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视觉显示单元与肌肉骨骼疾病的研究:一项横断面研究。

Work with visual display units and musculoskeletal disorders: A cross-sectional study.

作者信息

Riccò Matteo, Cattani Silvia, Gualerzi Giovanni, Signorelli Carlo

机构信息

Provincial Agency for Health Services of the Autonomous Province of Trento, Trento, Italy (Department of Prevention, Occupational Health and Safety Unit).

University of Parma, Parma, Italy (School of Nursing Sciences, Department of Clinical Surgery, General Surgery and Surgical Therapy).

出版信息

Med Pr. 2016 Dec 22;67(6):707-719. doi: 10.13075/mp.5893.00471. Epub 2016 Dec 1.

Abstract

BACKGROUND

Epidemiological studies have shown that employees working with visual display units (VDU) are more likely to complain about musculoskeletal disorders (MSDs). The aim of this study has been to evaluate associations among MSDs and individuals and work-related factors.

MATERIAL AND METHODS

A total of 1032 VDU workers were assessed about their personal (i.e., age, working history, smoking history, physical activity) and work-related factors (i.e., predominant job tasks performed, work posture). Work environment was evaluated regarding fulfillment of the standard ISO 9241-5:1998. The investigation required a direct observation of participants (in order to accurately assess the prevalence of MSDs) and workstations. Adjusted odds ratios (ORa) were calculated by means of the logistic regression model.

RESULTS

Prevalence of MSDs was relatively high (53%). In general, MSDs were significantly associated with female sex (OR = 2.832, 95% confidence interval (CI): 2.178-3.683), age ≥ 50 years old (OR = 2.231, 95% CI: 1.236-4.026), longer exposure to VDU, both as working history (10-14 years: OR = 1.934, 95% CI: 1.301-2.875; ≥ 15 years: OR = 2.223, 95% CI: 1.510-3.271) and working time (30-39 h/week: OR = 1.537, 95% CI: 1.087-2.273). Inappropriate workstation design was confirmed by the multivariate analysis as a risk factor for MSDs (ORa = 2.375, 95% CI: 1.124-5.018).

CONCLUSIONS

Musculoskeletal disorders were significantly associated with individual factors as well as characteristics of work environment. An appropriate design of workstations may significantly reduce their prevalence amongst VDU workers. Med Pr 2016;67(6):707-719.

摘要

背景

流行病学研究表明,使用视觉显示单元(VDU)工作的员工更有可能抱怨肌肉骨骼疾病(MSD)。本研究的目的是评估MSD与个人及工作相关因素之间的关联。

材料与方法

共对1032名VDU工作者的个人因素(即年龄、工作史、吸烟史、体育活动情况)和工作相关因素(即主要执行的工作任务、工作姿势)进行了评估。根据ISO 9241-5:1998标准对工作环境进行了评估。该调查需要直接观察参与者(以便准确评估MSD的患病率)和工作站。通过逻辑回归模型计算调整后的优势比(ORa)。

结果

MSD的患病率相对较高(53%)。总体而言,MSD与女性(OR = 2.832,95%置信区间(CI):2.178 - 3.683)、年龄≥50岁(OR = 2.231,95% CI:1.236 - 4.026)、更长时间接触VDU显著相关,VDU接触时间既包括工作史(10 - 14年:OR = 1.934,95% CI:1.301 - 2.875;≥15年:OR = 2.223,95% CI:1.510 - 3.271)也包括工作时间(30 - 39小时/周:OR = 1.537,95% CI:1.087 - 2.273)。多因素分析证实不合适的工作站设计是MSD的一个危险因素(ORa = 2.375,95% CI:1.124 - 5.018)。

结论

肌肉骨骼疾病与个人因素以及工作环境特征显著相关。适当设计工作站可能会显著降低VDU工作者中MSD的患病率。《医学实践》2016年;67(6):707 - 719。

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