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肌肉骨骼疼痛的个体及工作相关风险因素:一项针对爱沙尼亚计算机用户的横断面研究

Individual and work-related risk factors for musculoskeletal pain: a cross-sectional study among Estonian computer users.

作者信息

Oha Kristel, Animägi Liina, Pääsuke Mati, Coggon David, Merisalu Eda

机构信息

North Estonia Medical Centre, J, Sütiste tee 19, 13419 Tallinn, Estonia.

出版信息

BMC Musculoskelet Disord. 2014 May 28;15:181. doi: 10.1186/1471-2474-15-181.

Abstract

BACKGROUND

Occupational use of computers has increased rapidly over recent decades, and has been linked with various musculoskeletal disorders, which are now the most commonly diagnosed occupational diseases in Estonia. The aim of this study was to assess the prevalence of musculoskeletal pain (MSP) by anatomical region during the past 12 months and to investigate its association with personal characteristics and work-related risk factors among Estonian office workers using computers.

METHODS

In a cross-sectional survey, the questionnaires were sent to the 415 computer users. Data were collected by self-administered questionnaire from 202 computer users at two universities in Estonia. The questionnaire asked about MSP at different anatomical sites, and potential individual and work related risk factors. Associations with risk factors were assessed by logistic regression.

RESULTS

Most respondents (77%) reported MSP in at least one anatomical region during the past 12 months. Most prevalent was pain in the neck (51%), followed by low back pain (42%), wrist/hand pain (35%) and shoulder pain (30%). Older age, right-handedness, not currently smoking, emotional exhaustion, belief that musculoskeletal problems are commonly caused by work, and low job security were the statistically significant risk factors for MSP in different anatomical sites.

CONCLUSIONS

A high prevalence of MSP in the neck, low back, wrist/arm and shoulder was observed among Estonian computer users. Psychosocial risk factors were broadly consistent with those reported from elsewhere. While computer users should be aware of ergonomic techniques that can make their work easier and more comfortable, presenting computer use as a serious health hazard may modify health beliefs in a way that is unhelpful.

摘要

背景

近几十年来,计算机在职业中的使用迅速增加,并与各种肌肉骨骼疾病相关联,这些疾病如今是爱沙尼亚最常见的职业病。本研究的目的是评估过去12个月中按解剖区域划分的肌肉骨骼疼痛(MSP)患病率,并调查爱沙尼亚使用计算机的办公室工作人员中MSP与个人特征及工作相关风险因素之间的关联。

方法

在一项横断面调查中,向415名计算机用户发放了问卷。通过自填式问卷从爱沙尼亚两所大学的202名计算机用户那里收集数据。问卷询问了不同解剖部位的MSP以及潜在的个人和工作相关风险因素。通过逻辑回归评估与风险因素的关联。

结果

大多数受访者(77%)报告在过去12个月中至少有一个解剖区域出现MSP。最常见的疼痛部位是颈部(51%),其次是下背部疼痛(42%)、手腕/手部疼痛(35%)和肩部疼痛(30%)。年龄较大、右利手、目前不吸烟、情绪耗竭、认为肌肉骨骼问题通常由工作引起以及工作安全感低是不同解剖部位MSP的统计学显著风险因素。

结论

在爱沙尼亚的计算机用户中,观察到颈部、下背部、手腕/手臂和肩部的MSP患病率较高。心理社会风险因素与其他地方报告的大致一致。虽然计算机用户应该了解有助于使工作更轻松舒适的人体工程学技术,但将计算机使用描述为严重的健康危害可能会以无益的方式改变健康观念。

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