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女性医学超声检查技师的人体测量学指标、工作压力与肌肉骨骼症状患病率

Anthropometric measurements, job strain, and prevalence of musculoskeletal symptoms in female medical sonographersf.

作者信息

Hill James J, Slade Martin D, Russi Mark B

机构信息

Occupational and Environmental Medicine Program, Yale University School of Medicine, New Haven, CT 006510, USA.

出版信息

Work. 2009;33(2):181-9. doi: 10.3233/WOR-2009-0865.

Abstract

OBJECTIVE

Principal components analysis (PCA) was used to explore the relationship between anthropometric measurements, job strain and work organization factors and the prevalence of musculoskeletal symptoms/occupational injuries in medical sonographers.

METHODS

A cross-sectional survey of twenty-six female sonographers at a tertiary medical center completed a standardized symptom questionnaire and underwent anthropometric measurement. First aid events and OSHA reportable injuries were abstracted from employee health records.

RESULTS

96% of subjects reported some type of musculoskeletal symptoms within the past year, with shoulders (73%), low back (69%) and wrist/hand symptoms (54%) reported most often. PCA identified seven domains among the predictive variables: physical size, job strain, time on job, abdominal girth, work pace/variability, movement during study, and time spent standing. The magnitude and direction of effect for predicting musculoskeletal symptoms varied by symptom location. Abdominal girth was consistently associated with increased likelihood of reporting symptoms.

CONCLUSION

Sonographers work in a high demand/low control environment. Future studies of sonographers may need to include measures of both physical size and job strain. Reducing risk factors for one anatomical location may increase the risk at another location in this population.

摘要

目的

采用主成分分析(PCA)探讨医学超声检查技师的人体测量学指标、工作压力和工作组织因素与肌肉骨骼症状/职业伤害患病率之间的关系。

方法

对一家三级医疗中心的26名女性超声检查技师进行横断面调查,她们完成了一份标准化症状问卷并接受了人体测量。从员工健康记录中提取急救事件和职业安全与健康管理局(OSHA)可报告的伤害情况。

结果

96%的受试者报告在过去一年中出现过某种类型的肌肉骨骼症状,其中肩部(73%)、下背部(69%)和手腕/手部症状(54%)最为常见。主成分分析在预测变量中确定了七个领域:身体尺寸、工作压力、工作时间、腹围、工作节奏/变化性、研究期间的活动以及站立时间。预测肌肉骨骼症状的效应大小和方向因症状部位而异。腹围始终与报告症状的可能性增加相关。

结论

超声检查技师工作在高要求/低控制的环境中。未来对超声检查技师的研究可能需要纳入身体尺寸和工作压力的测量。降低一个解剖部位的风险因素可能会增加该人群中另一个部位的风险。

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