Moradi Zohre, Tavafian Sedigheh Sadat, Ahmadi Fazlollah, Ahmadi Omran
Department of Health Education and Health Promotion,Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran (the Islamic Republic of).
Department of Health Education and Health Promotion,Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran (the Islamic Republic of)
BMJ Open. 2025 Jul 25;15(7):e095662. doi: 10.1136/bmjopen-2024-095662.
Musculoskeletal disorders (MSDs) in the workplace are a major health problem which is significantly related to the adverse effects on the workforce's health in different occupations, including the petrochemical industry employees. Many health behaviors can play a significant role in preventing complications caused by MSDs; however, in developing countries such as Iran, there is a lack of clarity about the factors affecting the prevention of complications from these disorders from the perspective of petrochemical industry employees. This study aimed to investigate effective factors to prevent complications caused by MSDs in petrochemical industry workers in Iran.
This qualitative study was conducted using the conventional content analysis method. The data were collected using in-depth and unstructured interviews with 23 employees and managers of the petrochemical industry. In this study, the participants were selected from different industry centres using the purposeful sampling method and based on the maximum diversity (work duties, age, level of education). The collected data were then analysed using the initial matrix developed based on the available literature.
The analysis of the data from 23 interviews resulted in the identification of four main categories: educational-consultative support, organisational-management structure transformation, infrastructure security and physical environment redesign, and self-care necessity. These categories are the primary factors that influence the preventive behaviours related to MSDs among employees in the petrochemical industry.
The concepts that have emerged based on the results of this study can potentially help to develop comprehensive and appropriate training and health promotion programmes in creating, maintaining and promoting preventive behaviours of complications caused by MSDs in petrochemical industry workers.
工作场所的肌肉骨骼疾病（MSDs）是一个重大的健康问题，与不同职业（包括石化行业员工）对劳动力健康的不利影响显著相关。许多健康行为在预防MSDs引起的并发症方面可发挥重要作用；然而，在伊朗等发展中国家，从石化行业员工的角度来看，影响预防这些疾病并发症的因素尚不清楚。本研究旨在调查伊朗石化行业工人预防MSDs引起并发症的有效因素。
本定性研究采用传统内容分析法。通过对23名石化行业员工和管理人员进行深入的非结构化访谈收集数据。在本研究中，采用目的抽样法并基于最大多样性（工作职责、年龄、教育水平）从不同行业中心选取参与者。然后使用基于现有文献开发的初始矩阵对收集到的数据进行分析。
对23次访谈的数据进行分析后，确定了四个主要类别：教育咨询支持、组织管理结构转变、基础设施安全与物理环境重新设计以及自我护理必要性。这些类别是影响石化行业员工中与MSDs相关预防行为的主要因素。
基于本研究结果得出的概念可能有助于制定全面且合适的培训和健康促进计划，以建立、维持和促进石化行业工人预防MSDs引起并发症的行为。
