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放射技师工作相关肌肉骨骼疾病及相关危险因素的回归模型

A regression model on work-related musculoskeletal disorders and associated risk factors among radiographers.

作者信息

Shanbhag Shivanath, Panakkal Nitika C, Nayak Ullas U, Mohapatra Sidhiprada

机构信息

Department of Medical Imaging Technology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India.

Centre for Comprehensive Rehabilitation, Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India.

出版信息

Int J Occup Saf Ergon. 2024 Dec;30(4):1272-1282. doi: 10.1080/10803548.2024.2387498. Epub 2024 Aug 26.

DOI:10.1080/10803548.2024.2387498
PMID:39185570
Abstract

. This study aimed to develop a predictive model for work-related musculoskeletal disorders (WRMSDs) among radiographers. . A survey was conducted in seven hospitals in two cities with radiographers using the ergonomic assessment for radiographers questionnaire. Logistic regression, confirmatory factor analysis and structural equation modelling (SEM) were utilized to establish statistical relationships between independent factors and musculoskeletal complaints. . Of 165 respondents, 75.2% reported musculoskeletal pain in the past 12 months, with lower back pain the most prevalent (58.8%). Adjusting for covariates, musculoskeletal pain significantly correlated with body mass index < 23 (odds ratio [] 0.06, 95% confidence interval [CI] [0.005, 0.914]), smoking status ( 0.274, 95% CI [0.751, 6.195]), fixed work break schedule ( 2.839, 95% CI [1.123, 7.176]), sustained posture ( 4.854, 95% CI [1.203,19.594]) and prolonged standing or walking ( 7.499, 95% CI [1.086, 51.753]). The fit measures indicate a moderately good fit of the proposed model to the observed data. However, latent variables did not exhibit significant associations with WRMSD in SEM. . The model suggests that WRMSDs among radiographers moderately correlate with underweight, smoking status, fixed work breaks, sustained posture and extended periods of standing or walking. The absence of significant associations between latent variables and WRMSDs suggests the presence of unexplored factors influencing the outcome.: Clinical Trials Registry India identifier: CTRI/2021/09/036992.

摘要

本研究旨在开发一种针对放射技师工作相关肌肉骨骼疾病(WRMSDs)的预测模型。在两个城市的七家医院对放射技师进行了一项调查,使用放射技师人体工程学评估问卷。采用逻辑回归、验证性因素分析和结构方程模型(SEM)来建立独立因素与肌肉骨骼不适之间的统计关系。在165名受访者中,75.2%报告在过去12个月中有肌肉骨骼疼痛,其中下背部疼痛最为普遍(58.8%)。在对协变量进行调整后,肌肉骨骼疼痛与体重指数<23(优势比[]0.06,95%置信区间[CI][0.005,0.914])、吸烟状况(0.274,95%CI[0.751,6.195])、固定工作休息时间表(2.839,95%CI[1.123,7.176])、持续姿势(4.854,95%CI[1.203,19.594])以及长时间站立或行走(7.499,95%CI[1.086,51.753])显著相关。拟合指标表明所提出的模型与观测数据拟合度中等良好。然而,在结构方程模型中,潜在变量与WRMSD未表现出显著关联。该模型表明,放射技师中的WRMSD与体重过轻、吸烟状况、固定工作休息、持续姿势以及长时间站立或行走中等程度相关。潜在变量与WRMSD之间缺乏显著关联表明存在影响结果的未探索因素。:印度临床试验注册标识符:CTRI/2021/09/036992

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