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

职业与健康 ›› 2024, Vol. 40 ›› Issue (22): 3025-3030.

• 论著 • 下一篇

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

贾瑞珍¹, 秦文彦², 马效东², 申歆瑜¹, 李秀萍², 郭支喜^1,2

1.山西医科大学公共卫生学院,山西太原 030001;
2.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

收稿日期:2024-03-10 修回日期:2024-03-28 发布日期:2026-04-09
通信作者: 郭支喜,主任医师,E-mail：1390536024@qq.com
作者简介:贾瑞珍,女,在读硕士研究生,研究方向为职业卫生。

Impact of occupational mental health status on work-related musculoskeletal disorders of workers in the thermal power generation industry in Shanxi Province

JIA Ruizhen¹, QIN Wenyan², MA Xiaodong², SHEN Xinyu¹, LI Xiuping², GUO Zhixi^1,2

1. School of Public Health,Shanxi Medical University,Taiyuan,Shanxi 030001,China;
2. Department of Occupational Health and Poison Control,Shanxi Provincial Center for Disease Control and Prevention,Taiyuan,Shanxi 030012,China

Received:2024-03-10 Revised:2024-03-28 Published:2026-04-09
Contact: GUO Zhixi,Chief physician,E-mail：1390536024@qq.com

摘要/Abstract

摘要： 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。

关键词: 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

Abstract: 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.

Key words: Thermal power generation industry, Occupational mental health conditions, Work-related musculoskeletal disorders, Influencing factors

中图分类号:

R181.3⁺1

贾瑞珍, 秦文彦, 马效东, 申歆瑜, 李秀萍, 郭支喜. 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. [J]职业与健康, 2024, 40(22): 3025-3030.

JIA Ruizhen, QIN Wenyan, MA Xiaodong, SHEN Xinyu, LI Xiuping, GUO Zhixi. Impact of occupational mental health status on work-related musculoskeletal disorders of workers in the thermal power generation industry in Shanxi Province. [J]OCCUPATION AND HEALTH, 2024, 40(22): 3025-3030.

参考文献

[1] LUNDBERG U.Psychophysiology of work:stress,gender,endocrine response,and work-related upper extremity disorders[J].Am I Ind Med,2002,41(5):383-392.
[2] 李盛,唐佳蓉,郑艳妮,等.兰州市医护人员工作相关肌肉骨骼疾患及其影响因素分析[J].中国工业医学杂志,2023,36(1):48-51.
[3] 彭志恒,马炜钰,何易楠,等.化学制药行业作业人员的工作相关肌肉骨骼疾患现状及影响因素[J].环境与职业医学,2023,40(1):13-20.
[4] 健康中国行动推进委员会.健康中国行动(2019—2030年)[EB/OL].(2019-07-09)[2023-11-15].https://www.gov.cn/xinwen/2019-07/15/content_5409694.htm.
[5] 毕明丽,孙新,李珏,等.国内外工作相关肌肉骨骼疾患研究现状及发展态势分析[J].职业与健康,2022,38(15):2127-2132.
[6] 李雪,易孝婷,刘继文.新疆某煤矿作业人员职业紧张及心理健康状况对工作相关肌肉骨骼疾患的影响[J].环境与职业医学,2022,39(8):863-870.
[7] 迪丽娜尔·艾克拜尔,谢尔瓦妮古丽·阿卜力米提,邓慧君,等.煤矿工人职业性肌肉骨骼疾患与工作组织因素的相关性研究[J].职业与健康,2022,38(12):1615-1619,1623.
[8] ZHANG H,DENG H,JIA N,et al.Epidemiological study of work-related musculoskeletal disorders and related risk factors among automobile maintenance workers[J].Work,2023,76(3):1219-1231.
[9] 王瑾,张巧耘,陈惠清,等.中国职业人群职业紧张测量核心量表编制[J].中华预防医学杂志,2020,54(11):1184-1189.
[10] KROENKE K,SPITZER R L,WILLIAMS J B.The PHQ-9:validity of a brief depression severity measure[J].J Gen Intern Med,2001,16(9):606-613.
[11] SPITZER R L,KROENKE K,WILLIAMS J B,et al.A brief measure for assessing generalized anxiety disorder:The GAD-7[J].Arch Intern Med,2006,166(10):1092-1097.
[12] 杨磊,HILDEBRANDT V H,余善法,等.肌肉骨骼疾患调查表介绍附调查表[J].工业卫生与职业病,2009,35(1):25-31.
[13] 王瑾,刘晓曼,孙彦彦,等.中国制造业工人和医务人员职业紧张测量核心量表常模的研制[J].中华预防医学杂志,2020,54(11):1190-1196.
[14] 杨孟茹,李建国,赵俊琴,等.河北省基层疾控人员职业紧张、焦虑、抑郁现状:基于模糊集的定性比较分析[J].环境与职业医学,2023, 40(6):681-687.
[15] 周雪松,许艳丹,许明佳.上海市石油化工产业工人心理健康状况及影响因素[J].职业与健康,2023,39(11):1491-1495.
[16] 谢尔瓦妮古丽·阿卜力米提,郑帅印,马翔宇,等.煤矿企业员工多部位工作相关肌肉骨骼疾患症状发生情况及影响因素[J].环境与职业医学,2022,39(6):617-624.
[17] KIM I J.An ergonomic focus evaluation of work-related musculoskeletal disorders amongst operators in the UAE network control centres[J].Heliyon,2023,9(10):e21140.
[18] OKUNRIBIDO O.O,WYNN T,LEWIS D.Are older workers at greater risk of musculoskeletal disorders in the workplace than young workers?-A literature review[J].Occupational Ergonomics,2011,10(1):53-68.
[19] DING X,GUAN Z,LIU N,et al.Prevalence and risk factors of work-related musculoskeletal disorders among emerging manufacturing workers in Beijing,China[J].Front Med(Lausanne),2023,10:1289046.
[20] PUNNETT L,WEGMAN D H.Work-related musculoskeletal disorders:the epidemiologic evidence and the debate[J].J Electromyogr Kinesiol,2004,14(1):13-23.
[21] ALMHDAWI K A,ALRABBAIE H,KANAAN S F,et al.Predictors and prevalence of lower quadrant work-related musculoskeletal disorders among hospital-based nurses:A cross-sectional study[J].J Back Musculoskelet Rehabil,2020,33(6):885-896.
[22] 易孝婷,李雪,刘继文.新疆煤矿工人肌肉骨骼疾患患病率及相关因素研究[J].实用预防医学,2021,28(11):1291-1295.
[23] DENG M,WU F,WANG J,et al.Musculoskeletal disorders,personality traits,psychological distress,and accident proneness of Chinese coal miners[J].Work,2017,57(3):441-449.
[24] 王泽欣,张丹英,何智鹏,等.建筑工人工作相关肌肉骨骼疾患研究进展[J].中国职业医学,2022,49(4):449-453.

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

Impact of occupational mental health status on work-related musculoskeletal disorders of workers in the thermal power generation industry in Shanxi Province

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	黄文俊, 米莎莎, 吴超, 王丽霞, 裴迎新. 新疆生产建设兵团预防接种工作人员职业倦怠现状及影响因素分析[J]. 职业与健康, 2026, 42(6): 726-732.
[2]	张文隽, 崔悦, 曹冬, 王旭阳. 复杂基质水中砷能力验证结果与分析[J]. 职业与健康, 2026, 42(6): 757-761.
[3]	张茜, 刘娜, 梁艳, 刘阳, 贾娜, 孟海超. 介入康复科护士非工作时间电子沟通、情绪耗竭对工作时间侵占行为的影响[J]. 职业与健康, 2026, 42(6): 772-776.
[4]	李茹凡, 曹英飞, 陈金燕, 牛亚荣, 安丽珺. 护理专业型硕士生宽恕倾向现状及影响因素[J]. 职业与健康, 2026, 42(6): 787-791.
[5]	郭腾飞, 王婷, 程楠, 魏佳, 潘春颖, 尹敏. 已婚职业女性工作-家庭冲突现状及影响因素分析[J]. 职业与健康, 2026, 42(5): 637-641.
[6]	杨俊红, 陈思颖, 叶运莉. 四川省某高校大学生艾滋病歧视现状及影响因素研究[J]. 职业与健康, 2026, 42(5): 674-679.
[7]	文静, 罗娅, 梁恒娟, 杨博, 黄小红. 肿瘤相关科室护士职业幸福感工作认知评价和化疗职业防护态度现状及相关性分析[J]. 职业与健康, 2026, 42(4): 491-495.
[8]	董勇, 刘安泉, 黄高玉, 蔡思蓉, 蔡帅中, 关琼瑶. 护生职业妥协现状及影响因素分析[J]. 职业与健康, 2026, 42(4): 527-531.
[9]	张琦, 张勇勤, 王贺, 江英婵, 朱天顺, 周一帆. 老年人对健康监测工具接受度的影响因素研究进展[J]. 职业与健康, 2026, 42(4): 554-560.
[10]	叶梦丹, 李凝凝, 李雯, 李冰如, 吴启涵. 消化内镜中心护士职业风险感知的研究现状与思考[J]. 职业与健康, 2026, 42(4): 571-576.
[11]	张晨, 水明明, 杨琼, 赵艳, 张乔, 李萌. 咸阳市公立三级甲等医院护士核心能力现状及影响因素分析[J]. 职业与健康, 2026, 42(3): 357-362.
[12]	李子慧, 曹远, 何郎志, 石凡, 孔浩南, 王云. 北京市幼儿家庭三手烟暴露现况及其影响因素分析[J]. 职业与健康, 2026, 42(3): 368-373.
[13]	刘曜, 杨佳佳, 朱培飞, 郑会秋, 邢美琪, 王艳玲. 2023年锡林郭勒盟镶黄旗中小学生伤害行为及相关因素分析[J]. 职业与健康, 2026, 42(3): 379-384.
[14]	覃文婷, 杨连招, 高慧, 陈玲, 桑树林. 中国MSM人群成瘾性物质使用情况及影响因素的Meta分析[J]. 职业与健康, 2026, 42(3): 395-402.
[15]	谭文凤, 万俊华. 轮班护士饮食行为的研究进展[J]. 职业与健康, 2026, 42(3): 417-422.