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首页> 外文期刊>Occupational and environmental medicine >Software-recorded and self-reported duration of computer use in relation to the onset of severe arm-wrist-hand pain and neck-shoulder pain.
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Software-recorded and self-reported duration of computer use in relation to the onset of severe arm-wrist-hand pain and neck-shoulder pain.

机译：与严重的腕腕手痛和颈肩痛发作有关的软件记录的和自我报告的计算机使用时间。

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OBJECTIVES: In both science and media, the adverse effects of a long duration of computer use at work on musculoskeletal health have long been debated. Until recently, the duration of computer use was mainly measured by self-reports, and studies using more objective measures, such as software-recorded computer duration, were lacking. The objective of this study was to examine the association between duration of computer use at work, measured with software and self-reports, and the onset of severe arm-wrist-hand and neck-shoulder symptoms. METHODS: A 2-year follow-up study was conducted between 2004 and 2006 among 1951 office workers in The Netherlands. Self-reported computer duration and other risk factors were collected at baseline and at 1-year follow-up. Computer use at work was recorded continuously with computer software for 1009 participants. Outcome questionnaires were obtained at baseline and every 3 months during follow-up. Cases were identified based on the transition within 3 months of no or minor symptoms to severe symptoms. RESULTS: Self-reported duration of computer use was positively associated with the onset of both arm-wrist-hand (RR 1.9, 95% CI 1.1 to 3.1 for more than 4 h/day of total computer use at work) and neck-shoulder symptoms (RR 1.5, 95% CI 1.1 to 2.0 for more than 4 h/day of mouse use at work). The recorded duration of computer use did not show any statistically significant association with the outcomes. CONCLUSIONS: In the present study, no association was found between the software-recorded duration of computer use at work and the onset of severe arm-wrist-hand and neck-shoulder symptoms using an exposure window of 3 months. In contrast, a positive association was found between the self-reported duration of computer use at work and the onset of severe arm-wrist-hand and neck-shoulder symptoms. The different findings for recorded and self-reported computer duration could not be explained satisfactorily.
机译：目的：在科学和媒体领域，长期使用计算机对肌肉骨骼健康的不良影响一直存在争议。直到最近，计算机使用的时间主要是通过自我报告来衡量的，而缺乏使用客观性指标（例如软件记录的计算机使用时间）的研究。这项研究的目的是检查计算机在工作中的持续时间（通过软件和自我报告进行衡量）与严重的腕腕和颈肩症状发作之间的关系。方法：在2004年至2006年之间对荷兰1951年的上班族进行了为期2年的随访研究。在基线和1年随访中收集了自我报告的计算机持续时间和其他风险因素。使用计算机软件连续记录了工作中的计算机使用情况，以供1009名参与者使用。在基线和随访期间每3个月获得一次结果问卷。根据3个月内无或轻微症状向严重症状转变的情况，确定病例。结果：自我报告的计算机使用时间与手臂腕手（工作中每天使用计算机超过4小时每天RR 1.9，95％CI 1.1至3.1）和肩颈正相关症状（工作中每天使用鼠标超过4小时/天，RR 1.5、95％CI 1.1至2.0）。记录的计算机使用时间未显示出与结果有任何统计学上的显着关联。结论：在本研究中，在3个月的暴露窗口内，软件记录的工作计算机使用时间与严重的腕腕和颈肩症状的发作之间未发现关联。相反，在工作中自我报告的使用计算机的持续时间与严重的腕腕和颈肩症状的发作之间存在正相关关系。记录和自我报告的计算机持续时间的不同发现无法令人满意地解释。

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