Lazarević Sanja Brekalo, Pranjić Nurka, Selmanović Senada, Grbović Mensur
Medicinski fakultet Univerziteta u Tuzli, Bosna i Hercegovina, Katedra za medicinu rada.
Med Pregl. 2011 Nov-Dec;64(11-12):545-51. doi: 10.2298/mpns1112545b.
Depression seriously affects one's ability to perform work tasks and function at work. We studied the impact of both the individual and work factors on work ability index in patients suffering from depression.
The prospective study, which was conducted by using questionnaires, included 210 patients with depression, who had been on sick leave from 60 to 360 days. The individual factors were evaluated by the standardized abridged form of Occupational Stress Questionnaire, while the work place factors in relation to work ability were evaluated by the work ability index.
Poor work ability was observed in 151 (71%) of subjects suffering from depression. All workplace stresses, lack of support by colleagues and supervisors, ergonomically not adjusted work and huge work load are statistically associated with poor work ability index (P=0.001). More than 95% of variables of the evaluated work ability index are the result of varying in the group of stresses at work place (R2=0.95). Perception of bad health condition (Rsq=0.412, P=0.001), low level of life satisfaction (Rsq=0.309, P=0.001), low level of motivation and work knowledge (Rsq=0.309, P=0.001) are predictors for poor work ability. The work ability cannot be related with age and sex.
The key activities for maintaining the work ability at the times when epidemic of depression emerges, as it is nowadays, are timely carrying out the psycho-treatments, mental and professional rehabilitation, occupational therapy and adapted work place.
抑郁症严重影响一个人执行工作任务的能力和工作表现。我们研究了个体因素和工作因素对抑郁症患者工作能力指数的影响。
本前瞻性研究采用问卷调查方式,纳入了210名抑郁症患者,他们已休病假60至360天。个体因素通过职业压力问卷的标准化简化版进行评估,而与工作能力相关的工作场所因素则通过工作能力指数进行评估。
在151名(71%)抑郁症患者中观察到工作能力较差。所有工作场所压力、同事和上级缺乏支持、工作环境未进行人体工程学调整以及工作负荷过大与较差的工作能力指数在统计学上相关(P = 0.001)。评估的工作能力指数中超过95%的变量是工作场所压力组变化的结果(R2 = 0.95)。对健康状况不佳的感知(Rsq = 0.412,P = 0.001)、生活满意度低(Rsq = 0.309,P = 0.001)、动力和工作知识水平低(Rsq = 0.309,P = 0.001)是工作能力差的预测因素。工作能力与年龄和性别无关。
在抑郁症流行的当下,保持工作能力的关键活动包括及时进行心理治疗、心理和职业康复、职业治疗以及调整工作场所。