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良好的心理社会工作条件和高度的工作投入能否预防与工作相关的肌肉骨骼疾病的发生?

Can favorable psychosocial work conditions and high work dedication protect against the occurrence of work-related musculoskeletal disorders?

作者信息

Joling Catelijne I, Blatter Birgitte M, Ybema Jan Fekke, Bongers Paulien M

机构信息

TNO Quality of Life | Work & Employment, Hoofddorp, Netherlands.

出版信息

Scand J Work Environ Health. 2008 Oct;34(5):345-55. doi: 10.5271/sjweh.1274. Epub 2008 Oct 14.

Abstract

OBJECTIVES

This study investigated whether work dedication and job resources are longitudinally related to work-related musculoskeletal disorders and whether job resources buffer the impact of job demands on these disorders?

METHODS

Data were used from a longitudinal three-phase study (2004, 2005, 2006) on health at work among a sample of Dutch workers. The first survey was sent in 2004 by e-mail to 3100 members of an existing panel. For the analyses, 1522 participants were included with full longitudinal data. The analyses were performed using an autoregressive model with generalized estimating equations.

RESULTS

The job-resource quality of communication was found to predict the risk of work-related musculoskeletal disorders over time. This effect was not mediated by work dedication. A high quality of communication was also found to buffer the negative effects of a high physical workload on the risk of work-related musculoskeletal disorders. Furthermore, a low level of social support by colleagues was found to buffer the negative effect of a medium physical workload on work-related musculoskeletal disorders.

CONCLUSIONS

This study shows that job resources are not only important for promoting work dedication, but may also moderate the negative impact of high job demands on the risk of work-related musculoskeletal disorders. With respect to social support, the question is raised of whether this can also work negatively. The results of this study imply that, besides avoiding or reducing risks to health in the workplace and lowering job demands, strengthening job resources may additionally buffer harmful effects of job demands on musculoskeletal health.

摘要

目的

本研究调查了工作投入和工作资源是否与工作相关的肌肉骨骼疾病存在纵向关联,以及工作资源是否能缓冲工作需求对这些疾病的影响?

方法

数据来自一项针对荷兰工人样本的工作健康状况的纵向三阶段研究(2004年、2005年、2006年)。2004年通过电子邮件向一个现有面板的3100名成员发送了首次调查问卷。为进行分析,纳入了1522名具有完整纵向数据的参与者。分析采用带有广义估计方程的自回归模型。

结果

发现沟通的工作资源质量可预测随时间推移与工作相关的肌肉骨骼疾病风险。这种影响未通过工作投入来介导。还发现高质量的沟通可缓冲高体力工作量对与工作相关的肌肉骨骼疾病风险的负面影响。此外,发现同事的低水平社会支持可缓冲中等体力工作量对与工作相关的肌肉骨骼疾病的负面影响。

结论

本研究表明,工作资源不仅对促进工作投入很重要,而且可能减轻高工作需求对与工作相关的肌肉骨骼疾病风险的负面影响。关于社会支持,提出了它是否也可能产生负面影响的问题。本研究结果意味着,除了避免或降低工作场所的健康风险以及降低工作需求外,加强工作资源可能还会缓冲工作需求对肌肉骨骼健康的有害影响。

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