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考纳斯市公共服务计算机工作者颈部肌肉骨骼疾病与工作相关因素之间的关联。

Associations between neck musculoskeletal complaints and work related factors among public service computer workers in Kaunas.

作者信息

Kaliniene Gintaré, Ustinaviciene Ruta, Skemiene Lina, Januskevicius Vidmantas

机构信息

Department of Environmental and Occupational Medicine of Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania,

出版信息

Int J Occup Med Environ Health. 2013 Oct;26(5):670-81. doi: 10.2478/s13382-013-0141-z. Epub 2014 Jan 25.

Abstract

OBJECTIVES

Information technologies have been developing very rapidly, also in the case of occupational activities. Epidemiological studies have shown that employees, who work with computers, are more likely to complain of musculoskeletal disorders (MSD). The aim of this study was to evaluate associations between neck MSD and individual and work related factors.

MATERIALS AND METHODS

The investigation which consisted of two parts - a questionnaire study (using Nordic Musculoskeletal questionnaire and Copenhagen Psychosocial Questionnaire) and a direct observation (to evaluate ergonomic work environment using RULA method) was carried out in three randomly selected public sector companies of Kaunas. The study population consisted of 513 public service office workers.

RESULTS

The survey showed that neck MSDs were very common in the investigated population. The prevalence rate amounted to 65.7%. According to our survey neck MSDs were significantly associated with older age, bigger work experience, high quantitative and cognitive job demands, working for longer than 2 h without taking a break as well as with higher ergonomic risk score. The fully adjusted model working for longer than 2 h without taking a break had the strongest associations with neck complaints.

CONCLUSION

It was confirmed, that neck MSDs were significantly associated with individual factors as well as conditions of work, therefore, preventive actions against neck complaints should be oriented at psychosocial and ergonomic work environment as well as at individual factors.

摘要

目的

信息技术发展迅速,职业活动领域亦是如此。流行病学研究表明,使用计算机工作的员工更易抱怨肌肉骨骼疾病(MSD)。本研究旨在评估颈部MSD与个体因素及工作相关因素之间的关联。

材料与方法

调查分为两部分——问卷调查(使用北欧肌肉骨骼问卷和哥本哈根心理社会问卷)和直接观察(使用RULA方法评估人体工程学工作环境),在考纳斯随机选取的三家公共部门公司开展。研究对象为513名公共服务办公室工作人员。

结果

调查显示,颈部MSD在被调查人群中非常普遍。患病率达65.7%。根据我们的调查,颈部MSD与年龄较大、工作经验较丰富、较高的工作量和认知工作需求、连续工作超过2小时不休息以及较高的人体工程学风险评分显著相关。在完全调整模型中,连续工作超过2小时不休息与颈部不适的关联最强。

结论

已证实,颈部MSD与个体因素以及工作条件显著相关,因此,针对颈部不适的预防措施应着眼于心理社会和人体工程学工作环境以及个体因素。

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