Pransky G, Benjamin K, Hill-Fotouhi C, Himmelstein J, Fletcher K E, Katz J N, Johnson W G
Center for Disability Research, Liberty Mutual Insurance Company, Hopkinton, MA 01701, USA.
Am J Ind Med. 2000 Apr;37(4):400-9. doi: 10.1002/(sici)1097-0274(200004)37:4<400::aid-ajim10>3.0.co;2-c.
The outcomes of treatment for work-related injuries and illnesses are multidimensional and complex, but have rarely been explored in detail. This study was intended to provide information on a sample of workers representing a range of jobs and employers typical of the workers compensation system.
A mailed, self-report survey measuring multiple dimensions was conducted. Identified through the New Hampshire Division of Workers' Compensation First Report of Injury database, a sample of workers with injuries to their lower back (60%) or upper extremities (40%) a year prior to the study were surveyed. Response rate was 80% (N=169; upper extremity cases=70; low back cases=99).
Most (82.8%) were working one year post-injury. Over half reported residual effects of the injury on work or activities of daily living. Many working subjects reported persistent injury-related anxiety and pain at the end of the work day, worse in those with low back pain compared to those with upper extremity injuries. Almost 40% of those who returned to work suffered a reinjury. Forty-four percent of respondents suffered significant injury-related financial problems, which were worse in those who had been out of work for longer periods.
Occupational musculoskeletal injuries do result in significant, long-term adverse physical, economic, and psychological consequences, as demonstrated in self-reported surveys.
与工作相关的伤病治疗结果具有多维度性且复杂，但很少得到详细探讨。本研究旨在提供有关代表工人赔偿系统中一系列工作和雇主的工人样本的信息。
进行了一项邮寄的自我报告调查，测量多个维度。通过新罕布什尔州工人赔偿第一份伤害报告数据库确定，对在研究前一年腰部受伤（60%）或上肢受伤（40%）的工人样本进行了调查。回复率为80%（N = 169；上肢病例 = 70；腰部病例 = 99）。
大多数（82.8%）在受伤一年后仍在工作。超过一半的人报告伤病对工作或日常生活活动有残留影响。许多在职受试者报告在工作日结束时仍有与伤病相关的持续焦虑和疼痛，与上肢受伤者相比，腰痛患者情况更糟。近40%重返工作岗位的人再次受伤。44%的受访者遭受了与伤病相关的重大财务问题，失业时间较长的人情况更糟。
如自我报告调查所示，职业性肌肉骨骼损伤确实会导致严重的长期身体、经济和心理不良后果。
