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医学检验技术人员的工作姿势及肌肉骨骼症状患病率评估。

Evaluation of the working posture and prevalence of musculoskeletal symptoms among medical laboratory technicians.

作者信息

Maulik Shreya, Iqbal Rauf, De Amitabha, Chandra Ananga Mohan

机构信息

National Institute of Industrial Engineering, Powai, Mumbai, India.

Department of Physiology, University College of Science and Technology, Kolkata, India.

出版信息

J Back Musculoskelet Rehabil. 2014;27(4):453-61. doi: 10.3233/BMR-140466.

Abstract

BACKGROUND

Technological advancement in the medical laboratories has exposed the laboratory technicians to various ergonomic hazards due to nature of their work.

OBJECTIVE

The study aimed to analyze the working postures, to find out the prevalence of work related musculoskeletal disorders and to investigate the relationship between musculoskeletal disorders with individual factors, work characteristics and the working postures.

METHODS

The study was conducted among 60 medical laboratory technicians. Nordic Musculoskeletal Questionnaire (NMQ), Visual Analogue Scale (VAS) and RULA were used for this study.

RESULTS

Mean and SD of age, BMI and work experience of the technicians were 28.6 ± 9.04 years, 22.07 ± 4.5 and 7.1 ± 8.2 years respectively. The overall prevalence of musculoskeletal problems experienced by the technicians was 73.3% and the major affected areas were trunk, knees, neck and ankles/feet. Statistical analysis shows significant associations between musculoskeletal symptoms and VAS scores. Also a significant difference was found between the means of pre and post work shift scores of neck, low back and knee pain. Postural analysis showed that the subject's mean Score A, B and Grand Score were found to be 3.98 ± 0.8, 4.95 ± 1.6 and 6 ± 1.02 respectively. The final RULA score 6 ± 1.02 emphasizes on poor workstation design which resulted in unnatural posture.

CONCLUSIONS

The study highlighted the prevalence of postural and musculoskeletal problems among medical laboratory technicians. Intervention of administrative and engineering controls can significantly reduce ergonomic hazards.

摘要

背景

医学实验室的技术进步因其工作性质使实验室技术人员面临各种人体工程学危害。

目的

本研究旨在分析工作姿势,找出与工作相关的肌肉骨骼疾病的患病率,并调查肌肉骨骼疾病与个体因素、工作特征和工作姿势之间的关系。

方法

本研究对60名医学实验室技术人员进行。使用北欧肌肉骨骼问卷(NMQ)、视觉模拟量表(VAS)和快速上肢评估(RULA)进行此项研究。

结果

技术人员的年龄、体重指数(BMI)和工作经验的平均值及标准差分别为28.6±9.04岁、22.07±4.5和7.1±8.2年。技术人员经历的肌肉骨骼问题的总体患病率为73.3%,主要受影响部位是躯干、膝盖、颈部和脚踝/脚部。统计分析表明肌肉骨骼症状与VAS评分之间存在显著关联。此外,还发现颈部、下背部和膝盖疼痛在工作班次前后的平均得分之间存在显著差异。姿势分析表明,受试者的平均A得分、B得分和总得分分别为3.98±0.8、4.95±1.6和6±1.02。最终的RULA评分为6±1.02,强调工作站设计不佳导致姿势不自然。

结论

该研究突出了医学实验室技术人员中姿势和肌肉骨骼问题的患病率。行政和工程控制措施的干预可显著降低人体工程学危害。

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