Kakutani Chieko, Ogino Satoshi, Ikeda Hiroki, Enomoto Tadao
School of Allied Health Sciences, Faculty of Medicine, Osaka University.
Arerugi. 2005 Jul;54(7):627-35.
Allergic rhinitis can interfere with cognitive function, can impair work productivity, and may cause work absences. In this study, we evaluated the impact of Japanese cedar pollinosis (JCP) on work productivity.
The study was conducted between February 24 and March 8, 2003 (peak pollen season), and 512 workers with JCP were enrolled. Study outcomes included self-reported work productivity (absenteeism and presenteeism) and quality of life (the Medical Outcomes Study Short Form-36).
Most patients (91%) did not lose their work time due to JCP during the past 7 days. Approximately half of patients reported a 25% reduction in productivity compared with non pollination season. In multiple logistic regression analysis, the following factors were selected as independent risk factors for lost work time: duration of disease (adjusted odds ratio (aOR) = 0.658) and itching eyes (aOR = 1.552). Likewise, SF-36 PCS (aOR = 0.946), MCS (aOR = 0.927) and using pollinosis relief products (aOR = 2.020) were predictors of lost productivity.
This study shows that we should pay more attention to ocular symptoms as well as nasal symptoms and improve patients' quality of life as soon as possible in order to reduce productivity losses.
过敏性鼻炎会干扰认知功能，损害工作效率，并可能导致缺勤。在本研究中，我们评估了日本雪松花粉症（JCP）对工作效率的影响。
该研究于2003年2月24日至3月8日（花粉高峰期）进行，招募了512名患有JCP的工人。研究结果包括自我报告的工作效率（旷工和出勤不出力）和生活质量（医学结局研究简表-36）。
在过去7天里，大多数患者（91%）没有因JCP而损失工作时间。约一半的患者报告称，与非授粉季节相比，工作效率降低了25%。在多因素逻辑回归分析中，以下因素被选为工作时间损失的独立危险因素：病程（调整比值比[aOR]=0.658）和眼睛瘙痒（aOR=1.552）。同样，SF-36生理健康综合评分（aOR=0.946）、心理健康综合评分（aOR=0.927）和使用花粉症缓解产品（aOR=2.020）是工作效率损失的预测因素。
本研究表明，我们应更加关注眼部症状以及鼻部症状，并尽快改善患者的生活质量，以减少工作效率损失。
