患有纤维肌痛的工作女性和非工作女性的健康状况有哪些不同？一项关于工作状况和健康的横断面研究。
Which aspects of health differ between working and nonworking women with fibromyalgia? A cross-sectional study of work status and health.
机构信息
Department of Rheumatology and Inflammation Research, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
出版信息
BMC Public Health. 2012 Dec 14;12:1076. doi: 10.1186/1471-2458-12-1076.
BACKGROUND
Women with fibromyalgia (FM) describe great difficulties in managing work. Reported work ability in women with FM varies from 34 to 77 percent in studies from different countries. Many factors are suggested to affect the ability to work in women with FM, including pain, fatigue, impaired physical capacity and activity limitations. However, it is difficult to define to which extent symptom severity can be compatible with work. The aim of this study was to investigate which aspects of health differ between working women with FM and nonworking women with FM.
METHODS
A cross-sectional study of 129 women of working age with FM which included clinical assessment, structured interviews, questionnaires and performance-based tests. The women were categorized as working or nonworking. Aspects of health are presented according to the International Classification of Functioning, Disability and Health (ICF).
RESULTS
Working women with FM presented better health than nonworking women with FM in ratings of body function (FIQ pain p < 0.001, FIQ fatigue p = 0.006, FIQ stiffness p = 0.009, HADS-Depression p = 0.007). Ratings of overall health status were also significantly better in working women with FM than in nonworking women with FM (FIQ total, eight-item p = 0.001 and SF-36 PCS p < 0.001). No significant differences were found between working- and nonworking women in tests of physical capacity. FIQ pain was an independent explanatory factor for work in stepwise multiple logistic regression analysis (OR 0.95, CI 0.93- 0.98), p < 0.001.
CONCLUSION
Working women with FM reported better health than nonworking women with FM in terms of pain, fatigue, stiffness, depression, disease specific health status and physical aspects of quality of life, which represent body functions and overall health status. However, they were equally impaired in tests of physical capacity. Moderate pain levels were compatible with work, while severe pain appeared to compromise work. Fatigue was better tolerated, as women scoring severe levels of fatigue worked.
背景
患有纤维肌痛（FM）的女性在管理工作方面存在较大困难。不同国家的研究报告显示，患有 FM 的女性的工作能力为 34%至 77%不等。许多因素被认为会影响患有 FM 的女性的工作能力，包括疼痛、疲劳、身体能力受损和活动受限。然而，很难确定症状严重程度在多大程度上与工作相兼容。本研究旨在调查患有 FM 的在职女性与非在职女性之间健康状况的差异。
方法
对 129 名处于工作年龄的患有 FM 的女性进行了一项横断面研究，其中包括临床评估、结构化访谈、问卷调查和基于表现的测试。这些女性被分为在职和非在职。根据《国际功能、残疾和健康分类》（ICF）呈现健康状况的各个方面。
结果
与非在职的 FM 女性相比，在职的 FM 女性在身体功能方面的评分更好（FIQ 疼痛评分 p<0.001，FIQ 疲劳评分 p=0.006，FIQ 僵硬评分 p=0.009，HADS-Depression 评分 p=0.007）。在职的 FM 女性的整体健康状况评分也显著优于非在职的 FM 女性（FIQ 总分、八条目评分 p=0.001 和 SF-36 PCS 评分 p<0.001）。在职和非在职的 FM 女性在身体能力测试中没有发现显著差异。在逐步多元逻辑回归分析中，FIQ 疼痛是工作的独立解释因素（OR 0.95，CI 0.93-0.98），p<0.001。
结论
与非在职的 FM 女性相比，在职的 FM 女性在疼痛、疲劳、僵硬、抑郁、疾病特异性健康状况和身体方面的生活质量方面报告了更好的健康状况，这代表了身体功能和整体健康状况。然而，她们在身体能力测试中同样受损。中度疼痛水平与工作相兼容，而严重疼痛似乎会影响工作。疲劳的耐受性更好，因为评分严重的疲劳女性仍在工作。
Zotero 插件