A reliability study of potential risk factors for acute traumatic occupational hand injuries.

A reliability study of potential risk factors for acute traumatic occupational hand injuries.
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急性创伤性职业性手伤潜在危险因素的可靠性研究。

DOI:
10.1002/ajim.10120
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发表时间:
2002
影响因子:
3.5
通讯作者:
Mittleman,MurrayA
Mittleman,MurrayA
中科院分区:
医学4区
文献类型:
--
作者:
Lombardi,DavidA;Sorock,GaryS;Lesch,MaryF;Hauser,Russ;Eisen,EllenA;Herrick,RobertF;Mittleman,MurrayA

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背景工作场所短暂暴露的可靠性研究是在急性创伤性职业性手损伤的病例交叉研究中进行的。调查的暴露包括工作设备的特征(设备或材料的异常性能、手套的使用)、工作实践(执行不寻常的工作任务、使用不寻常的工作方法)以及与工人相关的因素(匆忙、分心、生病或加班)。方法面试者在初次面谈后4天内对暴露情况进行跟踪调查。结果8个潜在危险因素(组内相关系数在0.84-0.99之间)中,有6个因素的重测信度较高。用于计算每月估计小时数的每月频率和每次暴露分钟的ICC分别为0.12-0.99和0.49-0.99。在受伤时报告的暴露的一致性,使用kappa统计进行评估,范围从基本一致到完全一致(0.65-1.0)。然而,由于某些因素,报告的接触很少或根本没有。大多数受试者(74%-100%)表示,他们对每一次暴露的记忆“非常自信”或“确定”。结论这些发现表明,通过电话采访的受试者可以在受伤后4天内可靠地回忆起不寻常的短暂工作场所暴露的频率和持续时间。上午好。J.Ind.地中海医院。42:336-343,2002。©2002 Wiley-Liss公司
BackgroundA reliability study of transient workplace exposures was conducted within a case‐crossover study of acute traumatic occupational hand injuries. Exposures examined included features of work equipment (unusual performance of equipment or materials, glove use), work practices (performing an uncommon work task, using an unusual work method), and worker‐related factors (being rushed, distracted, ill, or working overtime).MethodsInterviewers administered a follow‐up questionnaire about exposure up to 4 days after the initial interview. The reliability of the usual frequency of exposure in the past month, exposure reported at the time of the injury, and the degree to which subjects had confidence in the accuracy of their memory for exposure was assessed.ResultsThe test‐retest reliability for the estimated number of hours of exposure during the past month was high for six of the eight potential risk factors (intraclass correlation coefficients (ICC) ranging from 0.84–0.99). ICC for the frequency per month and minutes per exposure, used to calculate the estimated number of hours per month, ranged from 0.12–0.99 and 0.49–0.99, respectively. Agreement of reported exposure at the time of the injury, evaluated using the kappa statistic, ranged from substantial agreement to perfect agreement (0.65–1.0). However, for some factors, there was little or no reported exposure. Most subjects (74–100%) reported being “very confident” or “certain” in their memory for each exposure.ConclusionsThese findings suggest that the frequency and duration of unusual transient workplace exposures can be reliably recalled by subjects interviewed by telephone within 4 days of an injury. Am. J. Ind. Med. 42:336–343, 2002. © 2002 Wiley‐Liss, Inc.