办公室职员的心理社会因素与肌肉骨骼症状:验证马斯特里赫特上肢问卷
Psychosocial Factors and Musculoskeletal Symptoms in Office Workers: Validating the Maastricht Upper Extremity Questionnaire.
作者信息
Hosseini Koukamari Parisa, Nikbakht Roya, Karimy Mahmood, Mohammadi Zahra
机构信息
Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran.
Department of Biostatistics and Epidemiology, School of Health, Mazandaran University of Medical Sciences, Sari, Iran.
出版信息
Med J Islam Repub Iran. 2024 Mar 18;38:29. doi: 10.47176/mjiri.38.29. eCollection 2024.
BACKGROUND
Complaints of the arm, neck, and shoulder (CANS) in the workplace are becoming more prevalent among employees. The Maastricht Upper Extremity Questionnaire (MUEQ) validates upper extremity complaints in 7 domains-including workstation, body posture, break time, job control, job demands, work environment, and social support. The aim of the present study was to translate, adapt, and validate the Persian Version of MUEQ among Iranian office workers.
METHODS
The psychometric evaluation of the Persian version of the MUEQ employed a comprehensive methodological approach comprising face and content validity assessments, confirmatory factor analysis (CFA), and Cronbach's alpha. A panel of 10 experts assessed the face and content validity of the instrument. In the second phase, through a cross-sectional study, the validity and reliability of the questionnaire were measured by CFA and Cronbach's alpha in a sample of 420 people from the target population in Tehran, Iran.
RESULTS
The mean age of the participants was 41.40 ± 7.80 years. Examination of upper limb complaints showed that neck pain was the most common complaint among office workers, with a prevalence of 65%. The CFA results confirmed the questionnaire's structure, with 59 items grouped into 7 subscales, and with fit indices-comparative fit index, 0. 87; root mean square error of approximation, 0.08; goodness of fit index, 0.9. The questionnaire demonstrated strong internal consistency, as all items exhibited Cronbach's alpha values of ≥0.9.
CONCLUSION
The psychometric evaluation of the Persian version of the MUEQ showed that it is a valid and reliable tool for evaluating psychosocial factors in the work environment. Identifying psychosocial factors influential in musculoskeletal problems will lead to better planning to change behavior and design constructive interventions to improve behavior. By addressing psychosocial determinants of musculoskeletal issues at both the individual and organizational levels, we can enhance employees' awareness, self-efficacy, and ability to manage their musculoskeletal health and make informed decisions about their well-being.
背景
工作场所的手臂、颈部和肩部不适(CANS)在员工中越来越普遍。马斯特里赫特上肢问卷(MUEQ)在7个领域验证上肢不适,包括工作站、身体姿势、休息时间、工作控制、工作需求、工作环境和社会支持。本研究的目的是在伊朗办公室职员中翻译、改编并验证MUEQ的波斯语版本。
方法
对MUEQ波斯语版本的心理测量评估采用了一种综合方法,包括表面效度和内容效度评估、验证性因子分析(CFA)以及克朗巴哈系数。由10名专家组成的小组评估了该工具的表面效度和内容效度。在第二阶段,通过横断面研究,在来自伊朗德黑兰目标人群的420人的样本中,通过CFA和克朗巴哈系数测量问卷的效度和信度。
结果
参与者的平均年龄为41.40±7.80岁。上肢不适检查显示,颈部疼痛是办公室职员中最常见的不适,患病率为65%。CFA结果证实了问卷的结构,59个项目分为7个分量表,拟合指数——比较拟合指数为0.87;近似均方根误差为0.08;拟合优度指数为0.9。该问卷显示出很强的内部一致性,因为所有项目的克朗巴哈系数值均≥0.9。
结论
对MUEQ波斯语版本的心理测量评估表明,它是评估工作环境中心理社会因素的有效且可靠的工具。识别影响肌肉骨骼问题的心理社会因素将有助于更好地规划行为改变,并设计建设性干预措施以改善行为。通过在个人和组织层面解决肌肉骨骼问题的心理社会决定因素,我们可以提高员工对其肌肉骨骼健康的认识、自我效能感以及管理能力,并就自身健康做出明智决策。
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