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老视人群使用渐进多焦点镜片时,计算机视觉综合征的流行情况及其与视屏显示终端作业的工效学和个体因素的关系。

Prevalence of Computer Vision Syndrome and Its Relationship with Ergonomic and Individual Factors in Presbyopic VDT Workers Using Progressive Addition Lenses.

机构信息

Doctoral Programme in Health Sciences, University of Alicante, 03690 San Vicente del Raspeig, Alicante, Spain.

Department of Optics, Pharmacology and Anatomy, University of Alicante, 03690 San Vicente del Raspeig, Alicante, Spain.

出版信息

Int J Environ Res Public Health. 2020 Feb 5;17(3):1003. doi: 10.3390/ijerph17031003.

Abstract

This cross-sectional study estimated computer vision syndrome (CVS) prevalence and analysed its relationship with video display terminal (VDT) exposure, as well as sociodemographic, refractive, environmental, and ergonomic characteristics in 109 presbyopic VDT workers wearing progressive addition lenses (PALs). Usual spectacles were measured with a lens analyser, and subjective refraction was performed by an optometrist. CVS was measured with the CVS-Q©. VDT exposure was collected. Ergonomic evaluations were conducted in a normal working posture looking at the screen. Air temperature and relative humidity were measured (thermohygrometer), and illumination was measured (luxmeter). Descriptive analysis and differences in CVS prevalence, as a function of the explanatory variables, were performed (chi-square test). Multivariate logistic regression was used to identify factors associated with CVS (OR and 95% CI). The mean age was 54.0 ± 4.8 years, and 43.1% were women. The mean hours of VDT use at work was 6.5 ± 1.3 hours/day. The prevalence of CVS was 74.3%. CVS was significantly associated with women (OR 3.40; 95% CI, 1.12-10.33), non-neutral neck posture (OR 3.27; 95% CI, 1.03-10.41) and altered workplace lighting (OR 3.64; 95% CI, 1.22-10.81). Providing training and information to workers regarding the importance of adequate lighting and ergonomic postures during VDT use is advised to decrease CVS and increase workplace quality of life.

摘要

本横断面研究估计了计算机视觉综合征(CVS)的患病率,并分析了其与视频显示终端(VDT)暴露的关系,以及 109 名戴渐进多焦点镜片(PALs)的远视 VDT 工人的社会人口统计学、屈光、环境和人体工程学特征。通常使用透镜分析仪测量眼镜,由验光师进行主观验光。使用 CVS-Q© 测量 CVS。收集 VDT 暴露情况。在正常工作姿势下,通过屏幕进行人体工程学评估。使用温湿度计测量空气温度和相对湿度,使用照度计测量照度。进行描述性分析和 CVS 患病率差异分析,作为解释变量的函数(卡方检验)。使用多元逻辑回归识别与 CVS 相关的因素(OR 和 95%CI)。平均年龄为 54.0±4.8 岁,43.1%为女性。平均每天在工作中使用 VDT 的时间为 6.5±1.3 小时。CVS 的患病率为 74.3%。CVS 与女性显著相关(OR 3.40;95%CI,1.12-10.33)、非中立颈部姿势(OR 3.27;95%CI,1.03-10.41)和工作场所照明改变(OR 3.64;95%CI,1.22-10.81)。建议向工人提供有关在 VDT 使用期间适当照明和人体工程学姿势重要性的培训和信息,以降低 CVS 并提高工作场所生活质量。

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