Mansouri Parvin, Valirad Fateme, Attarchi Mirsaeed, Mohammadi Saber, Hatami Shiva, Mircheraghi Seyed Farzin, Rahbar Mohammadreza, Chalangari Reza
Skin and Stem Cell Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Dept of Internal Medicine, School of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
Iran J Public Health. 2015 Nov;44(11):1506-13.
The aim of this study was to assess the prevalence of absenteeism in patients with psoriasis and determine the factors influencing the incidence of absenteeism in these patients.
A cross-sectional study from December 2012 to November of 2013 was conducted on 192 psoriasis patients referred to the Dermatology Clinic of Imam Khomeini Hospital, Tehran, Iran. The number day of absence from work due to psoriasis in the last year was asked from the patients; the absence of 7 days has been considered as short-term and more than 7 days as long-term. Logistic regression was used to data analysis.
Sickness absence in 21.4% of patients was positive. The average numbers of days of absence were 10.25 and the duration of absence from work in 48.7% were long-term ≥7 days. 51.3% had short-term absence (<7 days). Among disease factors: moderate to severe disease (SAPASI score >10), palms and soles involvement, joint problems and radiation therapy and among job factors: hazardous physical and chemical exposures in the workplace, non-office work, disability, exacerbations of disease on work days and problem on employment were associated with high incidence of sickness absence.
Psoriasis with its chronic and recurrent nature especially in higher severities causes disabilities that deeply affect Work performance and can decrease the efficiency. In better management of psoriasis patients, physicians should pay special attention to occupational factors.
本研究旨在评估银屑病患者旷工的患病率，并确定影响这些患者旷工发生率的因素。
于2012年12月至2013年11月对转诊至伊朗德黑兰伊玛目霍梅尼医院皮肤科诊所的192例银屑病患者进行了一项横断面研究。询问患者去年因银屑病缺勤的天数；缺勤7天被视为短期，超过7天为长期。采用逻辑回归进行数据分析。
21.4%的患者存在病假缺勤情况。平均缺勤天数为10.25天，48.7%的患者工作缺勤持续时间为长期（≥7天）。51.3%的患者为短期缺勤（<7天）。在疾病因素中：中度至重度疾病（SAPASI评分>10）、掌跖受累、关节问题和放射治疗；在工作因素中：工作场所的有害物理和化学暴露、非办公室工作、残疾、工作日疾病加重以及就业问题与高病假缺勤发生率相关。
银屑病具有慢性和复发性，尤其是在病情较重时会导致残疾，严重影响工作表现并降低效率。在更好地管理银屑病患者时，医生应特别关注职业因素。
