Rivilis Irina, Cole Donald C, Frazer Mardon B, Kerr Michael S, Wells Richard P, Ibrahim Selahadin
Institute for Work and Health, Toronto, Ontario, Canada.
Am J Ind Med. 2006 Oct;49(10):801-10. doi: 10.1002/ajim.20382.
Participatory ergonomic (PE) interventions have been increasingly utilized to deal with work-related musculoskeletal disorders (WMSD).
Using a longitudinal quasi-experimental design, a PE process was launched at one depot of a large courier company, with a nearby depot serving as a control. Evaluations focused on 122 employees across the two depots who participated in both pre- and post-questionnaires. An evaluation framework assessed the process of implementation, changes in risk factors, and changes in musculoskeletal health outcomes. Partial and multiple regressions explored the relationships in the evaluation framework.
Changes in work organizational factors had a consistent impact upon changes in health outcomes. Greater participation in the process was associated with increased levels of job influence and communication (P = 0.0059 and P = 0.0940 respectively). Improvements in communication levels were associated with reduced pain intensity and improved work role function (WRF) (P = 0.0077 and P = 0.0248 respectively). Lower levels of pain post-intervention were related to greater WRF (P = 0.0493).
A PE approach can improve risk factors related to WMSD, and meaningful worker participation in the process is an important aspect for the success of such interventions.
参与式工效学(PE)干预措施已越来越多地用于应对与工作相关的肌肉骨骼疾病(WMSD)。
采用纵向准实验设计,在一家大型快递公司的一个仓库开展了PE流程,附近的一个仓库作为对照。评估聚焦于两个仓库的122名员工,他们都参与了问卷调查前和问卷调查后的调查。一个评估框架评估了实施过程、风险因素的变化以及肌肉骨骼健康结果的变化。偏回归和多元回归探讨了评估框架中的关系。
工作组织因素的变化对健康结果的变化有一致的影响。更多地参与该流程与工作影响力和沟通水平的提高相关(分别为P = 0.0059和P = 0.0940)。沟通水平的提高与疼痛强度降低和工作角色功能(WRF)改善相关(分别为P = 0.0077和P = 0.0248)。干预后较低的疼痛水平与更高的WRF相关(P = 0.0493)。
PE方法可以改善与WMSD相关的风险因素,并且员工有意义地参与该流程是此类干预措施成功的一个重要方面。