王晓娜, 沈波, 许旭艳, 刘佩芳, 王忠旭, 贾宁. 某大型电子制造企业劳动者下肢工作相关肌肉骨骼疾患及其影响因素分析[J]. 职业卫生与应急救援, 2024, 42(6): 723-728. DOI: 10.16369/j.oher.issn.1007-1326.2024.06.005
引用本文: 王晓娜, 沈波, 许旭艳, 刘佩芳, 王忠旭, 贾宁. 某大型电子制造企业劳动者下肢工作相关肌肉骨骼疾患及其影响因素分析[J]. 职业卫生与应急救援, 2024, 42(6): 723-728. DOI: 10.16369/j.oher.issn.1007-1326.2024.06.005
WANG Xiaona, SHEN Bo, XU Xuyan, LIU Peifang, WANG Zhongxu, JIA Ning. Study on lower limb work-related musculoskeletal disorders and influencing factors among workers in a large-scale electronics manufacturing enterprise[J]. Occupational Health and Emergency Rescue, 2024, 42(6): 723-728. DOI: 10.16369/j.oher.issn.1007-1326.2024.06.005
Citation: WANG Xiaona, SHEN Bo, XU Xuyan, LIU Peifang, WANG Zhongxu, JIA Ning. Study on lower limb work-related musculoskeletal disorders and influencing factors among workers in a large-scale electronics manufacturing enterprise[J]. Occupational Health and Emergency Rescue, 2024, 42(6): 723-728. DOI: 10.16369/j.oher.issn.1007-1326.2024.06.005

某大型电子制造企业劳动者下肢工作相关肌肉骨骼疾患及其影响因素分析

Study on lower limb work-related musculoskeletal disorders and influencing factors among workers in a large-scale electronics manufacturing enterprise

  • 摘要:
    目的 调查电子制造企业劳动者下肢部位工作相关肌肉骨骼疾患(work-related musculoskeletal disorders WMSDs)发生情况并探讨其影响因素,为预防和控制该行业劳动者下肢WMSDs发生提供科学依据。
    方法 2022年3—6月选取福州市某大型电子设备制造企业全部一线作业工人作为研究对象,采用《中文版肌肉骨骼疾患问卷》调查研究下肢WMSDs检出情况,运用logistic回归方法分析其影响因素。
    结果 本次研究共调查2 997人,收回有效问卷2 765份,有效率92.3%。该人群中下肢WMSDs检出率为13.9%(385/2 765),其中腿部为7.0%(195/2 765)、膝部为6.4%(176/2 765)、足踝部为8.9%(247/2 765)。多因素logistic回归分析结果显示:相对于工龄 < 5年、从不/有时长时间站立工作、从不/有时以不舒服姿势工作、工作时无下肢及足踝经常反复做同一动作、无经常加班情况的劳动者,10年及以上工龄、经常/很频繁长时间站立工作、经常/很频繁以不舒服姿势工作、工作时下肢及足踝经常反复做同一动作、经常加班的劳动者下肢WMSDs发生风险更高OR=1.506(95% CI:1.064~2.130)、2.058(95% CI:1.535~2.758)、1.784(95% CI:1.279~2.487)、1.776(95% CI:1.373~2.297)、1.430(95% CI:1.064~1.922);而相对于休息时间充足的劳动者,休息时间不足的劳动者下肢WMSDs发生风险低至0.488倍(95% CI:0.379~0.628);以上差异均有统计学意义(P < 0.05)。
    结论 电子制造业劳动者下肢WMSDs的发生受个体因素、工效学因素、工作组织等多种因素影响,应采取综合性的预防和干预措施,延缓和减少电子制造业劳动者下肢部位WMSDs的发生。

     

    Abstract:
    Objective To investigate the occurrence of lower limb work-related musculoskeletal disorders (WMSDs) of workers in electronics manufacturing enterprises and to explore the influencing factors, providing scientific evidence for the prevention and control of lower limb WMSDs among these workers.
    Methods From March to June 2022, all frontline workers in a large electronics equipment manufacturing enterprise in Fuzhou City were selected as the study subjects, and the"Chinese Version of the Musculoskeletal Disorders Questionnaire" was used to investigate and study the detection situation of WMSDs in the lower limbs, and logistic regression was used to analyze the influencing factors.
    Results A total of 2 997 workers were surveyed, and 2 765 valid questionnaires were collected with an effective rate of 92.3%. The occurrence rate of lower limb WMSDs in this population was 13.9% (385/2 765), with 7.0% (195/2 765) in the legs, 6.4% (176/2 765) in the knees, and 8.9% (247/2 765) in the feet and ankles. The results of the multivariate logistic regression analysis showed that, compared with workers with < 5 years of service time, never or sometimes stood for long periods, never or sometimes worked in uncomfortable postures, not performing repetitive movements of the lower limbs and ankles during work, and not frequently work overtime, workers with 10 years or more of service time, often or very frequently stood for long periods, often or very frequently worked in uncomfortable postures, performing the same movement of the lower limbs and ankles frequently and repeatedly at work, frequently worked overtime had a higher detection rate of lower limb WMSDsOR = 1.506 (95%CI: 1.064 to 2.130), OR = 2.058 (95%CI: 1.535 to 2.758), OR = 1.784 (95%CI: 1.279 to 2.487), OR = 1.776 (95%CI: 1.373 to 2.297), OR = 1.430 (95%CI: 1.064 to 1.922); whereas compared with workers who had enough rest time, those who had insufficient rest time had a lower detection rate of lower limb WMSDs, reduced to 0.488 times (OR = 0.488, 95%CI: 0.379 to 0.628); all these differences were statistically significant (all P < 0.05).
    Conclusions The occurrence of lower limb WMSDs among workers in the electronics manufacturing industry was influenced by various factors, including individual factors, ergonomic factors, and work organization. Comprehensive prevention and intervention measures should be taken to reduce the occurrence of lower limb WMSDs among workers in the electronics manufacturing industry.

     

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