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资源有限环境下非正规部门焊工工作相关肌肉骨骼疾病的危险因素。

Risk factors for work-related musculoskeletal disorders among welders in the informal sector under resource constrained settings.

机构信息

Department of Environmental Science, Bindura University of Science Education, Bindura, Zimbabwe.

Department of Crop and Soil Sciences, Lupane State University, Bulawayo, Zimbabwe.

出版信息

Work. 2022;72(1):239-252. doi: 10.3233/WOR-205275.

Abstract

BACKGROUND

Welding tasks involve the use of awkward working postures and repetitive movements and therefore pose a risk for developing work-related musculoskeletal disorders (WRMDs).

OBJECTIVES

This study aimed to assess the prevalence, severity and risk factors for WRMDs among welders in the informal sector.

MATERIALS AND METHODS

A total of 128 welders (33±10.5 years) were purposively selected from three urban centers in Zimbabwe. WRMDs were assessed using a Modified Cornell Musculoskeletal Questionnaire (MCMQ). The Quick Exposure Check (QEC) and the Rapid Entire Body Assessment (REBA) were used for postural risk analysis. P < 0.05 was considered significant.

RESULTS

Analyses showed a high prevalence of pain in the lower back (78%), right shoulder (66%), left hand wrist (62%) and right hand wrist (61%). With regards to the severity of lower back pain, 4% reported low pain, 24% mild pain and 48% were severe cases of pain. Elevated grand REBA scores were significantly associated with self-reported in various body regions. Multinomial regression analyses showed that smoking, prolonged working hours and not engaging in physical activities were significant predictors for pain. High job satisfaction and taking adequate work-rest breaks were protective factors for WRMDs (p < 0.05).

CONCLUSION

There is a high prevalence of WRMDs among welders due to individual and work-related risk factors. Ergonomics education is required to address the risk factors for and progression of WRMDs among welders.

摘要

背景

焊接工作涉及到使用不舒适的工作姿势和重复性动作,因此存在发生与工作相关的肌肉骨骼疾病(WRMDs)的风险。

目的

本研究旨在评估非正式部门焊工的 WRMDs 的患病率、严重程度和危险因素。

材料和方法

从津巴布韦的三个城市中心有针对性地选择了 128 名焊工(33±10.5 岁)。使用改良康奈尔肌肉骨骼问卷(MCMQ)评估 WRMDs。使用快速暴露检查表(QEC)和快速全身评估(REBA)进行姿势风险分析。P<0.05 被认为具有统计学意义。

结果

分析显示,下背部(78%)、右肩部(66%)、左手腕(62%)和右手腕(61%)疼痛的患病率较高。至于下背部疼痛的严重程度,4%报告轻度疼痛,24%报告轻度疼痛,48%报告严重疼痛。高 REBA 总评分与各种身体部位的自我报告显著相关。多项回归分析表明,吸烟、工作时间延长和不进行体育活动是疼痛的显著预测因素。高工作满意度和适当的工作-休息时间是 WRMDs 的保护因素(p<0.05)。

结论

由于个体和工作相关的危险因素,焊工中存在较高的 WRMDs 患病率。需要进行人体工程学教育,以解决焊工中 WRMDs 的危险因素和进展。

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