CAJ | 학술논문

目的探讨职业应激与下肢肌肉骨骼系统疾患的关系.方法采用横断面研究设计和自报式问卷调查方法对13家企业5338名工人进行整群调查,采用修订的工作内容问卷和付出-回报失衡模式问卷调查职业应激状况.采用肌肉骨骼系统疾患调查表调查过去1年内下肢肌肉骨骼系统疾患和不良姿势情况.使用logistic回归分析职业应激因素与下肢肌肉骨骼系统疾患检出率之间的关系.结果 2个职业应激模式主要因子中,躯体需求和付出是臀部疾患的危险因素,而工作控制是臀部疾患的保护因素.当2个模式的主要因素一起分析时,仅有躯体需求是臀部疾患的危险因素.以4种工作类型的分类变量进行分析时,工作紧张是臀部疾患的危险因素,而付出-回报失衡是臀和膝部疾患的危险因素.随着患病部位的增多,工作紧张和付出-回报失衡的危险增加.工作控制的保护作用随患病部位的增加而增大.以连续变量进行分析时,以躯体需求计算的工作紧张是臀部疾患的危险因素,而付出-回报失衡是臀和膝部疾患的危险因素.结论职业应激与下肢肌肉骨骼系统疾患存在统计学意义的相关,下肢肌肉骨骼系统疾患的预防应考虑控制职业应激因素和增加工作控制.
목적 탐토직업응격여하지기육골격계통질환적관계.방법 채용횡단면연구설계화자보식문권조사방법대13가기업5338명공인진행정군조사,채용수정적공작내용문권화부출-회보실형모식문권조사직업응격상황.채용기육골격계통질환조사표조사과거1년내하지기육골격계통질환화불량자세정황.사용logistic회귀분석직업응격인소여하지기육골격계통질환검출솔지간적관계.결과 2개직업응격모식주요인자중,구체수구화부출시둔부질환적위험인소,이공작공제시둔부질환적보호인소.당2개모식적주요인소일기분석시,부유구체수구시둔부질환적위험인소.이4충공작류형적분류변량진행분석시,공작긴장시둔부질환적위험인소,이부출-회보실형시둔화슬부질환적위험인소.수착환병부위적증다,공작긴장화부출-회보실형적위험증가.공작공제적보호작용수환병부위적증가이증대.이련속변량진행분석시,이구체수구계산적공작긴장시둔부질환적위험인소,이부출-회보실형시둔화슬부질환적위험인소.결론 직업응격여하지기육골격계통질환존재통계학의의적상관,하지기육골격계통질환적예방응고필공제직업응격인소화증가공작공제.
Objective To explore the relationshio between occupational stress and musculoskeletal disorders in lower extremity.Methods The cross-sectional study was used to investigate 5338 workers in 13 factories and companies for prevalence of musculoskeletal disorders in lower extremity,working postures and occupational stress were investigated with questionnaires for past year.Perceived occupational stress was evaluated by the Chinese version of the Job Content Questionnaire (JCQ) and Effort-Reward Imbalance (ERI) Model Questionnaire.Logistic regression analyses were conducted to estimate the associations between occupational stress and prevalence of musculoskeletal disorders in lower extremity.Results In the main demensions of job strain and ERI model,physical demands and effort were risk factors of hip disorders,but job control was a protective factor of hip disorders.When job strain and ERI model scales were analyzed simultaneously,only physical demands were risk factor of hip disorders.When job strain and the effort- reward imbalance were computed by creating four independent categories,job strain was a risk factor of hip disorders,ERI was a risk factor of hip and knee disorders.The risk of imbalance between job strain and effort-reward the protective effect of job control increased with the disorder regions.According to continuous variable analysis,job strain by calculated with physical demands was risk factor of hip disorders,continuous ERI variable was risk factor of hip and knee disorders.Conclusion Occupational stress is associated significantly with musculoskeletal disorders in lower extremity.The control of occupational stress and increase of job control should be considered for preventing the musculoskeletal disorders in lower extremity.