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山西省火力发电行业劳动者职业心理健康状况对工作相关肌肉骨骼疾患的影响

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目的 了解山西省火力发电行业劳动者职业心理健康状况和工作相关肌肉骨骼疾患(work-related musculoskeletal disorders,WMSDs)现状,分析职业心理健康状况对WMSDs的影响,为改善其身心状况提供参考依据.方法 2022-2023年,按照多阶段抽样方法,使用职业紧张测量核心量表、患者健康问卷、广泛性焦虑障碍量表、中国肌肉骨骼疾患问卷对山西省火力发电行业中2家大型企业、3家中型企业及10家小型企业的1 131名一线劳动者进行问卷调查,以评估其职业心理健康状况和WMSDs现状.结果 1 131名调查对象职业紧张得分[M(P25,P75)]为48(43,53)分,职业紧张检出率为37.0%(419/1 131);抑郁症状得分为8(6,11)分,有抑郁症状倾向者检出率为83.6%(946/1 131);焦虑情绪得分为3(1,7)分,有焦虑情绪倾向者检出率为41.5%(469/1 131);WMSDs得分为3(1,6)分,WMSDs症状检出率为84.2%(952/1 131).不同年龄、自评健康状况、职业紧张、抑郁症状、焦虑情绪的劳动者WMSDs症状检出率比较,差异均有统计学意义(均P<0.05).年龄、文化程度、自评健康状况、职业紧张和焦虑情绪均是WMSDs的影响因素(均P<0.05).结论 山西省火力发电行业劳动者WMSDs症状检出率较高,职业心理健康状况会影响WMSDs的发生,建议从年龄、文化程度、自评健康状况、职业紧张和焦虑情绪出发,重点调控,改善其身心健康状况.
Impact of occupational mental health status on work-related musculoskeletal disorders of workers in the thermal power generation industry in Shanxi Province
Objective To understand the current situation of occupational mental health status and work-related musculoskeletal disorders(WMSDs)among workers in the thermal power generation industry in Shanxi Province,and to analyze the impact of occupational mental health status on WMSDs,so as to provide a scientific basis for improving their physical and mental conditions.Methods From 2022 to 2023,a multi-stage sampling method was used to survey 1 131 front-line workers in 2 large enterprises,3 medium-sized enterprises,and 10 small enterprises in the thermal power generation industry in Shanxi Province using the occupational stress measurement core scale,the patient health questionnaire,the generalized anxiety disorder scale,and the China musculoskeletal disorders questionnaire to evaluate their occupational mental health status and WMSDs.Results The score of occupational stress[M(P25,P75)]of 1 131 study subjects was 48(43,53)points,and the detection rate of occupational stress was 37.0%(419/1 131).The score of depressive symptoms was 8(6,11)points points,and the detection rate of those with depressive symptoms was 83.6%(946/1 131).The anxiety score was 3(1,7)points,and the detection rate of those with anxiety tendency was 41.5%(469/1 131).The score of WMSDs was 3(1,6)points,and the symptom detection rate of WMSDs was 84.2%(952/1 131).There were statistically significant differences in the detection rates of WMSDs symptoms among workers of different ages,self-rated health status,occupational stress,depressive symptoms and anxiety(all P<0.05).Age,education level,self-rated health status,occupational stress and anxiety were the influencing factors of WMSDs(all P<0.05).Conclusion The detection rate of WMSDs symptoms among workers in the thermal power generation industry in Shanxi Province is relatively high,and their occupational mental health conditions may affect the occurrence of WMSDs.

Thermal power generation industryOccupational mental health conditionsWork-related musculoskeletal disordersInfluencing factors

贾瑞珍、秦文彦、马效东、申歆瑜、李秀萍、郭支喜

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山西医科大学公共卫生学院,山西太原 030001

山西省疾病预防控制中心职业卫生与中毒控制科,山西太原 030012

火力发电行业 职业心理健康状况 工作相关肌肉骨骼疾患 影响因素

2024

职业与健康
天津市疾病预防控制中心 中华预防医学会

职业与健康

CSTPCD
影响因子:0.737
ISSN:1004-1257
年,卷(期):2024.40(22)