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调查工作场所肌肉骨骼疾病管理计划的有效性。

Investigating the Effectiveness of a Workplace Musculoskeletal Disorders Management Program.

作者信息

Grana Eleni, Galanis Petros, Velonakis Emmanuel, Tziaferi Styliani, Sourtzi Panayota

机构信息

Department of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece.

Department of Nursing, University of Peloponnese, 22100 Tripoli, Greece.

出版信息

Healthcare (Basel). 2024 Sep 10;12(18):1815. doi: 10.3390/healthcare12181815.

DOI:10.3390/healthcare12181815
PMID:39337155
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11431167/
Abstract

Musculoskeletal disorders (MSDs) present a major occupational health challenge, especially among office workers. : To evaluate the effectiveness of a workplace intervention program for managing MSDs and measure its impact on presenteeism/absenteeism and health status. : This semi-experimental study was conducted between May 2019 and October 2022 in Greece and involved 247 office workers randomly assigned to early and late intervention groups. The intervention included a seminar on ergonomics and proper workstation practices with a demonstration of exercises. Data were collected by the SF-36, the Standardised Nordic, and the Work Productivity and Activity Impairment Questionnaires. : In the early intervention group (n = 143), presenteeism significantly decreased ( = 0.045), from a mean value of 0.11 to 0.07, but not absenteeism. Significant improvements were observed in physical ( = 0.007) and mental health ( = 0.012). Reductions in pain were recorded for the neck ( = 0.032), shoulders ( = 0.015), wrists ( = 0.014), upper back, lower back, hips, and knees ( = 0.044 for each). In the late intervention group (n=104), there were no significant changes in absenteeism or presenteeism. Mental health improved significantly ( = 0.008), and reductions in pain were noted for the neck ( = 0.001), wrist ( = 0.0005), and upper back ( = 0.001). : This workplace intervention program proved effective both in reducing pain in various body areas and reducing presenteeism, and improved physical and mental health were observed in the intervention groups while absenteeism remained unchanged.

摘要

肌肉骨骼疾病(MSD)是一项重大的职业健康挑战,在办公室工作人员中尤为突出。目的:评估一项工作场所干预计划对管理MSD的有效性,并衡量其对出勤主义/旷工以及健康状况的影响。方法:这项半实验性研究于2019年5月至2022年10月在希腊进行,涉及247名办公室工作人员,他们被随机分配到早期和晚期干预组。干预措施包括一场关于人体工程学和正确工作场所操作的研讨会,并演示了一些练习。通过SF-36、标准化北欧问卷以及工作效率和活动受损问卷收集数据。结果:在早期干预组(n = 143)中,出勤主义显著降低(P = 0.045),从平均值0.11降至0.07,但旷工情况未改善。在身体(P = 0.007)和心理健康(P = 0.012)方面观察到显著改善。颈部(P = 0.032)、肩部(P = 0.015)、手腕(P = 0.014)、上背部、下背部、臀部和膝盖的疼痛均有所减轻(各部位P = 0.044)。在晚期干预组(n = 104)中,旷工或出勤主义没有显著变化。心理健康显著改善(P = 0.008),颈部(P = 0.001)、手腕(P = 0.0005)和上背部(P = 0.001)的疼痛有所减轻。结论:这项工作场所干预计划在减轻身体各部位疼痛和降低出勤主义方面均被证明是有效的,并且在干预组中观察到身心健康得到改善,而旷工情况保持不变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69e6/11431167/1f863644e583/healthcare-12-01815-g005.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69e6/11431167/7e79ab484d5f/healthcare-12-01815-g001.jpg
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本文引用的文献

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A Comprehensive Workplace Exercise Intervention to Reduce Musculoskeletal Pain and Improve Functional Capacity in Office Workers: A Randomized Controlled Study.一项全面的职场运动干预措施以减轻办公室职员的肌肉骨骼疼痛并提高其功能能力:一项随机对照研究。
Healthcare (Basel). 2024 Apr 28;12(9):915. doi: 10.3390/healthcare12090915.
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A systematic review of work-related musculoskeletal disorders and risk factors among computer users.对计算机用户中与工作相关的肌肉骨骼疾病及其风险因素的系统评价。
Heliyon. 2024 Jan 22;10(3):e25075. doi: 10.1016/j.heliyon.2024.e25075. eCollection 2024 Feb 15.
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1990年至2020年全球、区域和国家其他肌肉骨骼疾病负担及到2050年的预测:全球疾病负担研究2021的系统分析
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Public Health Res (Southampt). 2023 Sep;11(6):1-229. doi: 10.3310/DNYC2141.
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BMJ Open. 2022 Jun 29;12(6):e062183. doi: 10.1136/bmjopen-2022-062183.
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