摘要
目的探讨煤矿工人职业紧张和职业性肌肉骨骼疾患(OMD)的关系。方法采用整群抽样法,以362名煤矿工人为研究对象,采用中文版《北欧肌肉骨骼问卷》调查OMD患病情况;采用《工作内容问卷》和《付出-获得失衡问卷》评估研究对象职业紧张状况,采用《流行病学研究抑郁量表》调查煤矿工人的抑郁程度。结果煤矿工人OMD患病率为63.5%,45.9%(166/362)的煤矿工人存在工作要求-自主失衡型职业紧张,62.4%(226/362)的煤矿工人存在付出-获得失衡型职业紧张。多因素非条件Logistic回归分析显示,煤矿工人的职业病危害因素接触工龄越长者,周工作天数越长者,技术自由裁量权和决策权越低者,付出-获得失衡型职业紧张程度越高者,抑郁程度越高者,罹患OMD的风险均越高(P<0.05)。结论职业紧张和抑郁均是煤矿工人罹患OMD的危险因素。
Objective To explore the relationship between occupational stress and occupational musculoskeletal disorders（ OMD） in coal miners. Methods A total of 362 coal miners were selected through cluster sampling method. The prevalence of OMD was investigated by the Nordic Standardized Questionnaires for Musculoskeletal Disorders（ Chinese version）. The Job Content Questionnaire and Effort Reward Imbalance Questionnaire were used to assess the occupational stress and depression of coal miners was determined by the Epidemiological Studies Depression Scale. Results The prevalence of OMD in coal miners was 63. 5%. There were 45. 9%（ 166/362） of coal miners suffered from occupational stress with job demand-control model imbalance and 62. 4%（ 226/362） of coal miners have occupational stress with effortreward model imbalance. The multiple logistic non-conditional regression analysis showed that the longer service length with exposure to occupational hazard factors,the more working days per week,the lower job contents and technical decisionmaking power,the higher the occupational stress with effort-reward imbalance,and the higher the depression and the higher the risk of OMD（ P〈0. 05）. Conclusion Occupational stress and depression are both risk factors of OMD in coal miners.
作者
韩凤
王东升
邹建芳
李美荣
HAN Feng;WANG Dongsheng;ZOU Jianfang;LI Meirong(School of Medicine and Life Science, University of Jinan-Shandong Academy of Medical Sciences, Jinan, Shandong 250062, Chin)
出处
《中国职业医学》
CAS
北大核心
2018年第2期188-193,共6页
China Occupational Medicine
基金
山东省自然科学基金(ZR2010HL021)
山东省医药卫生科技发展计划项目(2016WS0157)
关键词
职业性肌肉骨骼疾患
职业紧张
抑郁
煤矿工人
相关性
Occupational musculoskeletal disorders
Occupational stress
Depression
Coal miners
Relationship
