de Croon Einar M, Sluiter Judith K, Frings-Dresen Monique H W
Coronel Institute for Occupational and Environmental Health, Academic Medical Center, Research Institute, Amsterdam Center for Health and Health Care Research (AmCOGG), Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
J Psychosom Res. 2003 Oct;55(4):331-9. doi: 10.1016/s0022-3999(02)00630-x.
Incomplete recovery from work-related fatigue after work (i.e., sustained activation) is assumed to mediate the relation between the exposure to stressful working conditions and the development of health problems. The need for recovery after work scale reflects the extent to which workers have difficulties to recover adequately from work-related fatigue after a working day.
The aim of this study was to establish if need for recovery after work in truck drivers (1). predicts future sickness absence (>14 working days) and (2). mediates the prospective relation between stressful working conditions (low control, high job demands) and sickness absence.
Self-administered questionnaires, providing information about need for recovery after work, sickness absence, job control, and job demands (psychological, physical, and supervisor job demands), were sent to a random sample of 2000 drivers in 1998. Of the 1123 responders, 820 returned a completed questionnaire 2 years later (response 72%). This study was restricted to the 526 participants who still worked at follow-up as a truck driver at the same company.
High baseline need for recovery after work was associated with an increased risk for subsequent sickness absence (odds ratio [OR] 2.19, 95% confidence interval [CI] 1.13-4.24) after adjustment for age, previous sickness absence, marital status, educational level, and company size. Additional adjustment for baseline stressful working conditions led to a marginally reduction of the excess risk for sickness absence.
High need for recovery after work increases the risk of subsequent sickness absence that is not explained by relevant (non-) work-related factors. However, the results did not testify that need for recovery after work mediates between the exposure to stressful working conditions, and the subsequent occurrence of sickness absence. Practically, the results indicate that monitoring recovery complaints in truck drivers may assist practitioners to take efficient preventive measures at the appropriate time.
工作后与工作相关的疲劳未完全恢复（即持续激活）被认为是压力工作条件暴露与健康问题发展之间关系的中介因素。工作后恢复需求量表反映了工人在工作日后从与工作相关的疲劳中充分恢复的困难程度。
本研究的目的是确定卡车司机的工作后恢复需求是否（1）预测未来的病假（超过14个工作日），以及（2）介导压力工作条件（低控制、高工作要求）与病假之间的前瞻性关系。
1998年，向2000名司机的随机样本发送了自我管理问卷，提供有关工作后恢复需求、病假、工作控制和工作要求（心理、身体和主管工作要求）的信息。在1123名回复者中，820人在2年后返回了完整问卷（回复率72%）。本研究仅限于在随访时仍在同一家公司担任卡车司机的526名参与者。
在调整年龄、既往病假、婚姻状况、教育水平和公司规模后，工作后恢复需求高的基线与随后病假风险增加相关（优势比[OR]2.19，95%置信区间[CI]1.13 - 4.24）。对基线压力工作条件进行额外调整后，病假的额外风险略有降低。
工作后恢复需求高会增加随后病假的风险，而相关（非）工作相关因素无法解释这一风险。然而，结果并未证明工作后恢复需求在压力工作条件暴露与随后病假发生之间起中介作用。实际上，结果表明监测卡车司机的恢复投诉可能有助于从业者在适当时间采取有效的预防措施。
Zotero 插件