某家具制造厂作业人员工作相关肌肉骨骼疾患发生情况及影响因素

Work-related musculoskeletal disorders and their influencing factors among workers in a furniture factory

  • 摘要:
    背景 家具制造业是劳动密集型产业,从业人员面临着较大的工作相关肌肉骨骼疾患(WMSDs)发生风险,严重影响员工的身心健康。
    目的 了解某大型家具制造厂作业人员WMSDs症状发生情况,并分析可能的影响因素。
    方法 于2019年10—12月,使用电子版“肌肉骨骼疾患调查问卷”对广东省某家具制造厂3431名在岗作业人员进行横断面调查,收集其各部位过去一年内WMSDs发生率、人口学特征、工作组织因素、作业特点及工作姿势等信息。采用Pearson χ2检验和二分类logistic回归模型分析WMSDs症状发生的相关因素。
    结果 该家具制造厂作业人员总体WMSDs症状发生率为32.12%(1102/3431),WMSDs症状最常发生部位分别为颈部(16.85%)、足部(15.27%)、肩部(14.81%)、手部(14.25%)。颈部、肩部、肘部、手部、腿部和足部WMSDs症状发生率在不同工种之间的差异具有统计学意义(P<0.05)。多因素logistic回归分析表明,个体因素、工作组织因素、作业特点及不良作业姿势与作业人员特定部位WMSDs症状发生有关。其中,身体健康状况相对差(包括一般、较差、非常差)者颈部、肩部、手部及足部(OR=1.479~4.077)WMSDs症状发生风险升高;以不舒服的姿势工作(OR=1.983)、几乎每天从事相同工作(OR=1.783)者颈部WMSDs症状发生风险升高;几乎每天从事相同工作(OR=2.408)、长时间保持转头姿势(OR=1.830)者肩部WMSDs症状发生风险升高;手腕经常向上向下弯曲(OR=1.948)、手腕长时间处于弯曲状态(OR=2.081)者手部WMSDs症状发生风险升高;长时间站立工作(OR=1.953)、经常加班(OR=1.627)者足部WMSDs症状发生风险升高;休息时间充足者颈部、肩部、手部及足部(OR=0.544~0.717)WMSDs症状发生风险降低。
    结论 该家具制造厂作业人员WMSDs发生率较高,以颈部、足部、肩部、手部发生情况最为严重,其发生与个体因素、工作组织因素、作业特点及不良作业姿势有关。

     

    Abstract:
    Background Furniture manufacturing is one of the typical labor-intensive industries, and workers in this industry face a high risk of work-related musculoskeletal disorders (WMSDs), which seriously affect the physical and mental health of workers.
    Objective To explore the prevalence and potential risk factors of WMSDs among workers in a large-scale furniture manufacturing factory.
    Methods A cross-sectional study of 3431 workers in a furniture factory in Guangdong Province was conducted from September to December 2019. Information including reported WMSDs in various body parts in the past year, demographic characteristics, work organization factors, job characteristics, and work postures was collected by an electronic version of Musculoskeletal Disorders Questionnaire. Pearson χ2 test and binary logistic regression were used to analyze the risk factors leading to WMSDs.
    Results The overall prevalence rate of WMSDs was 32.12% (1102/3431). The most common WMSDs symptoms occurred in the neck (16.85%), followed by the feet (15.27%), shoulders (14.81%), and hands (14.25%). The prevalence rates of WMSDs in the neck, shoulders, elbows, hands, legs, and feet were significantly different among different types of work (P<0.05). The results of multiple logistic regression analysis showed that individual factors, work organization factors, job characteristics, and awkward work postures were associated with the frequency of reporting WMSDs in specific parts of workers. Comparatively poor physical health (including moderate, poor, and very poor) was positively correlated with neck, shoulder, hand, and foot WMSDs (OR=1.479-4.077); working with an uncomfortable posture (OR=1.983) and doing the same task almost every day (OR=1.783) were positively correlated with neck pain; doing the same task almost every day (OR=2.408) and neck twisting for a long time (OR=1.830) were positively correlated with shoulder pain; bending wrists up and down frequently (OR=1.948) and bending wrists for a long time (OR=2.081) were positively correlated with hand pain; prolonged standing (OR=1.953) and often working overtime (OR=1.627) were positively correlated with feet pain; sufficient rest time was negatively correlated with WMSDs in the neck, shoulders, hands, and foot (OR=0.544-0.717).
    Conclusion The prevalence rate of WMSDs in furniture manufacturing workers is relatively high, and neck, feet, shoulders, and hands are the most involved body parts. The frequency of reporting WMSDs is related to individual factors, work organization factors, job characteristics, and awkward work postures.

     

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