Keogh J P, Gucer P W, Gordon J L, Nuwayhid I
Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.
Am J Ind Med. 2000 Nov;38(5):489-97. doi: 10.1002/1097-0274(200011)38:5<489::aid-ajim1>3.0.co;2-n.
Despite being preventable, work-related upper extremity cumulative trauma disorders (UECTDs) remain problematic. This study is unique in its focus on predictors of employer risk-reduction activities (ERRAs) in response to a UECTD case.
Workers' compensation claimants (N = 537) completed a telephone survey about employer risk-reduction activities, workplace characteristics, safety programs, and physician recommendations for job modifications.
Only 52% of respondents reported employer actions to investigate or reduce UECTD risk. Engineering and pace changes were prominent for keyboard workers and transfer to another job for manufacturing workers. Safety programs and physician recommendations increased the likelihood of risk-reduction activities.
An opportunity to intervene post-injury to reduce risks for the injured worker and prevent new UECTD cases is being missed. Physician recommendations are strongly associated with specific ERRAs thought to be most effective. Educating employers and physicians about ergonomics could result in prevention of UECTDs.
尽管与工作相关的上肢累积性创伤疾病(UECTD)是可预防的,但仍然存在问题。本研究的独特之处在于关注雇主针对UECTD病例采取的降低风险活动(ERRAs)的预测因素。
工伤赔偿申请人(N = 537)完成了一项关于雇主降低风险活动、工作场所特征、安全计划以及医生对工作调整建议的电话调查。
只有52%的受访者报告雇主采取了调查或降低UECTD风险的行动。对于从事键盘工作的工人,工程和节奏变化较为突出;对于制造业工人,则是调至另一工作岗位。安全计划和医生建议增加了降低风险活动的可能性。
受伤后干预以降低受伤工人风险并预防新的UECTD病例的机会正在被错过。医生建议与被认为最有效的特定ERRAs密切相关。对雇主和医生进行人体工程学教育可能会预防UECTD。