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特殊教育教师和教师助理的工作相关肌肉骨骼疾病及工效学风险因素

Work-related musculoskeletal disorders and ergonomic risk factors in special education teachers and teacher's aides.

作者信息

Cheng Hsin-Yi Kathy, Wong Man-Ting, Yu Yu-Chung, Ju Yan-Ying

机构信息

Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, 259 Wen-Hua 1st Rd, Kwei-Shan, Tao-Yuan, 333, Taiwan.

National Taoyuan Special School, Tao-Yuan, 330, Taiwan.

出版信息

BMC Public Health. 2016 Feb 10;16:137. doi: 10.1186/s12889-016-2777-7.

Abstract

BACKGROUND

Work-related musculoskeletal disorders (WMSDs) have become increasingly common among health-related professionals. Special education personnel who serve students with disabilities often experience physical strains; however, WMSDs have been overlooked in this population. The objectives of this study were to investigate the work-related ergonomics-associated factors in this population and to evaluate their correlation with the WMSDs prevalence.

METHODS

A questionnaire with three domains, namely demographics, prevalence of work-related musculoskeletal disorders, and ergonomic factors, designed by our research team was delivered to educators who work in special education schools.

RESULTS

Approximately 86 % of the 388 special education school teachers and teacher's aides in this study experienced musculoskeletal disorders. The lower back, shoulder, and wrist were the three most affected regions. A logistic regression analysis revealed that the participants' background factors, namely >5.5 years of experience (odds ratio [OR] = 4.090, 95 % CI: 1.350-12.390), students with multiple disorders (OR = 2.412, 95 % CI: 1.100-5.287), and other work-related ergonomic factors (assistance in diaper changing and others duties), were strongly associated with the prevalence of WMSD. Nap habit (OR = 0.442, 95 % CI: 0.230-0.851) and having teaching partners in the same class (OR = 0.486, 95 % CI: 0.250-0.945) resulted in low possibility of acquiring WMSDs. The use of supportive devices was associated with a low WMSD prevalence.

CONCLUSIONS

The present study revealed an association between WMSDs and specific job features among teachers and teacher's aides in special education schools. Future efforts should emphasize examining safe student-handling ergonomics, formulating policies regarding student-teacher ratio, incorporating mandatory break times at the workplaces, and promoting personal health for preventing work-related injuries.

摘要

背景

与工作相关的肌肉骨骼疾病(WMSDs)在健康相关专业人员中越来越普遍。为残疾学生服务的特殊教育人员经常经历身体劳损;然而,这一人群中的WMSDs一直被忽视。本研究的目的是调查该人群中与工作相关的人体工程学相关因素,并评估它们与WMSDs患病率的相关性。

方法

由我们的研究团队设计的一份包含三个领域的问卷,即人口统计学、与工作相关的肌肉骨骼疾病患病率和人体工程学因素,被发放给在特殊教育学校工作的教育工作者。

结果

本研究中388名特殊教育学校教师和教师助理中,约86%经历过肌肉骨骼疾病。下背部、肩部和手腕是受影响最严重的三个部位。逻辑回归分析显示,参与者的背景因素,即工作经验超过5.5年(优势比[OR]=4.090,95%置信区间:1.350-12.390)、患有多种疾病的学生(OR=2.412,95%置信区间:1.100-5.287)以及其他与工作相关的人体工程学因素(换尿布和其他职责方面的协助),与WMSD的患病率密切相关。午睡习惯(OR=0.442,95%置信区间:0.230-0.851)和同一班级有教学伙伴(OR=0.486,95%置信区间:0.250-0.945)导致患WMSDs的可能性较低。使用辅助设备与较低的WMSD患病率相关。

结论

本研究揭示了特殊教育学校教师和教师助理中WMSDs与特定工作特征之间的关联。未来的努力应强调研究安全搬运学生的人体工程学、制定关于师生比例的政策、在工作场所纳入强制性休息时间以及促进个人健康以预防与工作相关的伤害。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc3/4750223/b6381ea6f634/12889_2016_2777_Fig1_HTML.jpg

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