新西兰林业电锯使用者的肌肉骨骼和工作实践调查

M. Boocock, L. Ashby, R. Parker
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引用次数: 0

摘要

林业是全球最危险的职业之一,涉及使用链锯的体力劳动对其工人的健康构成重大风险。在过去的10年里,新西兰森林工业报告了810起与电锯有关的事件。本研究的目的是对新西兰的电锯操作员进行调查,以获得有关电锯使用风险的信息,自我报告的肌肉骨骼投诉的流行程度,以及对电锯和相应安全设备的安全使用和设计的意见。森林部门组织向森林公司分发了一份匿名电子问卷调查。问卷主要分为三个部分:1)人口统计;2)自我报告的肌肉骨骼疾病(北欧肌肉骨骼问卷的修改版本);3)与电锯有关的事故、伤害和工作实践。使用描述性统计和参数和非参数统计检验来比较频繁(在过去2年中每周至少使用2或3次电锯)和不经常使用电锯的用户之间的差异。57名工人回答了问卷,这被认为是基于新西兰森林工业规模的低回复率。大约47%的受访者的身体质量指数大于30,根据世界卫生组织的身体质量指数分类,被归类为“肥胖”。在过去的12个月里,腰痛(51%)是最常见的抱怨,其次是肩膀(36.8%)、手/手腕(33.3%)和膝盖(31.6%)。大约65%的受访者认为他们的肌肉骨骼症状是由工作引起的,60%的人认为受伤在一定程度上限制了他们的正常工作活动。在过去的12个月里,经常使用电锯的人确实报告了大部分身体部位肌肉骨骼疾病的患病率略高。考虑到增加链锯作业人员体力工作量和MSD风险的风险因素有:“整天弯腰”;工作的重复性;除电锯外携带的设备的重量(例如急救箱、安全盖、燃料罐、油、楔子);在树间行走时滑倒、绊倒或跌倒;提高技术和工作姿势的培训机会有限。与工作有关的肌肉骨骼疾病的高发率和风险因素的多面性对改善新西兰森林工人的健康状况提出了独特的挑战。干预措施应考虑一系列个人、身体、社会心理和工作组织的方法。除了改变工作做法外,还应进一步考虑在这些工人中教育和促进健康的生活方式。经常使用电锯的人患肌肉骨骼疾病的风险确实增加了。在解释调查结果时需要谨慎,因为估计的总体回复率被认为很低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Musculoskeletal and work practice survey of chainsaw users in the New Zealand forest industry
Forestry is one of the most dangerous occupations globally, and manual work involving the use of chainsaws present a significant health risk to its workers. Over the last 10 years, there have been 810 chainsaw-related incidents reported in the New Zealand (NZ) forest industry. The aim of this study was to undertake a survey of chainsaw operators in NZ to obtain information on the risks associated chainsaw use, the prevalence of self-reported musculoskeletal complaints, and opinions on the safe use and design of chainsaws and corresponding safety equipment. An anonymised, electronic questionnaire survey was distributed to forest companies by forest sector organisations. The questionnaire was divided into three main components: 1) demographics; 2) self-reported musculoskeletal disorders (a modified version of the Nordic musculoskeletal questionnaire); and 3) chainsaw-related accidents, injuries, and work practices. Descriptive statistics and parametric and non-parametric statistical tests were used to compare differences between frequent (used a chainsaw at least 2 or 3 times per week during the last 2 years) and infrequent chainsaw users. Fifty-seven workers responded to the questionnaire, which was considered a low response rate based on the size of the forest industry in NZ. Approximately 47% of respondents had a BMI of >30, classified as ‘obese’ based on the World Health Organisations BMI classification. Low back pain (51%) was the most frequently reported complaint over the last 12 months, followed by shoulders (36.8%), hands/wrists (33.3%) and knees (31.6%). Approximately 65% of all respondents considered their musculoskeletal symptoms were due to work and 60% felt the injury had restricted their normal work activities to some extent. Frequent chainsaw users did report slightly higher prevalence rates of musculoskeletal complaints across most body parts during the last 12 months. The risk factors considered to add to the physical workload and risk of MSD in chainsaw operators were: “bending over all day”; the repetitive nature of the work; the weight of equipment carried in addition to the chainsaw (e.g. first aid kit, safety chaps, fuel cans, oil, wedges); slips, trips and falls when walking between trees; and limited training opportunities for improving techniques and working postures. The high prevalence of work-related musculoskeletal conditions and the multifaceted nature of risk factors presents unique challenges to improving the health status of NZ forest workers. Interventions should consider a range of individual, physical, psychosocial, and work organisational approaches. Beyond modification to work practices, further consideration should be given to educating and promoting a healthy lifestyle among these workers. Frequent chainsaw users do appear to be at increased risk of musculoskeletal complaints. Some caution is needed when interpreting findings from the survey as the estimated overall response rate was considered low.
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