Institute of Occupational Medicine and Industrial Hygiene, National Taiwan University School of Public Health, Taipei, Taiwan.
J Occup Rehabil. 2013 Mar;23(1):55-62. doi: 10.1007/s10926-012-9381-1.
This study aimed to investigate the impact of psychological symptoms on return to work (RTW) in workers after occupational injuries.
Our study candidates were injured workers who were hospitalized for 3 days or longer and received hospitalization benefits from the Labor Insurance. A self-reported questionnaire including Brief Symptom Rating Scale (BSRS-50) and RTW was sent to workers at 12 weeks after injury. At 1 year, all participants were contacted again to determine whether or not they had RTW.
A total of 2001 workers completed the questionnaire (response rate 45.5 %) at 12 weeks after injury, among them, 1,149 had returned to work. Among the 852 who were unable to return to work at 12 weeks after injury, 225 reportedly returned to work by 1 year. A proportional hazards regression indicated that after adjusting for all possible risk factors, higher scores in BSRS-50 and BSRS-5 at 12 weeks after injury were significant risk factors for not return to work (NRTW) at 1 year after injury. Other risk factors were gender, education level, length of hospitalization, affected physical appearance, and injury type. Among 10 psycho-physiological symptoms of BSRS-50, a proportional hazards regression indicated that high score in phobic-anxiety scale was a risk factor for NRTW.
After considering all other factors, psychological symptoms further predicted poorer probability of returning to work after occupational injury, and phobic-anxiety was the most significant symptom predicting poor RTW. Development of preventive measures among injured workers according to the risk factors identified in this study is warranted.
本研究旨在探讨心理症状对职业伤害后工人重返工作岗位（RTW）的影响。
我们的研究对象为因伤住院 3 天及以上并享受工伤保险住院待遇的受伤工人。在受伤后 12 周，向工人发送包括简明症状评定量表（BSRS-50）和 RTW 的自我报告问卷。1 年后，再次联系所有参与者，以确定他们是否重返工作岗位。
共有 2001 名工人在受伤后 12 周完成了问卷（应答率为 45.5%），其中 1149 人已重返工作岗位。在 12 周后无法重返工作岗位的 852 人中，有 225 人报告在 1 年内重返工作岗位。比例风险回归表明，在调整所有可能的风险因素后，BSRS-50 和 BSRS-5 在受伤后 12 周的评分较高是受伤 1 年后无法重返工作岗位（NRTW）的显著危险因素。其他风险因素包括性别、教育程度、住院时间、受伤外观和受伤类型。在 BSRS-50 的 10 种心理生理症状中，比例风险回归表明，恐惧症-焦虑量表评分较高是 NRTW 的危险因素。
在考虑所有其他因素后，心理症状进一步预测了职业伤害后重返工作岗位的可能性较低，而恐惧症-焦虑是预测 RTW 不良的最显著症状。根据本研究确定的风险因素，为受伤工人制定预防措施是必要的。
