摘要
目的调查橱柜家具厂职业性肌肉骨骼疾患(work-related musculoskeletal disorders,WMSDs)患病现状,探讨多部位WMSDs患病影响因素。方法采用方便抽样方法,于2019年12月—2020年4月选择清远市3家橱柜家具厂的923名工人为研究对象,采用《肌肉骨骼疾患调查问卷》调查工人WMSDs的患病情况,运用多因素logistic回归模型分析多部位WMSDs的影响因素。结果橱柜家具厂WMSDs总患病率为34.0%,其中患病率最高的部位是肩部16.0%(148/923)。单一部位WMSDs患病率为11.7%(108/923),多部位WMSDs患病率为22.3%(206/923),多部位WMSDs患病率高于单一部位患病率。筛选排除混杂因素得出,橱柜家具厂工人多部位WMSDs的危险因素是流水线操作工(参照包装工,OR=1.76)、生产辅助工(参照包装工,OR=2.44)、以不舒服姿势工作(OR=4.28)、腰部经常重复同一动作(OR=1.81)、长时间保持转头(OR=1.58)、手腕长时间弯曲(OR=1.57)和足踝重复相同动作(OR=2.10),保护因素是休息时间充足(OR=0.62)。结论橱柜家具厂工人WMSDs患病率最高的是肩部、颈部和手部,多部位WMSDs患病率比单一部位患病率高。多部位WMSDs的主要影响因素包括个体因素、不合理作业类型和不良工效学姿势。
Objective To investigate the prevalence of work-related musculoskeletal disorders(WMSDs)among workers in cabinet furniture factory,explore the influencing factors of multi-site WMSDs.Methods From December 2019 to April 2020,a total of923 workers from three cabinet furniture factories in Qingyuan City were selected as the research objects by the convenience sampling.The musculoskeletal disorders questionnaire was used to investigate the prevalence of WMSDs in the subjects,and multivariate logistic regression model was used to analyze the influencing factors of multi-site WMSDs.Results The total prevalence of WMSDs was 34.0%,and the highest prevalence was in the shoulder(16.0%,148/923).The prevalence of WMSDs in single site was 11.7%(108/923),and that in multi-site was 22.3%(206/923).The prevalence of multi-site WMSDs was higher than that of single site.The results after screening and excluding confounding factors showed that:the risk factor for multi-site WMSDs among workers in cabinet furniture factory was assembly line operators(ref erence to packers,OR=1.76),production assistant(reference to packers,OR=2.44),working in uncomfortable position(OR=4.28),frequently repeating the same movement in the waist(OR=1.81),keeping the head turning for a long time(OR=1.58),repeat long wrist flexing(OR=1.57)and ankle flexing(OR=2.10),protective factor was sufficient rest time(OR=0.62).Conclusion The highest prevalence of WMSDs among workers in cabinet furniture factory is found in the shoulders,neck and hands,and the prevalence of multi-site WMSDs is higher than that of single site.The main influencing factors of multi-site WMSDs include individual factors,unreasonable type of work and poor ergonomic posture.
作者
彭志恒
杨燕
刘移民
贾宁
王忠旭
王致
PENG Zhi-heng;YANG Yan;LIU Yi-min;JIA Ning;WANG Zhong-xu;WANG Zhi(Occupational Health Eraluation and Testing Center,Guangzhou Ocupational Diseases Prerention and Trealment Hospilal,Guangzhou Guangedong,510620,China;Occupaional Protection and Ergonomics Laboratory,Insitute of Occupational Health and Poison Conrol,Bejing,100050,China;Key Laboraiory of Occupational Environment and Health,Guangzhou Guangdong,510620,China)
出处
《职业与健康》
CAS
2022年第16期2171-2176,共6页
Occupation and Health
基金
中国疾病预防控制中心职业卫生与中毒控制所职业健康风险评估与国家职业卫生标准制定项目(131031109000150003)
广州市卫生健康科技重大项目(2021A031003)
广州市高水平临床重点专科建设项目(穗卫函[2019]1555号)
广州市卫生健康科技项目(20221A010034)。
关键词
工作相关
肌肉骨骼疾患
多部位
影响因素
Work-related
Musculoskeletal disorders
Multi-site
Influencing factors
