Cheng Joseph Chung-Keung, Li-Tsang Cecilia Wai-ping
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, People's Republic of China.
Work. 2005;25(4):315-23.
This study investigated the psycho-social factors among injured workers and the influence of their psycho-social profile on the readiness of return to work. Sixty-four subjects with injuries on the upper limbs or lower limbs, low back pain, or cumulative trauma disorder were recruited. The workers' profiles (self-perceived physical health, mental health, and work readiness) together with the impact and types of work injury on the workers' perceived wellness were measured. The regression model of work readiness was constructed to develop a theoretical background for predicting work readiness based on different factors. The results showed that injured workers with chronic injury such as low back pain or cumulative trauma had poorer self-perception of physical health and psycho-social/mental health compared to those with direct trauma. The regression analysis further affirmed that self-perceived pain and physical functioning were significant factors influencing the readiness for returning to work. Workers with low back pain were found to have lower motivation for returning to work. Other factors such as the non-verbal intelligence of the injured workers, their anxiety level, and the support they received from family members were found to have some indirect impact on their ability to return to work, but this was not statistically proven.
本研究调查了受伤工人的心理社会因素，以及他们的心理社会状况对重返工作岗位准备情况的影响。招募了64名上肢或下肢受伤、患有腰痛或累积性创伤障碍的受试者。测量了工人的状况（自我感知的身体健康、心理健康和工作准备情况）以及工伤对工人感知健康的影响和类型。构建了工作准备情况的回归模型，以基于不同因素为预测工作准备情况建立理论背景。结果表明，与直接创伤的工人相比，患有慢性损伤（如腰痛或累积性创伤）的受伤工人对身体健康和心理社会/心理健康的自我认知较差。回归分析进一步证实，自我感知的疼痛和身体功能是影响重返工作岗位准备情况的重要因素。发现患有腰痛的工人重返工作岗位的动力较低。还发现受伤工人的非语言智力、焦虑水平以及他们从家庭成员那里得到的支持等其他因素对他们重返工作的能力有一些间接影响，但这未得到统计学证明。
