Monash University, Accident Research Centre Building 70, Clayton Victoria, 3800, Australia.
J Rehabil Med. 2010 Feb;42(2):162-9. doi: 10.2340/16501977-0495.
To determine factors associated with return to work following acute non-life-threatening orthopaedic trauma.
Prospective cohort study.
One hundred and sixty-eight participants were recruited and followed for 6 months. The study achieved 89% participant follow-up.
Baseline data were obtained by survey and medical record review. Participants were further surveyed at 2 weeks, 3 and 6 months post-injury. Logistic regression was used to examine the association between potential predictors and first return to work by these 3 time-points.
Sixty-eight percent of participants returned to work within 6 months. Those who sustained isolated upper extremity injuries were more likely to return to work early. Significant positive determinants of return to work included a strong belief in recovery, the presence of an isolated injury, education to university level and self-employment. Determinants associated with non-return to work included the receipt of compensation, older age, pain attitudes and blue-collar work. The primary reason given for return to work was financial security.
Demographic, injury, occupation and psychosocial factors were significant predictors of return to work. The relative importance of factors at different time-points suggests that return to work is a multifactorial process that involves the complex interaction of many factors in a time-dependent manner.
确定与急性非危及生命的骨科创伤后重返工作岗位相关的因素。
前瞻性队列研究。
招募了 168 名参与者，并进行了 6 个月的随访。研究实现了 89%的参与者随访。
通过问卷调查和病历回顾获得基线数据。在受伤后 2 周、3 个月和 6 个月时进一步对参与者进行调查。使用逻辑回归分析潜在预测因素与这 3 个时间点首次重返工作岗位之间的关系。
68%的参与者在 6 个月内重返工作岗位。那些仅上肢受伤的人更早重返工作岗位的可能性更大。重返工作的显著积极决定因素包括对康复的强烈信念、孤立性损伤的存在、受过大学教育和自营职业。与未重返工作相关的决定因素包括获得赔偿、年龄较大、疼痛态度和蓝领工作。重返工作的主要原因是经济保障。
人口统计学、损伤、职业和社会心理因素是重返工作的重要预测因素。不同时间点因素的相对重要性表明，重返工作是一个多因素的过程，涉及许多因素以时间依赖的方式复杂相互作用。
