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参与式工效学作为一种重返工作岗位的干预措施:未来的挑战?

Participatory ergonomics as a return-to-work intervention: a future challenge?

作者信息

Anema J R, Steenstra I A, Urlings I J M, Bongers P M, de Vroome E M M, van Mechelen W

机构信息

TNO Work and Employment, PO Box 718, 2130 AS Hoofddorp, The Netherlands.

出版信息

Am J Ind Med. 2003 Sep;44(3):273-81. doi: 10.1002/ajim.10259.

DOI:10.1002/ajim.10259
PMID:12929147
Abstract

BACKGROUND

Participatory ergonomics (PE) are often applied for prevention of low back pain (LBP). In this pilot-study, a PE-program is applied to the disability management of workers sick listed due to LBP.

METHODS

The process, implementation, satisfaction, and barriers for implementation concerning the PE-program were analyzed quantitatively and qualitatively for 35 workers sick listed 2-6 weeks due to LBP and their ergonomists.

RESULTS

Two-hundred-and-seventy ergonomic solutions were proposed to the employer. They were targeted more at work design and organization of work (58.9%) than at workplace and equipment design (38.9%). They were planned mostly on a short-term basis (74.8%). Almost half (48.9%) of the solutions for work adjustment were completely or partially implemented within 3 months after the first day of absenteeism. Most workers were satisfied about the PE-program (median score 7.8 on a 10-point scale) and reported a stimulating effect on return-to-work (66.7%). Main obstacles to implementation were technical or organizational difficulties (50.0%) and physical disabilities of the worker (44.8%).

CONCLUSIONS

This study suggests that compliance, acceptance, and satisfaction related to the PE-program were good for all participants. Almost half of the proposed solutions were implemented.

摘要

背景

参与式工效学(PE)常被用于预防腰痛(LBP)。在这项试点研究中,一个PE项目被应用于因LBP而列入病假名单的工人的残疾管理。

方法

对35名因LBP而列入病假名单2至6周的工人及其工效学专家,就PE项目的过程、实施、满意度和实施障碍进行了定量和定性分析。

结果

向雇主提出了270项工效学解决方案。这些方案更多地针对工作设计和工作组织(58.9%),而非工作场所和设备设计(38.9%)。它们大多是短期规划(74.8%)。几乎一半(48.9%)的工作调整解决方案在缺勤第一天后的3个月内得到了完全或部分实施。大多数工人对PE项目感到满意(在10分制中中位数为7.8分),并报告该项目对重返工作有促进作用(66.7%)。实施的主要障碍是技术或组织困难(50.0%)以及工人的身体残疾(44.8%)。

结论

本研究表明,PE项目的依从性、接受度和满意度对所有参与者来说都很好。几乎一半的提议解决方案得到了实施。

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