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ความผิดปกติทางระบบโครงร่างและกล้ามเนื้อของผู้ปฏิบัติงานในกระบวนการเตรียมเส้นไหมของกลุ่มอาชีพทอผ้าไหมจังหวัดสุรินทร์ ประเทศไทย
Musculoskeletal Disorders in Workers of the Silk Weaving Preparation Process: A Study Case of Surin Province, Thailand

Manote Rithinyo, Poranee Loatong, Sombut Noyming

Abstract


การศึกษานี้มีวัตถุประสงค์เพื่อศึกษาความชุกและปัจจัยที่ส่งผลต่อความผิดปกติทางระบบโครงร่างและกล้ามเนื้อของผู้ปฏิบัติงานในกระบวนการเตรียมเส้นไหมของกลุ่มอาชีพทอผ้าไหม จังหวัดสุรินทร์ จำนวน 378 คน เก็บรวบรวมข้อมูลด้วยแบบสอบถามที่ประยุกต์จาก Standardized Nordic questionnaire และประยุกต์ใช้แบบประเมินความเสี่ยงอาการผิดปกติของระบบโครงร่างและกล้ามเนื้อของกรมควบคุมโรค วิเคราะห์ข้อมูลโดยใช้สถิติเชิงพรรณนาและการถดถอยพหุคูณ (Binary logistic regression) ผลการศึกษา พบว่าตำแหน่งที่มีการปวดเมื่อยกล้ามเนื้อของผู้ปฏิบัติงานมากที่สุด คือ ไหล่ขวา และ หลังส่วนล่าง คิดเป็นร้อยละ 98.94 มือและข้อมือซ้าย และ มือและข้อมือขวา คิดเป็นร้อยละ 98.68 และ ไหล่ซ้าย คิดเป็นร้อยละ 97.35 ตามลำดับ ปัจจัยที่ส่งผลต่ออาการผิดปกติทางระบบโครงร่างและกล้ามเนื้อ ได้แก่ ดัชนีมวลกาย เวลาพักต่อวัน การนั่งทอทำงานเป็นเวลามากกว่าครึ่งหนึ่งของเวลาทำงานโดยไม่มีการเปลี่ยนอิริยาบถ ขณะทำงานต้องมีการเงยคอหรือแอ่นหลังขณะทำงานเสมอ และ ขณะทำงานมือหรือแขนทำงานในลักษณะที่เคลื่อนไหวซ้ำกันตลอดเวลา (อย่างน้อย 30 นาที)

This study aimed at exploring the prevalence rate and factors affecting musculoskeletal disorders of 378 members of a local silk-weaving community in Surin province, Thailand. Target weavers are engaged in the preparation of silk thread preparation before the weaving phase. The data was collected by using questionnaires applied from the Standardized Nordic questionnaire and the musculoskeletal disorders evaluation developed by the Department of Disease Control. Descriptive statistics and binary logistic regression were used to analyze data. As results, the most prevalence of musculoskeletal problems among the samples were pain in the shoulder blade and lower back, accounting for 98.94 %, followed by aching in both hands or wrists which account for 98.68%; and left shoulder pain (97.35%). Factors affecting musculoskeletal disorders found were: 1) body mass index, 2) break time, 3) unchanged weaving posture that takes more than half of work time, 4) long-term excessive bending of neck and back, and 5) repetitive, prolonged arm and hand movements (at least 30 minutes).


Keywords



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DOI: 10.14416/j.kmutnb.2022.02.001

ISSN: 2985-2145