Kim Joo Ja, Lee Kyung Jae
Department of Occupational Medicine, Soonchynhyang University Hospital, Seoul, Korea.
J Prev Med Public Health. 2005 Feb;38(1):45-52.
[corrected] To investigate the fatigue subjective symptoms and VDT related risk factors in bank workers.
A total of 2178 workers (62.8% male, 37.2% female) were surveyed with a self-administered and structured questionnaire consisting of 30 fatigue symptoms and other VDT related factors regarding work characteristics, work postures, work environments, personal medical histories, etc. Fatigue subjective symptoms were divided into 3 groups of 10 questions each: a dull, drowsy and exhausted feeling (Group I), a mental decline of working motivation (Group II), or a feeling of incongruity in the body and dysfunction of autonomic nervous system (Group III). Each question was weighted as 0 for 'none', 1 for 'sometimes', and 2 for 'always'.
Mean age was 35.8 +/- 7.2 years (38.9 +/- 6.0 in males, 30.6 +/- 5.8 in females), Mean work duration was 7.7 +/- 7.1 years (8.4+7.4 in males, 6.5 +/- 6.4 in females). Mean symptom score in males was 11.0 +/- 8.1 (4.9 +/- 3.1 in Group I, 3.0 +/- 3.1 in Group II, 3.1 +/- 2.8 in Group IIl) and in females was 17.5 +/- 9.5 (7.0 +/- 3.8 in Group I, 4.6 +/- 3.5 in Group II, 5.9 +/- 3.4 in Group III). Mean scores were higher in the order of Group I > III > II. Females had significanntly higher scores than males in all three groups (p < 0.001). Most common symptoms complained of as 'always' or sometimes' were 'feel strained in the eyes' (85.4%) among Group I, 'find difficulty in thinking' (54.2%) amongGroup II, and 'feel stiff in the shoulders' (72.3%) among Group III. In multiple regression analysis, female, non-straight spine at workstation, more VDT work hours, history off physical therapy, glare of screen, overtime work, youngage, and non-horizontal elbow position were significantly related with high score of symptoms.
More supportive VDT work environment and education for correct work postures for VDT workers are recommended.
调查银行工作人员的疲劳主观症状及与视频显示终端(VDT)相关的风险因素。
采用自行填写的结构化问卷对2178名工作人员(男性占62.8%,女性占37.2%)进行调查,问卷包含30项疲劳症状以及其他与VDT相关的因素,涉及工作特征、工作姿势、工作环境、个人病史等。疲劳主观症状分为3组,每组10个问题:一组为 dull、drowsy 和 exhausted 感觉(第一组),一组为工作动力的精神衰退(第二组),另一组为身体不协调感和自主神经系统功能障碍(第三组)。每个问题按“无”计0分,“有时”计1分,“总是”计2分。
平均年龄为35.8±7.2岁(男性为38.9±6.0岁,女性为30.6±5.8岁),平均工作时长为7.7±7.1年(男性为8.4±7.4年,女性为6.5±6.4年)。男性的平均症状评分为11.0±8.1(第一组为4.9±3.1,第二组为3.0±3.1,第三组为3.1±2.8),女性为17.5±9.5(第一组为7.0±3.8,第二组为4.6±3.5,第三组为5.9±3.4)。平均得分从高到低依次为第一组>第三组>第二组。在所有三组中,女性的得分均显著高于男性(p<0.001)。在第一组中,最常被抱怨“总是”或“有时”出现的症状是“眼睛感到紧张”(85.4%),在第二组中是“思维困难”(54.2%),在第三组中是“肩膀僵硬”(72.3%)。在多元回归分析中,女性、工作时脊柱不挺直、VDT工作时间更长、有物理治疗史、屏幕眩光、加班工作、年龄较小以及肘部位置不水平与症状高分显著相关。
建议为VDT工作人员提供更具支持性的VDT工作环境,并开展正确工作姿势的教育。