Sa Eduardo Costa, Ferreira Junior Mario, Rocha Lys Esther
Faculdade de Medicina, Departamento de Medicina Legal, Universidade de São Paulo, Ética Médica, Medicina Social e do Trabalho, LIM-40, SP, Brazil.
Work. 2012;41 Suppl 1:3568-74. doi: 10.3233/WOR-2012-0636-3568.
The aims of this study were to investigate work conditions, to estimate the prevalence and to describe risk factors associated with Computer Vision Syndrome among two call centers' operators in São Paulo (n = 476). The methods include a quantitative cross-sectional observational study and an ergonomic work analysis, using work observation, interviews and questionnaires. The case definition was the presence of one or more specific ocular symptoms answered as always, often or sometimes. The multiple logistic regression model, were created using the stepwise forward likelihood method and remained the variables with levels below 5% (p < 0.05). The operators were mainly female and young (from 15 to 24 years old). The call center was opened 24 hours and the operators weekly hours were 36 hours with break time from 21 to 35 minutes per day. The symptoms reported were eye fatigue (73.9%), "weight" in the eyes (68.2%), "burning" eyes (54.6%), tearing (43.9%) and weakening of vision (43.5%). The prevalence of Computer Vision Syndrome was 54.6%. Associations verified were: being female (OR 2.6, 95% CI 1.6 to 4.1), lack of recognition at work (OR 1.4, 95% CI 1.1 to 1.8), organization of work in call center (OR 1.4, 95% CI 1.1 to 1.7) and high demand at work (OR 1.1, 95% CI 1.0 to 1.3). The organization and psychosocial factors at work should be included in prevention programs of visual syndrome among call centers' operators.
本研究的目的是调查工作条件,估计圣保罗两个呼叫中心的476名话务员中计算机视觉综合征的患病率,并描述与之相关的风险因素。研究方法包括定量横断面观察研究和人体工程学工作分析,采用工作观察、访谈和问卷调查。病例定义为存在一种或多种特定眼部症状,回答为总是、经常或有时出现。多元逻辑回归模型采用逐步向前似然法创建,并保留p值低于5%(p<0.05)的变量。话务员主要为女性且年轻(15至24岁)。呼叫中心24小时营业,话务员每周工作36小时,每天休息时间为21至35分钟。报告的症状有眼疲劳(73.9%)、眼内有“重压感”(68.2%)、眼“灼痛”(54.6%)、流泪(43.9%)和视力下降(43.5%)。计算机视觉综合征的患病率为54.6%。经证实的关联因素有:女性(比值比2.6,95%置信区间1.6至4.1)、工作中缺乏认可(比值比1.4,95%置信区间1.1至1.8)、呼叫中心的工作安排(比值比1.4,95%置信区间1.1至1.7)和工作要求高(比值比1.1,95%置信区间1.0至1.3)。呼叫中心话务员视觉综合征的预防方案应纳入工作中的组织和社会心理因素。