朱德香, 马纪英, 石新山, 李智民, 罗孝文. 视屏显示终端作业人员非特异性颈痛危险因素研究[J]. 职业卫生与应急救援, 2016, 34(2): 91-96. DOI: 10.16369/j.oher.issn.1007-1326.2016.02.001
引用本文: 朱德香, 马纪英, 石新山, 李智民, 罗孝文. 视屏显示终端作业人员非特异性颈痛危险因素研究[J]. 职业卫生与应急救援, 2016, 34(2): 91-96. DOI: 10.16369/j.oher.issn.1007-1326.2016.02.001
ZHU Dexiang, MA Jiying, SHI Xinshan, LI Zhiming, LUO Xiaowen. Risk factors for non-specific neck pain among video display terminal workers: a systematic review of prospective cohort studies[J]. Occupational Health and Emergency Rescue, 2016, 34(2): 91-96. DOI: 10.16369/j.oher.issn.1007-1326.2016.02.001
Citation: ZHU Dexiang, MA Jiying, SHI Xinshan, LI Zhiming, LUO Xiaowen. Risk factors for non-specific neck pain among video display terminal workers: a systematic review of prospective cohort studies[J]. Occupational Health and Emergency Rescue, 2016, 34(2): 91-96. DOI: 10.16369/j.oher.issn.1007-1326.2016.02.001

视屏显示终端作业人员非特异性颈痛危险因素研究

Risk factors for non-specific neck pain among video display terminal workers: a systematic review of prospective cohort studies

  • 摘要: 目的 探讨视屏显示终端(VDT)作业人员非特异性颈痛(NNP)的危险因素,为其防治提供科学依据。 方法 采用文献综述方法搜索国内外研究VDT作业人员NNP危险因素的前瞻性队列研究资料,采用21个指标对符合条件的文献进行综合质量评价,其中包括11项内部效度评价指标与10项描述性研究质量评价指标。 结果 检索到VDT作业人员NNP危险因素相关文献16篇,9篇符合本研究的纳入标准,其中7篇为高质量研究论文。VDT作业人员NNP危险因素分为三类:个体特征、工作特征、同工作相关的社会心理因素。有较强的证据显示,女性、既往NNP患病史、工作困难、肌肉紧张与NNP的发生存在关联;较强的证据显示,键盘操作时间、对办公室内设备位置的认知、社会支持与NNP的发生不相关;中等强度的证据显示,体育锻炼、心理压力与NNP的发生不相关。 结论 通过系统分析研究,可得出部分影响VDT作业人员NNP发生的危险因素,可为制定VDT作业人员发生NNP的预防控制措施提供依据。

     

    Abstract: Objective The purpose of this study was to gain insight into risk factors for the development of non-specific neck pain(NNP) of video display terminal(VDT) workers,and to provide scientific basis for prevention and control of these factors. Methods The research papers were systematically searched in several databases by the way of systematic review. Twenty one items were used to evaluate the comprehensive quality,including the internal validity evaluation (eleven items)and descriptive research quality evaluation(ten items). Relevant studies were retrieved and assessed for methodological quality by two independent reviewers. Results A total of 16 relevant studies were retrieved,but only nine of them met the standards,including seven high-quality and two low-quality prospective cohort studies. The NNP risk factors of VDT workers could be divided into three categories:individual characteristics,work characteristics and work related psychological factors. There was strong evidence that the female, the previous history of NNP disease,the difficulty of the work,and muscle tension were predictors of the onset of NNP. Interestingly,a large number of factors that had been mentioned in the literature as risk factors for neck pain,such as the keyboard operation time,the cognition of the equipment location in the office,and social support,were found no predictive value for future neck pain in office workers. In addition,there was moderate evidence that physical exercise and mental pressure were not related to NNP. Conclusion The systematic review of prospective cohort studies could find the predictors of the onset of NNP, and to provide scientific basis for prevention and control of the onset of NNP. But some factors were not finally confirmed in this study.

     

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