Hess D
Department of Family & Community Medicine, University of New Mexico, Albuquerque, USA.
AAOHN J. 1997 Mar;45(3):115-23.
Repetitive strain injuries (RSIs), specifically carpal tunnel syndrome, are the fastest growing type of occupational injury. Research about precipitating factors and prevention has been controversial and inconclusive. Preventive measures typically have addressed ergonomic changes. The purpose of this research article is to describe the effects of several variables on the perceived development of RSI symptoms, particularly those of carpal tunnel syndrome. Emphasis was placed on the role of perceived stress. The study design was a descriptive survey using a nonprobability sampling method. The study focused on four variables related to perceptions of symptoms: 1) perceptions of level of knowledge related to the prevention of RSIs; 2) taking a specific action to make one's workstation more ergonomically correct; 3) perceptions of having ergonomically correct workstations; and 4) perceptions of being stressed. Study results indicated that perceived stress was significantly associated with perceived RSI symptoms. Workers who use a computer 4 or more hours per day reported significantly more symptoms than those who did not. At risk computer users who perceive an ergonomically correct workstation reported fewer symptoms. To prevent RSIs, occupational health nurses must address ergonomics, stress levels, and knowledge levels.
重复性劳损(RSIs),特别是腕管综合征,是增长最快的职业伤害类型。关于诱发因素和预防措施的研究一直存在争议且尚无定论。预防措施通常侧重于人体工程学方面的改变。这篇研究文章的目的是描述几个变量对重复性劳损症状,尤其是腕管综合征症状的感知发展的影响。重点在于感知压力的作用。研究设计是采用非概率抽样方法的描述性调查。该研究聚焦于与症状感知相关的四个变量:1)对重复性劳损预防知识水平的感知;2)采取特定行动使工作场所更符合人体工程学要求;3)对拥有符合人体工程学要求的工作场所的感知;4)对压力的感知。研究结果表明,感知压力与感知到的重复性劳损症状显著相关。每天使用电脑4小时或更长时间的员工报告的症状明显多于不使用电脑的员工。认为工作场所符合人体工程学要求的高危电脑使用者报告的症状较少。为预防重复性劳损,职业健康护士必须关注人体工程学、压力水平和知识水平。