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工作场所心理社会因素及其与肌肉骨骼疾病的关系:纵向研究的系统评价。

Workplace Psychosocial Factors and Their Association With Musculoskeletal Disorders: A Systematic Review of Longitudinal Studies.

机构信息

School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle.

Centre for Resources Health and Safety, School of Public Health and Medicine, College of Health, Medicine and Wellbeing, University of Newcastle.

出版信息

Workplace Health Saf. 2023 Dec;71(12):578-588. doi: 10.1177/21650799231193578. Epub 2023 Sep 12.

Abstract

This systematic review examines literature regarding the relationship between workplace psychosocial factors and musculoskeletal disorders (MSDs). Musculoskeletal disorders are the leading cause of work disability, resulting in billions of dollars of financial losses. Evidence suggests that workplace psychosocial factors can lead to the development and progression of MSDs. A data search was conducted in MEDLINE, EMBASE, PsychINFO, Scopus, and CINAHL (Cumulative Index to Nursing and Allied Health Literature) from August 2009 to May 2020 inclusive. Other eligibility criteria included studies published in English, conducted on adults within a workplace setting, conducted in developed economies, and were stability-control longitudinal observational studies. Studies were independently screened for eligibility, using COVIDENCE (software for managing and streamlining systematic reviews) and assessed for quality by multiple authors, using the JBI Evidence synthesis tool. From 6,812 studies, 47 articles were included in the final analysis. The most common MSDs investigated were lower back pain, neck and shoulder pain, and upper extremity symptoms and disorders. Included articles identified that psychosocial workplace factors of support, collaboration, job control, and job demands were statistically significantly associated with risk and progression of MSDs. Review of the articles included in this article supports the theory that MSDs have a multifactorial, complex etiology that includes psychosocial factors. Interventions to enhance psychosocial work environment provide opportunities to reduce the risk of MSDs.

摘要

本系统评价研究了工作场所心理社会因素与肌肉骨骼疾病(MSD)之间的关系。肌肉骨骼疾病是导致工作残疾的主要原因,造成数十亿美元的经济损失。有证据表明,工作场所心理社会因素可导致 MSD 的发生和发展。我们在 2009 年 8 月至 2020 年 5 月期间对 MEDLINE、EMBASE、PsychINFO、Scopus 和 CINAHL(护理和联合健康文献累积索引)进行了数据检索。其他纳入标准包括:发表于英文期刊、针对工作场所成年人开展的研究、在发达经济体开展的研究、以及稳定性控制的纵向观察性研究。我们使用 COVIDENCE(用于管理和简化系统评价的软件)独立筛选符合条件的研究,并使用 JBI 证据综合工具由多位作者评估研究质量。从 6812 项研究中,有 47 项研究最终纳入分析。研究中最常见的 MSD 为下腰痛、颈肩痛和上肢症状和疾病。纳入的文章表明,支持、协作、工作控制和工作需求等心理社会工作场所因素与 MSD 的风险和进展具有统计学显著相关性。本文所综述的文章支持 MSD 具有多因素、复杂病因的理论,包括心理社会因素。干预措施可以改善心理社会工作环境,从而降低 MSD 的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b21d/10676046/df527ad225bf/10.1177_21650799231193578-fig1.jpg

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