职业性肌肉骨骼疾病症状调查评估

Evaluation of symptom surveys for occupational musculoskeletal disorders.

作者信息

Baron S, Hales T, Hurrell J

机构信息

Hazard Evaluation and Technical Assistance Branch, National Institute for Occupational Safety and Health, Cincinnati, OH 45226, USA.

出版信息

Am J Ind Med. 1996 Jun;29(6):609-17. doi: 10.1002/(SICI)1097-0274(199606)29:6<609::AID-AJIM5>3.0.CO;2-E.

Abstract

Symptom surveys have been used extensively as part of workplace ergonomic screening programs and epidemiologic assessments of musculoskeletal disorders in groups of workers. This paper examines the reliability and validity of two musculoskeletal symptom surveys, the Nordic Musculoskeletal Questionnaire (NMQ) and a survey used in conjunction with epidemiologic assessments by the National Institute for Occupational Safety and Health (NIOSH). Journal articles assessing the validity and reliability of the NMQ were reviewed. A retrospective assessment combining two NIOSH cohorts with a total of 852 workers assessed the reliability and validity of that survey. Reliability was assessed through test-retest methods and interitem correlations between similar questions. Validity was assessed by comparison with results from physical examination assessments of workers and self-reports of workers seeking medical care. Both reliability and validity were found to be acceptable for the purposes of workplace ergonomics programs. Implications for use of these surveys for prevention and treatment outcomes research are discussed.

摘要

症状调查已被广泛用作工作场所人体工程学筛查计划的一部分,以及对工人群体肌肉骨骼疾病的流行病学评估。本文考察了两项肌肉骨骼症状调查的信度和效度,即北欧肌肉骨骼问卷(NMQ)以及美国国家职业安全与健康研究所(NIOSH)在流行病学评估中联合使用的一项调查。对评估NMQ信度和效度的期刊文章进行了综述。一项对两个NIOSH队列共852名工人的回顾性评估,考察了该调查的信度和效度。通过重测法以及相似问题之间的项目间相关性来评估信度。通过与工人的体格检查结果以及寻求医疗护理的工人的自我报告结果进行比较来评估效度。就工作场所人体工程学计划而言,信度和效度均被认为是可接受的。本文还讨论了将这些调查用于预防和治疗效果研究的意义。

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