School of Public Health/Fudan-Liberty Mutual SafeWork Center/WHO Collaborating Center for Occupational Health, Fudan University, P.O. Box 288, No. 130, Dong'an Road, 200032, Shanghai, People's Republic of China.
J Occup Rehabil. 2010 Sep;20(3):378-86. doi: 10.1007/s10926-010-9232-x.
The promotion of return to work (RTW) following occupational injury benefits injured workers, their families, enterprises and the society. The identification of the potential determinants would be helpful in improving RTW rate and minimizing the duration of absenteeism following injury.
The aim of the study was to identify the potential determinants of RTW following work-related injury.
A historical cohort of workers with occupational injury in a state-owned locomotive vehicles company in central China was followed up on the outcomes of RTW. Demographic, employment and medical information was retrieved from the company archival documents; and post-injury information was interviewed by structured questionnaires. Univariate analysis and Cox Regression Model were used to examine the associations between potential determinants and outcomes of RTW.
Three hundred of the 323 cases (92.9%) eventually returned to work after the median absence of 43 days. Factors from socio-demographic, clinical, economic, and psychological domains affected RTW in the univariate analyses. The multivariate analysis indicated that age, injury severity, injury locus, injury nature, pain in the injury locus, self-report health status and pre-injury monthly salary were significant determinants of RTW.
There were multidimensional factors affecting RTW after occupational injury. Proper clinical treatment and rehabilitation, as well as economic and social support to facilitate workers' RTW would be the priorities upon intervention. Future studies should be conducted in larger representative samples to confirm the findings and to develop a multidisciplinary intervention strategy towards promoting RTW.
促进职业伤害福利后的工人重返工作岗位（RTW），有利于他们的家庭、企业和社会。确定潜在的决定因素将有助于提高 RTW 率，并最大限度地减少受伤后的缺勤时间。
本研究旨在确定职业伤害后 RTW 的潜在决定因素。
对中国中部一家国有机车车辆公司职业伤害的工人进行了历史性队列研究，以了解 RTW 的结果。从公司档案文件中检索人口统计学、就业和医疗信息；并通过结构化问卷对受伤后的信息进行访谈。使用单变量分析和 Cox 回归模型来检查潜在决定因素与 RTW 结果之间的关联。
323 例病例中有 300 例（92.9%）在中位数缺勤 43 天后最终重返工作岗位。社会人口统计学、临床、经济和心理领域的因素在单变量分析中影响 RTW。多变量分析表明，年龄、伤害严重程度、伤害部位、伤害性质、受伤部位疼痛、自我报告的健康状况和受伤前的月薪是 RTW 的重要决定因素。
影响职业伤害后 RTW 的因素有多个维度。适当的临床治疗和康复，以及为促进工人 RTW 提供经济和社会支持将是干预的重点。未来的研究应在更大的代表性样本中进行，以确认这些发现，并制定促进 RTW 的多学科干预策略。
