舒友梅, 陈培仙, 杨燕, 麦剑平, 刘移民, 贾宁, 王忠旭. 某汽车零部件生产企业工人工作相关肌肉骨骼损伤影响因素分析[J]. 职业卫生与应急救援, 2021, 39(3): 272-276. DOI: 10.16369/j.oher.issn.1007-1326.2021.03.006
引用本文: 舒友梅, 陈培仙, 杨燕, 麦剑平, 刘移民, 贾宁, 王忠旭. 某汽车零部件生产企业工人工作相关肌肉骨骼损伤影响因素分析[J]. 职业卫生与应急救援, 2021, 39(3): 272-276. DOI: 10.16369/j.oher.issn.1007-1326.2021.03.006
SHU Youmei, CHEN Peixian, YANG Yan, MAI Jianping, LIU Yimin, JIA Ning, WANG Zhongxu. Work-related musculoskeletal disorders and influencing factors of workers in an auto parts manufacturer[J]. Occupational Health and Emergency Rescue, 2021, 39(3): 272-276. DOI: 10.16369/j.oher.issn.1007-1326.2021.03.006
Citation: SHU Youmei, CHEN Peixian, YANG Yan, MAI Jianping, LIU Yimin, JIA Ning, WANG Zhongxu. Work-related musculoskeletal disorders and influencing factors of workers in an auto parts manufacturer[J]. Occupational Health and Emergency Rescue, 2021, 39(3): 272-276. DOI: 10.16369/j.oher.issn.1007-1326.2021.03.006

某汽车零部件生产企业工人工作相关肌肉骨骼损伤影响因素分析

Work-related musculoskeletal disorders and influencing factors of workers in an auto parts manufacturer

  • 摘要:
      目的  分析某汽车零部件生产企业工人工作相关肌肉骨骼损伤(work-related musculoskeletal disorders,WMSDs)的患病情况及其影响因素。
      方法  选择某汽车零部件生产企业831名作业人员为研究对象,采用《北欧肌肉骨骼疾患问卷(改良版)》调查其WMSDs患病情况,采用logistic回归分析其影响因素。
      结果  研究对象WMSDs总患病率为46.9%,患病率最高的是颈部(30.7%),其次是肩部(23.2%)、踝部(20.2%)。不同岗位作业工人颈部、踝部、下背、手部、腿部及肘部WMSDs患病率差异均有统计学意义(P < 0.05)。多因素logistic回归分析结果显示:以不舒服姿势工作(OR=2.12,P < 0.05)、长时间保持低头(OR=2.08,P < 0.05)、工作中背部弯曲(OR=1.68,P < 0.05)、腰背经常重复同一动作(OR=1.61,P < 0.05)和颈部长时间保持同一姿势(OR=1.53,P < 0.05)的作业工人罹患颈部WMSDs的风险更高;肩部WMSDs的危险因素主要是以不舒服姿势工作(OR=2.44,P < 0.05)及经常加班(OR=1.75,P < 0.05);踝部的危险因素主要是不舒服姿势工作(OR=1.91,P < 0.05)和长时间保持低头(OR=1.63,P < 0.05);男性是颈部及肩部WMSDs的保护因素(OR=0.42、0.36,P < 0.05)。
      结论  该汽车零部件企业作业人员颈部、肩部、踝部WMSDs的患病率较高;危险因素主要包括不良劳动姿势及不合理的工作组织。应开展有效工效学干预措施,降低WMSDs对作业工人的健康影响。

     

    Abstract:
      Objective  To analyze the prevalence and its influencing factors of work-related musculoskeletal disorders(WMSDs)of workers in an auto parts manufacturer.
      Methods  A total of 831 workers in an auto parts manufacturing enterprise were studied. The Nordic musculoskeletal disease questionnaire was used to investigate the prevalence of WMSDs. Logistic regression analysis was used to analyze the influencing factors.
      Results  The total prevalence of WMSDs in the study subjects was 46.9%. The highest prevalence rate was in neck(30.7%), followed by shoulder(23.2%)and ankle(20.2%). The prevalence of WMSDs in neck, ankle, lower back, hand, leg and elbow of workers in different positions was statistically significant(P < 0.05). The results of multivariate logistic regression analysis showed that workers who worked in uncomfortable postures, kept their heads down for a long time, bended their backs, often repeated the same movements in the waist and back, and maintained the same posture for a long time in the neck, had higher risks of neck WMSDs (OR = 2.12, 2.08, 1.68, 1.61, respectively, P < 0.05). The main risk factors for shoulder WMSDs were working in uncomfortable postures(OR = 2.44, P < 0.05) and frequent overtime work(OR = 1.75, P < 0.05). The main risk factors for ankles were working in uncomfortable postures(OR = 1.91, P < 0.05)and frequent overtime work(OR = 1.63, P < 0.05). Male was the protective factor of WMSDs in neck and shoulder(OR = 0.42, 0.36, P < 0.05).
      Conclusions  The prevalence of WMSDs in the neck, shoulders and ankles of workers in this enterprise was relatively higher. The risk factors mainly included poor working posture and unreasonable work organization. Effective ergonomic interventions should be carried out to reduce the health influences of WMSDs.

     

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