Bourbonnais R, Vinet A, Meyer F, Goldberg M
Groupe Interdisciplinaire de Recherche sur l'Organisation, la Santé et la Sécurité du Travail, Laval University, Québec, Canada.
J Occup Med. 1992 Jan;34(1):69-74.
A case-referent study assessed the association of medically certified sick leave from work with some occupational characteristics: hospital, care unit, and two work-load indices (patients' average length-of-stay, and nurse-patient ratio). Study participants were nurses from seven general hospitals in Quebec City, who had been employed for at least 6 months at the time of study. Cases (n = 1165) experienced at least one episode of medically certified sick leave between January 1, 1984 and May 31, 1987. Referents (n = 1165) were chosen from subjects who had no such leave and were matched to cases on the basis of dates on which sick leave occurred. Occupational data were collected from employment records and administrative files. Analysis was conducted using multiple logistic regression. Statistically significant associations were found between sick leave and one hospital, two care units, and nurse-patient ratio among head nurses. These odds ratios were independent of length of service in the hospital or in the actual job assignment. The study supports the pertinence of using certified sick leave as a nonspecific indicator of health outcomes.
医院、护理单元以及两个工作量指标（患者平均住院时长和护患比）。研究参与者为魁北克市七家综合医院的护士，在研究时已受雇至少6个月。病例组（n = 1165）在1984年1月1日至1987年5月31日期间经历了至少一次医学认证的病假。对照组（n = 1165）选自没有此类病假的受试者，并根据病假发生日期与病例组进行匹配。职业数据从就业记录和行政档案中收集。使用多元逻辑回归进行分析。发现病假与一家医院、两个护理单元以及护士长的护患比之间存在统计学上的显著关联。这些比值比与在医院的服务年限或实际工作任务无关。该研究支持将认证病假用作健康结果非特异性指标的相关性。
