Psychological factors at work and musculoskeletal disorders: a one year prospective study
Psychological factors at work and musculoskeletal disorders: a one year prospective study
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DOI：
10.1007/s00296-013-2843-8
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发表时间：
2013-12-01
影响因子：
4
通讯作者：
Bedynska, Sylwia
中科院分区：
文献类型：
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作者：
Bugajska, Joanna;Zolnierczyk-Zreda, Dorota;Bedynska, Sylwia
肌肉骨骼疾病的病因是复杂的，身体和心理社会工作条件发挥了重要作用。本研究旨在通过为期1年的前瞻性研究，确定心理工作要求、决策自由度、社会支持和工作不安全感等社会心理工作条件与肌肉骨骼投诉（MSC）和重复性劳损（RSI）之间的关系。采用工作内容问卷、北欧肌肉骨骼问卷和激发试验对725名20-70岁的员工进行了研究。下背部（58%的受试者）、颈部（57%）、手腕/手（47%）和上背部（44%）疼痛最常见。腕管综合征（CTS）（33.6%）、肩袖肌腱炎（15.4%）、Guyon管综合征（13.4%）、外上髁炎（7.6%）、内上髁炎（5.3%）、前臂-腕伸肌肌腱炎（7.8%）和前臂-腕屈肌肌腱炎（7.3%）是最常见的RSI。Logistic分析显示，增加心理工作需求统计学显着增加外上髁和内上髁炎的概率，增加控制（决策纬度）统计学显着降低CTS的风险。工作不安全感、社会支持与所研究的人际关系敏感度之间无相关性。心理社会因素在工作中预测MSC和RSI的患病率，而不考虑人口统计学因素，例如，年龄或性别，以及组织和身体因素。
The etiology of musculoskeletal disorders is complex, with physical and psychosocial working conditions playing an important role. This study aimed to determine the relationship between psychosocial work conditions, such as psychological job demands, decision latitude, social support and job insecurity and musculoskeletal complains (MSCs) and (repetitive strain injuries (RSIs) in a 1-year prospective study. The job content questionnaire, the Nordic musculoskeletal questionnaire and provocation tests were used to study 725 employees aged 20-70 years. Pain in the lower back (58 % of subjects), neck (57 %), wrists/hands (47 %) and upper back (44 %) was most frequent. The carpal tunnel syndrome (CTS) (33.6 %), rotator cuff tendinitis (15.4 %), Guyon's canal syndrome (13.4 %), lateral epicondylitis (7.6 %), medial epicondylitis (5.3 %), tendinitis of forearm-wrist extensors (7.8 %) and tendinitis of forearm-wrist flexors (7.3 %) were the most frequent RSIs. Logistic analysis showed that increased psychological job demands statistically significantly increased the probability of lateral and medial epicondylitis, and increased control (decision latitude) statistically significantly decreased the risk of CTS. There was no relationship between job insecurity, social support and the studied RSIs. Psychosocial factors at work predict prevalence of MSCs and RSIs, irrespectively of demographic factors, e.g., age or gender, and organizational and physical factors.