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随着时间的推移,工作方式是上肢疼痛的一个中介因素吗?

Is workstyle a mediating factor for pain in the upper extremity over time?

作者信息

Meijer Eline M, Sluiter Judith K, Frings-Dresen Monique H W

机构信息

Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, P.O. Box 22700, 1100 DE, Amsterdam, The Netherlands.

出版信息

J Occup Rehabil. 2008 Sep;18(3):262-6. doi: 10.1007/s10926-008-9145-0. Epub 2008 Aug 8.

Abstract

INTRODUCTION

Upper extremity musculoskeletal disorders influence workers' quality of life. Workstyle may be one factor to deal with in workers with pain in the upper extremity. The objective of this study was to determine if workstyle is a mediating factor for upper extremity pain in a changing work environment of office workers over time.

METHODS

Office workers with upper extremity pain filled out a Workstyle questionnaire (WSF) at baseline (n = 110). After 8 and 12 months follow-up assessment took place. Participants were divided into a good and an adverse workstyle group at baseline. The presence of upper extremity pain in both groups was calculated and relative risks were determined. Chi-square tests were used.

RESULTS

Eight months after baseline, 80% of the adverse and 45% of the good workstyle group reported pain. The relative risk (RR) of having upper extremity pain for the adverse compared to the good workstyle group was 1.8 (95% CI 1.08-2.86) (P = 0.055). Twelve months after baseline, upper extremity pain was more often presented in the adverse workstyle compared to the good workstyle group (RR = 3.0, (95% CI 1.76-5.11), P = 0.003). Twelve months after baseline, 100% of the adverse workstyle group and 33% of the good workstyle group reported pain in the upper extremity.

CONCLUSION

Workstyle seems to be a mediating factor for upper extremity pain in office workers in a changing work environment. It is recommended to assess workstyle among office workers with upper extremity pain, and to include workstyle behaviour in treatments.

摘要

引言

上肢肌肉骨骼疾病会影响工人的生活质量。工作方式可能是上肢疼痛工人需要应对的一个因素。本研究的目的是确定在办公室工作人员不断变化的工作环境中,工作方式是否是上肢疼痛的一个中介因素。

方法

有上肢疼痛的办公室工作人员在基线时填写一份工作方式问卷(WSF)(n = 110)。在8个月和12个月后进行随访评估。参与者在基线时被分为良好工作方式组和不良工作方式组。计算两组上肢疼痛的发生率并确定相对风险。使用卡方检验。

结果

基线后8个月,不良工作方式组中有80%报告疼痛,良好工作方式组中有45%报告疼痛。不良工作方式组与良好工作方式组相比,上肢疼痛的相对风险(RR)为1.8(95%CI 1.08 - 2.86)(P = 0.0�5)。基线后12个月,与良好工作方式组相比,不良工作方式组中上肢疼痛更为常见(RR = 3.0,(95%CI 1.76 - 5.11),P = 0.003)。基线后12个月,不良工作方式组中有100%报告上肢疼痛,良好工作方式组中有33%报告上肢疼痛。

结论

在不断变化的工作环境中,工作方式似乎是办公室工作人员上肢疼痛的一个中介因素。建议对有上肢疼痛的办公室工作人员评估其工作方式,并将工作方式行为纳入治疗中。

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