Geuskens Goedele A, Hazes Johanna M W, Barendregt Pieternella J, Burdorf Alex
Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Arthritis Rheum. 2008 Oct 15;59(10):1458-66. doi: 10.1002/art.24104.
To study the occurrence of sick leave and to identify work characteristics related to sick leave in patients with early inflammatory joint conditions.
Patients with inflammatory joint conditions present for <12 months were included in this cross-sectional study. Approximately 85% of patients satisfying the criteria participated. Data collection included demographics, clinical characteristics, pain, physical functioning and mental health (Short Form 36), fatigue, and behavioral coping (Coping of Rheumatic Stressors questionnaire). Work characteristics included physical load, psychosocial load, job control, and support at work. Outcome was defined as sick leave for >2 weeks during the past 6 months. Multiple logistic regression analysis was conducted.
Sick leave was reported by 54 (26%) of 210 employed patients, with 75% of the sick leave periods attributed to joint conditions. Of these 210 patients, 23% were classified as having rheumatoid arthritis (RA), 35% as having non-RA arthritis, and 42% as having inflammatory joint conditions without synovitis. Pain, poor physical functioning, and passive behavioral coping were related to increased sick leave, whereas diagnostic group was not. Low job control, i.e., low control over planning and pacing of activities within the job, was associated with increased sick leave (odds ratio [OR] 2.74), whereas being a supervisor (OR 0.21) and clerical work (OR 0.45) were related to reduced sick leave.
Substantial sick leave in the past 6 months was reported by 26% of patients with early inflammatory joint conditions. Pain, functional limitations, and fewer opportunities to determine one's work activities were associated with the occurrence of sick leave.
研究病假的发生情况，并确定早期炎性关节病患者中与病假相关的工作特征。
本横断面研究纳入了炎性关节病病程小于12个月的患者。约85%符合标准的患者参与了研究。数据收集包括人口统计学资料、临床特征、疼痛、身体功能和心理健康状况（简短健康调查问卷36项）、疲劳以及行为应对方式（风湿应激源应对问卷）。工作特征包括体力负荷、心理社会负荷、工作控制和工作支持。结局定义为过去6个月内病假超过2周。进行了多因素logistic回归分析。
210名就业患者中有54名（26%）报告了病假，其中75%的病假时长归因于关节疾病。在这210名患者中，被归类为类风湿关节炎（RA）的占23%，非RA关节炎的占35%，无滑膜炎的炎性关节病患者占42%。疼痛、身体功能差和消极的行为应对方式与病假增加有关，而诊断组与病假无关。低工作控制，即对工作中活动的计划和节奏控制不足，与病假增加相关（比值比[OR]为2.74），而担任主管（OR为0.21）和从事文职工作（OR为0.45）与病假减少有关。
26%的早期炎性关节病患者报告在过去6个月中有大量病假。疼痛、功能受限以及决定自己工作活动的机会较少与病假的发生有关。
