Arthritis Research UK Primary Care Centre, Primary Care Sciences, Keele University, North Staffordshire, UK.
Curr Opin Support Palliat Care. 2011 Jun;5(2):131-6. doi: 10.1097/SPC.0b013e3283460b3a.
To consider whether pain is a barrier to work and if so how this can be overcome.
Recent findings demonstrate that in addition to absence, pain can lead to a significant loss of productivity. The reasons why employees take absence or attend work while ill are complex and include personal, social and moral pressures around absence, and personally and institutionally mediated presenteeism. Interventions have moved on from a purely biomedical or psychosocial focus towards integrated programmes supporting individuals in managing their pain in the workplace.
Pain is one of the leading causes of absenteeism and presenteeism with related costs for both employees and employers. Ongoing pain presents a number of physical, psychological and social obstacles to work, which may or may not be modifiable. A range of interventions has been tested in randomized trials with a recent move towards identifying and tackling musculoskeletal pain in the wider context as conceptualized by the flags framework. However, in order for any intervention to be successful in ensuring employees overcome pain as a barrier to work, there needs to be widespread change in behaviour with regard to occupational health in general and effective interventions need to be implemented in both workplace and healthcare settings.
目的综述：探讨疼痛是否会成为工作的障碍，如果是，应如何克服。
最新发现：最近的研究结果表明，疼痛除了会导致缺勤外，还会导致生产力的大量损失。员工缺勤或带病工作的原因很复杂，包括个人、社会和道德方面对缺勤的压力，以及个人和机构对出勤的影响。干预措施已经从单纯的生物医学或社会心理焦点转向了综合方案，以支持个人在工作场所管理自己的疼痛。
总结：疼痛是导致缺勤和在职病假的主要原因之一，给员工和雇主都带来了相关成本。持续的疼痛给工作带来了许多身体、心理和社会障碍，这些障碍可能是可以改变的，也可能是无法改变的。许多随机试验已经测试了一系列干预措施，最近的研究方向是根据旗帜框架的概念，在更广泛的背景下识别和解决肌肉骨骼疼痛问题。然而，为了确保任何干预措施都能成功地帮助员工克服疼痛这一工作障碍，需要在整个职业健康领域普遍改变行为，并且需要在工作场所和医疗保健环境中实施有效的干预措施。
