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受伤市政工人的功能限制与幸福感:一项纵向研究。

Functional limitations and well-being in injured municipal workers: a longitudinal study.

作者信息

Gillen Marion, Jewell Sarah A, Faucett Julia A, Yelin Edward

机构信息

Department of Community Health Systems, School of Nursing, University of California, San Francisco, California 94143-0608, USA.

出版信息

J Occup Rehabil. 2004 Jun;14(2):89-105. doi: 10.1023/b:joor.0000018326.23090.63.

DOI:10.1023/b:joor.0000018326.23090.63
PMID:15074362
Abstract

Two instruments, the Health Assessment Questionnaire (HAQ) and the Short Form-36 (SF-36), were used to document both the immediate and short-term effects of workplace injuries in municipal workers. Telephone interviews were conducted up to 3 months following the injury. One hundred fourteen subjects agreed to participate in the study; 90 workers completed at least one useable interview. The relationship between functional limitation and lost days was evaluated using Cox proportional hazards models. At 3 months following the onset of injury, SF-36 scores for physical function, role-physical, and bodily pain differed significantly from population norms. Using one standard deviation of change, statistically significant hazard ratios were seen in subjects with lower SF-36 physical component summary, physical function, and bodily pain scores, and higher HAQ disability and fatigue scores. Functional limitations persisted in workers after relatively minor workplace injuries despite a 91% return to work rate.

摘要

使用两种工具,即健康评估问卷(HAQ)和简明健康状况调查量表(SF - 36),来记录市政工人工作场所受伤的即时和短期影响。在受伤后长达3个月的时间里进行电话访谈。114名受试者同意参与该研究;90名工人完成了至少一次可用的访谈。使用Cox比例风险模型评估功能受限与误工天数之间的关系。在受伤后3个月时,SF - 36身体功能、角色 - 身体和身体疼痛评分与总体人群规范存在显著差异。以一个标准差的变化量衡量,SF - 36身体成分汇总、身体功能和身体疼痛评分较低,以及HAQ残疾和疲劳评分较高的受试者出现了具有统计学意义的风险比。尽管复工率达91%,但相对轻微的工作场所受伤工人仍存在功能受限情况。

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本文引用的文献

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Chronic pain in the workplace.工作场所中的慢性疼痛。
Nurs Clin North Am. 2003 Sep;38(3):509-23. doi: 10.1016/s0029-6465(02)00099-3.
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The concerns and issues of injured workers in relation to claims/injury management and rehabilitation: the need for new operational frameworks.工伤员工在索赔/伤害管理及康复方面的担忧与问题:对新运营框架的需求。
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