties and insufficiencies that exist in the working environment, along with embarking on solving difficulties and creating appropriate processes in organizations for the management of occupational injuries, are examples of applied consequences. Meanwhile, the sufficient financing of budgets paves the way for the periodical somatic and psychological examinations of the employees. At the theoretical level, the findings of this study can assist with the enrichment of the current theories associated with the transformational leadership style. Likewise, we suggest the repetition of similar questionnaires concerning the leadership style and occupational injuries of individuals in organizations at certain time intervals (for example, during biannual programs). Future studies may address the effect of environmental factors on occupational injuries and present new hypotheses within the framework of the researches related to occupational injuries. The main limitation of this study was the use of self-report instruments. Since the under-study variables dealt with humanistic variables, we could not easily conclude regardless of other influential factors such as the environment. Carelessness and negligence in filling out the questionnaires, small sample size, and time restriction are of the other limitations of the study. The present study was confined to the employees of an organization. Hence, we suggest future studies replicate this research in other organizations, as well as larger and more diverse populations, in terms of sample size and gender so that they can compare the results.

    Keywords: Transformational Leadership Style, Safety Consciousness, Safety-Related Events, occupational Injuries}
  • Seyed Mohammad Masoud Shushtarian, Shaghayegh Tahmasebi Barjoui Raki, Hossein Mohammad, Rabei*
    Purpose

    To study the possible effects of occupation vibration on human retina using electroretinogram.

    Patients and Methods

    Fifty workers from a segment of a textile factory with machinery creating high levels of vibration were selected. The workers had at least 6 years history of working in the factory segment where high vibrating machines were operating. The amplitude and latency of electroretinogram b-wave peak and amplitude was compared between these selected workers and 50 age and sex matched controls from other sections of the factory.

    Results

    The mean age was 27.5 + 1.741 years and 27.28 + 1.641 years in the case and control groups respectively. There was statistically significant lower mean amplitude of electroretinogram b-wave peak in the case group compared to the control group (P < 0.001). Also higher mean latency of the electroretinogram b-wave in the case group compared to the control group was observed (P < 0.001)

    Conclusion

    Occupational vibration might have adverse effects on visual system, mainly retina, causing a decrease in amplitude and increase in latency of electroretinogram b-wave peak measured using electroretinography. Keywords: Vibration; Retina; Electroretinography; Occupational Injuries

    Keywords: Vibration, Retina, Electroretinography, Occupational injuries}
  • نادر آقاخانی، رسول روشنی، عباس زارعی، محمد دلیرراد، نرگس رهبر، روزیتا چراغی*
    زمینه و هدف

    آسیب های ناشی از کار به عنوان مشکلات حادثه ای مرتبط با کار تعریف می شوند که می تواند منجر به از دست دادن کار، محدودیت کاری، خستگی و فرسودگی و یا تغییر شغل و نیز سبب تغییر در کیفیت زندگی افراد و خانواده آنها شوند و اثرات منفی جبران ناپذیری را بر جای گذارند. این آسیب ها در مراکزی چون ادارات پزشکی قانونی به علت ماهیت کار جدی ترند و پرسنل در معرض مخاطرات و آسیب های متعدد شغلی قرار دارند. و با قربانیان خشونت و یا خانواده های افرادی که از خشونت و یا آسیب رنج می برند سروکار دارند. تاکنون مطالعه ای در جهت بررسی این آسیب ها در کشور ما انجام نشده است، از این رو امطالعه حاضر با هدف تعیین آسیب های شغلی کارکنان سازمان پزشکی قانونی استان آذربایجان غربی در سال 95 انجام شد.

    روش بررسی

    این مطالعه از نوع توصیفی- مقطعی بر روی 88 نفر از کارکنان سازمان کل پزشکی قانونی استان آذربایجان غربی انجام گردید که با روش نمونه گیری در دسترس انتخاب شدند. ابزاز مورد استفاده یک پرسشنامه آسیب شناسی شغلی دیباج استفاده شد که بخش اول مشتمل بر سوالات دموگرافیک و بخش دوم مربوط به میزان آسیب های شغلی اداره کل سازمان پزشکی قانونی بود که در آن انواع آسیب های شغلی به سه طبقه کلی و چندین زیر طبقه تقسیم گردیدند. داده ها پس از جمع آوری؛ با کمک نرم افزار  آماریSPSS-18  تجزیه و تحلیل شدند.

    یافته ها

    نتایج نشان داد 54 نفر(4/61 %) از مشارکت کنندگان مرد و 34 نفر(6/38 %)  زن بودند که  میانگین سنی آنان 1/7±6/ 41 سال بود. همچنین میانگین سابقه کاری این افراد میانگین 2/7±1/14 سال به دست آمد. در بررسی آسیب های شغلی، میزان آسیب های فرا فردی در کارکنان شدت بالایی را نشان داد ولی امتیاز آسیب های درون فردی و بین فردی شدت متوسطی داشت. در بررسی آسیب های درون فردی؛ آسیب های عاطفی، ارزشی و جسمانی شدت بیشتری نسبت به زیر احدهای دیگر داشتند. در آسیب های بین فردی؛ آسیب های مربوط به ارتباطات کارمند با ارباب رجوع دارای بیشترین میزان آسیب بود. در بررسی نمرات کسب شده در شدت آسیب های فرافردی؛ آسیب های مربوط به حقوق،  امنیت شغلی و مدیریت کارکنان بالاترین امتیاز را نشان می داد. نهایتا مشاهده شد که میزان درآمد کارکنان با آسیب های درون فردی و آسیب های فرا فردی، میزان رضایت شغلی با آسیب های درون فردی، آسیب های بین فردی و آسیب های فرا فردی ارتباط معنی داری دارد(05/0≤p)

    نتیجه گیری

    بر اساس نتایج بدست آمده بنظر می رسد ایجاد فرصت هایی برای ایجاد انگیزه جهت مسئولیت پذیری، انتخاب مناسب، جمع آوری و تحلیل اطلاعات، کمک به تهیه طرح و برنامه ریزی مناسب و تشکیل کارگاه های آموزشی ضمن خدمت در سازمان اقدامات جبرانی مفیدی برای کارمندان می باشد. پیشنهاد می شود مدیران با تخصیص بودجه مناسب نسبت به آموزش و افزایش آگاهی پرسنل و فراهم نمودن تجهیزات لازم و تدوین دستورالعمل های مناسب برای ارتقاء محیط کار، نسبت به کاهش آسیب های شغلی اقدام نمایند.

    کلید واژگان: آسیب های شغلی, کارکنان سازمان, پزشکی قانونی}
    Nader Aghakhani, Rasoul Roshani, Abbas Zarei, Mohammad Delirrad, Narges Rahbar, Rozita Cheraghi*
    Background and aims

    Occupational injury is an accident occurring during the work and can lead to fatal/ nonfatal injuries as a leading cause of the working time and workforce loss. It is among the most important complications of industrialization in all of the countries as an important health problem. Unintentional injuries are the second cause of death in the world. Although a lot of work has been done to reduce of work-related injuries, the incidence of them are high in Iran. The World Health Organization has registered these accidents as an epidemic public health problem and has considered them as very important economic, and social risk factors in the world. They are regarded as work-related incident problems that can lead to mental or physical occupational injuries, loss of work, work restraint, fatigue and burnout, or occupation change, also a change in the quality of life of individuals and their families and create irreparable effects. Some researches state that more attention should be paid to work place safety and employees’ health because cure expenses of injuries are increasing. Based on the differences in social condition, religion, gender, age distribution of working employees among different countries, it is difficult to generalize accidents statistics to all of the work places, but the rate of occupational accidents has been increase in in developing countries. Some workplaces are main and riskiest environments in health systems. Also, employees are exposed to many accidents such as sprains and muscle strains resulting from heavy loads lifting, falls or slips, needle-stick, blood and other body fluids contaminations and open wound exposing with blood, cut from knives or scalpels that are important cause of lost hours of work. Continuous exposure to many chemical materials, poor working conditioning, non-continuous job employment and continues work, and pollutants are the important factors which make a high-risk environment of workplace. Moreover, the risk of occupational injuries exists that increase the rate of accident and its damages. Although many important movements are performed to protect employees from occupational injuries, they have not been enough and much works are remained to be done. Having awareness about employees’ demographic characteristics can help health care providers to prevent occupational injuries resulted from their workload, unsafe and indecisiveness occupational behaviors and job-related mistakes with a direct relationship with safety issues. Some studies have suggested that tiredness related to heavy work and working patterns, including shift work, can lead to injuries and tensions among staff who providing services. Other factors such as the physical work environment, organizational and institutional management and policies, and personal habits cause to exposure of employees to many risks of injury and tensions. Exposure to kinds of occupational physical, chemical, psychological, biological, and environmental hazards may cause both short and long-term impact on their health and safety. On the other hand, abusive and incorrect behavior of them toward their clients, many times are being resulted from their bad work situation and health, insufficient quality controls and supervision in their work environment. These injuries are more serious in centers such as forensic medicine organization, and employees of it are at risk of various occupational hazards. They deal with the victims of violence or families of people who suffer from violence or harm. So far, no study has been done to investigate these injuries in our country. Accurate occupational accidents management based on scientific recommendation and analysis of rate statistics is necessary for implementing preventive strategies. Therefore, this study was conducted with the aim of Study of occupational injuries in employees of forensic medicine organizations in West Azerbaijan province 2016.

    Methods

    This research is a cross-sectional descriptive-analytical study carried out on 88 employees of forensic medicine organizations in West Azerbaijan province selected by an available and stratified random sampling method. Data were collected by the use of a researcher-made questionnaire including the following two parts: the first part consisted of demographic variables such as gender, age, years of work experience, and organizational position and the second part contained was Dibaj's occupational injury questionnaire designated based on the literature review and previous research that was related to the level of occupational injuries, in which the types of occupational injuries were divided into three general classes and several sub-categories. Data were analyzed by SPSS-18 software.

    Results

    Various factors were effective on the incidence of occupational injuries rate as well as on severity, type and frequency of injuries resulting from work place accidents. Findings showed that 54 (61.4%) of participants were male and 34 (38.6%) were female, with an average age of 41.6 ± 7.1 years. Also, the average working experience of them was 14.1 ± 7.2 years. In examining occupational injuries, the level of ultra-individual injuries was with high severity in employees, intermediate and interpersonal score of injuries was average. In assessing inter-person injuries, emotional, physical and emotional injuries had a higher severity than other sub- categories. In interpersonal injuries, the damage to the employee relationship with the client was severe. Examining obtained scores from severity of ultra- employees’ damage; the damage related to salary, and occupational security and employee management had the highest score. Eventually, it was observed that there was a significant relationship between income and individual interpersonal injuries and job satisfaction with intra-personal injuries, interpersonal injuries and ultra-individual injuries (p≤0.05).

    Conclusion

    The findings of this study and other researches have revealed that work places are a high risk environment that its consequences can lead to many adverse accidents. Therefore, identifying the effective factors can help in the identification and prevention of risks and their analysis and correct management that can decrease the rate of occupational injuries on working sites. As mentioned above, the accidents frequency can be affected by demographic characteristics and environmental situation. In this regard, improvement of influencing factors is vital and can be recommended as effective method for prevention of accident. With regard to the relationship between demographic characteristics and environmental situation and occupational accidents, increased awareness of organization managers as well as its employees about safety knowledge, collaborative management, improved incentive system for employee safety and management of occupational stress and finding the affective ways to decrease of them can develop employees' abilities to work in a safe condition. People who are involved in heavy physical shifts were more likely to face with occupational injuries due to tiredness and lack of mental concentration, it seems that providing opportunities for motivation of accountability, gathering and analysis of work place information, appropriate selection, help to prepare a proper managing plan and assessing, and training workshops for in service skills education may be a useful method to improvement of motivation for employees. It is suggested that policy makers, by allocating sufficient resources to educating and increasing the skills of the employees and providing necessary equipment, and improving appropriate policy guidelines for progressing the work environment will decrease the number of occupational injuries occurrence. On the other hand, organizing purposeful meetings with employees of the organization and encouraging them to state their failures and problems in the workplace may help policy makers and managers to solve their problems. In view of the importance of the occupational injuries issues in different countries and resulted damages resulting, a standard registration system of injuries and skillful personnel is needed in order to get more exact and reliable results. Since a number of injuries may be prevented, programs such as using physical and mental safety equipment, employees’ education and controlling their work place can be effective in decreasing the number of the accidents. Following the work safety plans, knowing about work safety rules will prevent the occurrence of the resulting injuries. Therefore, promotion of risk perception through setting useful policies and education should be considered for general risk management. Moreover, it should be noted that organization managers’ special attention to providing particular protective tools for their staff in hazardous work place can significantly decrease accidents. On the other hand, educators are asked to use theories and patterns in preventive education when they are providing their educational programs in order to achieve a better result and promote the efficiency of training programs, as well as using the new methods and tools. Theories and models can be useful in different phases of assessing, managing, planning, implementation, and evaluation of any intervention, as they cooperate to the understanding of an optimal healthy behavior and explanation of its necessity and diagnosis of effective factors, so that the most useful goals can be accomplished for strategic programs. To improve planning, it is necessary to provide information to decision makers at a national level. Another important item is a training program that must be provided to protect employees at workplaces. Improvement of working standards, and progress of human resources and their occupational health should be considered vital elements of the national strategy with government collaboration are recommended.

    Keywords: occupational injuries, organization’s staff, forensic medicine}
  • علی بهاری*، همایون صادقی بازرگانی، فهیمه بختیاری
    مقدمه

    استفاده از پایگاه های اطلاعاتی به منظور دستیابی به اسناد الکترونیکی، ضرورت بررسی عملکرد و پوشش پایگاه ها را دوچندان می سازد. هدف از انجام پژوهش حاضر، تعیین جامعیت و مانعیت پایگاه های اطلاعاتی فارسی در بازیابی اسناد مربوط به حیطه مصدومیت های شغلی بود.

    روش بررسی

    این مطالعه به روش توصیفی و با استفاده از مشاهده و مقایسه انجام شد. جامعه تحقیق شامل پایگاه های اطلاعاتی ملی Magiran، Irandoc، SafeLir و پایگاه اطلاعات علمی جهاد دانشگاهی SID (Scientific Information Database) و حجم نمونه شامل تعداد اسناد بازیابی شده طی 20 سال اخیر از این پایگاه ها بود. کلید واژه ها بر اساس نظرات اعضای خبره تیم پژوهش و بررسی اسناد مربوط تعیین شد. در نهایت، 40 کلید واژه انتخاب گردید و پایگاه های مذکور مورد جستجو قرار گرفت. تعداد اسناد بازیابی شده ثبت و شاخص ها و نمودارهای مرتبط با جامعیت و مانعیت تهیه شد.

    یافته ها

    تعداد اسناد بازیابی شده از پایگاه های Magiran، SID، SafeLir و Irandoc به ترتیب 411، 153، 523 و 149 مدرک بود. پایگاه SafeLir جامعیت نسبی بالاتر (70/83 درصد) و پایگاه SID مانعیت بالاتری (54/89 درصد) در بازیابی اسناد مربوط، نسبت به سایر پایگاه ها داشت. بیشترین همپوشانی بین پایگاه های Magiran و SafeLir مشاهده گردید (269 سند).

    نتیجه گیری

    نتایج حاصل شده به محققان حیطه مصدومیت ها و رشته های مرتبط در شناسایی پایگاه مناسب (دارای جامعیت و مانعیت مناسب) جهت بازیابی اسناد در حوزه تخصصی آن ها کمک می کند. چنانچه جامعیت، مانعیت و یا هم مانعیت و هم جامعیت جستجو مهم باشد، می توان به ترتیب از پایگاه های SafeLir، SID و SafeLir استفاده نمود.

    کلید واژگان: مصدومیتهای شغلی, بهداشت حرفهای, پایگاه داده, ذخیره و بازیابی اطلاعات}
    Ali Bahari*, Homayoun Sadeghi Bazargani, Fahimeh Bakhtiari
    Introduction

    Using databases in order to access electronic documents increases the necessity of reviewing the performance and coverage of the databases. The aim of this study was to assess the recall and precision of Persian databases for retrieval of scholarly information in the field of occupational injuries.

    Methods

    This descriptive study was done using observation and comparison. The investigated community included national databases of SafeLir, Scientific Information Database (SID), Magiran, and Irandoc, and the sample size included the number of documents retrieved from these databases in the last two decades. Keywords were determined based on the opinions of the members of the research team and review of the relevant documents. Finally, forty key words were chosen, and the sites were searched, and the number of recovered documents was recorded. Indices and graphs related to recall and precision were prepared.

    Results

    The number of recovered documents from Magiran, SID, SafeLir, and Irandoc were 411, 153, 523, and 149, respectively. SafeLir database had a higher relative recall (83.7%) and SID had a higher precision (89.54%) in retrieving relevant documents than other databases. The greatest overlap was between Magiran and SafeLir (269 documents).

    Conclusion

    The findings of this study will help researchers in the field of injuries and related fields to identify the appropriate database (with an appropriate recall and precision) to retrieve documents in their specialized fields. If recall of the search or precision of the search or both of them are important, it is recommended to use SafeLir, SID, and SafeLir databases, respectively.

    Keywords: Occupational Injuries, Occupational Health, Database, Information Storage, Retrieval}
  • Seyyedeh Haniyeh Mousavibaghi, Kamran Ezzati*, Mahmood Abedinzade, Sadegh Moshtaghikoojel, Naghmeh Mohebbi Salekdeh, Mohammadreza Norasfard
    Background

    Musculoskeletal disorders are among the prevalent occupational injuries and disabilities in developing countries.

    Objectives

    The current study was conducted to determine the prevalence and risk factors of musculoskeletal disorders among surgery technicians.

    Materials & Methods

    samples (n=179) of this analytical and cross-sectional study were selected using a census method among the surgical technicians who had at least one year of work experience. The disorders of different parts of their bodies were evaluated by Nordic questionnaire, and the risk of catching the musculoskeletal disorders was assessed using quick exposure check method. Statistical analyses were done in SPSS V. 16.

    Results

    According to the Nordic questionnaire, the most prevalent work-related disorders in the past year were found in the back (71.5%), neck (57%), wrist (50.8%), and shoulder (49.7%) of the study subjects. The quick exposure check results showed that the level of exposure to musculoskeletal risks was in action level one for 32.4% of the surgery technicians, and action level three for 33% of them. This study showed associations between the prevalence of work-related symptoms in different body regions and some individual and occupational characteristics (P<0.05).

    Conclusion

    The prevalence of Musculoskeletal Disorders (MSDs) is high among surgical technicians and lumbar disorders are the most common types. Risk factors for MSDs include undesirable physical posture, weight, time spent for shifting loads, excessive force applied by one or both hands at work, working speed, and staff stress levels. among near half of the studied surgical technicians, there were high and very high risks for injury, indicating the vulnerable condition and environment of this job.

    Keywords: Musculoskeletal diseases, Occupational injuries, Pain}
  • Nuruly Myzabella, Lin Fritschi, Nick Merdith, Sonia El Zaemey, HuiJun Chih, Alison Reid*
    Background

    The palm oil industry is the largest contributor to global production of oils and fats. Indonesia and Malaysia are the largest producers of palm oil. More than a million workers are employed in this industry, yet there is a lack of information on their occupational health and safety.

    Objective

    To identify and summarize occupational hazards among oil palm plantation workers.

    Methods

    A search was carried out in June 2018 in PubMed, Web of Science, Scopus, and Ovid. Relevant publications were identified by a systematic search of four databases and relevant journals. Publications were included if they examined occupational hazards in oil palm plantation workers.

    Results

    941 publications were identified; of these, 25 studies were found eligible to be included in the final review. Of the 25 studies examined, 19 were conducted in Malaysia, 2 in Costa Rica, and one each in Ghana, Indonesia, Myanmar, Papua New Guinea, and Cameroon. Oil palm plantation workers were found to be at risk of musculoskeletal conditions, injuries, psychosocial disorders, and infectious diseases such as malaria and leptospirosis. In addition, they have potential exposure to paraquat and other pesticides.

    Conclusion

    In light of the potential of palm oil for use as a biofuel, this is an industry with strong growth potential. The workers are exposed to various occupational hazards. Further research and interventions are necessary to improve the working conditions of this already vast and growing workforce.

    Keywords: Palm oil, Occupation, Risk, Occupational injuries, Leptospirosis, Malaria, Pesticides}
  • Hossein Saeed, Banadaky*, Hamid Pahlavanhosseini, Moslem Dehghanizadeh, Amirhoushang Mehrparvar
    Background
    Upper extremity injuries can induce disability and lead to lost workdays. Given the importance of occupational injuries as one of the main causes of upper extremity injuries, this study was conducted to evaluate these kinds of injuries with regard to the age of the injured workers, degree of disability and lost workdays in the city of Yazd. 
    Materials and Methods
    In this cross-sectional study, 55 workers with occupational upper extremity injuries were recruited during 2015 to 2016 in Yazd.  Data recorded in the labor office of Yazd were collected. The characteristics of the injuries were also collected using the Quick DASH questionnaire. Descriptive statistics were used to report the results. Statistical analyses were carried out using SPSS (version 16) software.
    Results
    Mean Quick DASH (disabilities of the Arm, Shoulder and Hand) score was 60 ± 21.3. Lost workdays of more than 6 months were observed in 52.7% of the cases.
    Conclusion
    This study showed a large number of lost workdays and high levels of disability in individuals with occupational upper extremity injuries.
    Keywords: Occupational Injuries, Upper Extremity, Disability Evaluation}
  • Mohammad Aghaali, Seyed Davood Mirtorabi, Mohammad Reza Ghadirzadeh, Seyed Saeed Hashemi, Nazari*
    Background
    Occupational injury is a cause of premature mortality, mainly in low- and middle-income countries. Occupational injuries estimated to kill more than 300,000 workers worldwide every year. We estimated the years of life lost (YLL) of fatal unintentional occupational injuries in Iran for the five years of 2012-2016. Study design: A cross-sectional study.
    Methods
    To estimate the YLL, registered deaths due to occupational unintentional injury were identified from the Iranian Legal Medicine Organization. Estimated YLL was calculated according to Global Burden of Disease 2010 guideline. Population life expectancy in each corresponding years was retrieved from the national health database. All data collected entered into Excel software for calculations.
    Results
    In 2012-2016, fatal unintentional occupational injuries were the cause of 8,606 deaths in Iran, resulting in 4.6 prematurely lost life yr per 1000 males and 0.3 yr per 1000 females among workers, every year. 98.7% of the deaths occurred in males. Males from 15 to 19 yr of age and females from 10 to 14 yr of age showed the highest YLL rates. The rate of YLLs per 1,000 workers per year was 3.99 overall, 4.6 in males, and 0.4 in females.
    Conclusion
    Premature mortality due to occupational injury is still a serious problem in the Iranian population. Our findings may be useful from a health policy perspective for designing and prioritizing interventions focused on the prevention of premature loss of life. Known prevention strategies need to be implemented widely to diminish avoidable injuries in the workplace.
    Keywords: Occupational injuries, Occupational health, Accidents, Occupational, Iran}
  • Mahnaz Saremi, Rohollah Fallah Madvari, Elham Akhlaghi Pirposhte, Abbas Mohammad Hosseini, Fereydoon Laal *, Hossein Ali Adineh
    Introduction
    The goal of ergonomics science is to achieve an effective adaptation between the user and the workstation to improve productivity, increase the safety and reduce occupational injuries. Therefore, this study was conducted with the aim of studying knowledge about ergonomics, determining working conditions and occupational injuries of nurses in selected hospitals of Shahid Beheshti University of Medical Sciences.
    Material and Methods
    This cross-sectional study was done on nurses working in hospitals affiliated to Shahid Beheshti University of Medical Sciences by one standard questionnaire. Using descriptive statistics, Kolmogorov-Smirnov, chi-square, independent t-test and one-way ANOVA, data were analyzed.
    Results
    The mean and standard deviation of age and work experience were about 32.67 ± 8.63 and 8.84 ± 7.46 years, respectively. Results showed the level of nurses 'knowledge about ergonomics with an average of 0.72 ± 3.14 was good. Also, the extent of occupational problems and injuries, such as musculoskeletal disorders (MSDs), with a mean of 0.95 ± 2.10 was also weak. The results showed that there was a significant reverse relationship between the level of knowledge of ergonomic science and the level of occupational injury (P-value = 0.00, R = -0.299) and between working conditions and occupational injuries (P-value = 0.000, R = -0.357).
    Conclusions
    There was a reverse relationship between the level of knowledge of ergonomic and occupational injuries. Also, there was a significant reverse relationship between working conditions and occupational injuries. Therefore, use of training and ergonomic interventions can be useful.
    Keywords: Knowledge, Ergonomic science, Occupational injuries, Nurses}
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
  • کلیدواژه مورد نظر شما تنها در فیلد کلیدواژگان مقالات جستجو شده‌است. به منظور حذف نتایج غیر مرتبط، جستجو تنها در مقالات مجلاتی انجام شده که با مجله ماخذ هم موضوع هستند.
  • در صورتی که می‌خواهید جستجو را در همه موضوعات و با شرایط دیگر تکرار کنید به صفحه جستجوی پیشرفته مجلات مراجعه کنید.
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