Buck Rhiannon, Wynne-Jones Gwenllian, Varnava Alice, Main Chris J, Phillips Ceri J
Centre for Psychosocial and Disability Research, School of Psychology, Cardiff University.
Arthritis Research Campaign National Primary Care Centre, Primary Care Sciences, Keele University.
Rev Pain. 2009 Jun;3(1):6-10. doi: 10.1177/204946370900300103.
Pain has a significant impact on work in terms of presenteeism, sickness absence, and long-term incapacity for workA bio-psychosocial approach is required in understanding pain-related disability and incapacity for workLong-term absence from work is associated with a number of negative outcomes including; poverty, social exclusion and poorer physical and psychosocial well-beingReturn to work can improve recovery for people with musculoskeletal complaints and painInterventions to reduce the impact of pain on work can operate at clinical, worker, workplace, and wider systems levelsA broader whole systems approach to pain management needs to be adopted, with a greater focus on work retention as well as rehabilitation.
疼痛在出勤主义、病假缺勤和长期工作能力丧失方面对工作有重大影响。在理解与疼痛相关的残疾和工作能力丧失方面,需要采用生物心理社会方法。长期缺勤与许多负面结果相关,包括贫困、社会排斥以及较差的身体和心理社会幸福感。重返工作岗位可以改善肌肉骨骼疾病和疼痛患者的康复情况。减少疼痛对工作影响的干预措施可以在临床、工人、工作场所和更广泛的系统层面实施。需要采用更广泛的全系统疼痛管理方法,更加注重工作保留以及康复。