Bugajska Joanna, Makowiec-Dabrowska Teresa, Wagrowska-Koski Ewa
Zakład Ergonomii, Centralny Instytut Ochrony Pracy - Państwowy Instytut Badawczy, Warszawa.
Med Pr. 2010;61(1):55-63.
An aging society is one of the most important demographic, social and economic challenges facing the contemporary world. Human capacity to perform work changes with age, which is mostly caused by the decrease in physical capacity, physical fitness and in some elements of psychophysical fitness (e.g., perceptibility, reaction time, efficiency of sense organs). Moreover, the incidence of disorders of the circulatory, respiratory, and musculoskeletal systems as well as of hormonal and metabolism disorders is higher in older persons. On the other hand, the requirements posed by professional work, as long as no change of post takes place, most often remain the same irrespective of age. As a result, the actual workload may increase with age. Although work ability decreases with age, the demographic and economic contexts point to the necessity to prolong occupational activity. It is justifiable to encourage an increasing number of elderly workers to remain in employment but only if the measures are being taken to maintain their work ability during the entire occupational activity period and to advance their qualifications. These measures must be accompanied by activities targeted at the modification of tasks, work stands, time and rhythm of work, so as to adapt them to the changing worker's capacities. Numerous activities are being systematically implemented in enterprises and the process is called "age management". The article describes the main assumptions of this new approach and the role of occupational physicians in the whole process.
老龄化社会是当代世界面临的最重要的人口、社会和经济挑战之一。人类的工作能力会随着年龄的增长而变化,这主要是由身体机能、身体素质以及某些身心素质要素(如感知能力、反应时间、感觉器官效率)的下降所导致的。此外,老年人循环系统、呼吸系统、肌肉骨骼系统疾病以及激素和代谢紊乱的发病率更高。另一方面,只要工作岗位不变,职业工作的要求通常不会因年龄而改变。因此,实际工作量可能会随着年龄的增长而增加。虽然工作能力会随着年龄的增长而下降,但从人口和经济背景来看,延长职业活动时间是必要的。鼓励越来越多的老年工人继续就业是合理的,但前提是要采取措施在整个职业活动期间保持他们的工作能力并提升他们的资质。这些措施必须辅之以针对任务、工作岗位、工作时间和工作节奏进行调整的活动,以便使其适应工人不断变化的能力。企业正在系统地开展众多此类活动,这一过程被称为“年龄管理”。本文描述了这种新方法的主要假设以及职业医生在整个过程中的作用。