Lazaridis Konstantinos, Jovanović Jovica, Jovanović Jovana, Šarac Ivana, Jovanović Stefan
a Aegean Medical Service - Thessaloniki , Greece.
b Medical Faculty of Niš , Serbia.
Int J Occup Saf Ergon. 2017 Jun;23(2):259-266. doi: 10.1080/10803548.2016.1179524. Epub 2016 Jun 2.
To determine which specific groups of occupational stress factors influence the duration of temporary work disability related to arterial hypertension and joint complications/co-morbidities.
Workers (n = 1398; 1009 in the exposed group, 389 in the control group) with arterial hypertension who worked at one workplace for a minimum of 10 years were divided into 10 subgroups, depending on the presence of joint complications/co-morbidities. The intensity of seven groups of occupational stress factors, the total score of Occupational Stress Index (OSI) and the average number of lost working days during 1 year were analysed.
The number of lost working days due to arterial hypertension and joint complications/co-morbidities was significantly higher in the exposed group. In all subgroups of the exposed group there was a high correlation between the number of lost working days and the total OSI score. Specific occupational stress factors were associated with specific complications: High Demands with chronic myocardial infarction, Strictness with cerebral haemorrhage, Conflict/Uncertainty with cerebral infarction, Extrinsic Time Pressure with acute myocardial infarction, and Avoidance/Symbolic Aversiveness with non-insulin-dependent diabetes.
There are specific groups of occupational stress factors which can influence the duration of work disability associated with certain complications and co-morbidities of arterial hypertension.
确定哪些特定的职业压力因素组会影响与动脉高血压及关节并发症/合并症相关的临时工作残疾持续时间。
将在一个工作场所工作至少10年的患有动脉高血压的工人（n = 1398；暴露组1009人，对照组389人）根据是否存在关节并发症/合并症分为10个亚组。分析了七组职业压力因素的强度、职业压力指数（OSI）总分以及1年内的平均误工天数。
暴露组因动脉高血压和关节并发症/合并症导致的误工天数显著更高。在暴露组的所有亚组中，误工天数与OSI总分之间存在高度相关性。特定的职业压力因素与特定并发症相关：高要求与慢性心肌梗死相关，严格与脑出血相关，冲突/不确定性与脑梗死相关，外在时间压力与急性心肌梗死相关，回避/象征性厌恶与非胰岛素依赖型糖尿病相关。
存在特定的职业压力因素组，它们会影响与动脉高血压的某些并发症和合并症相关的工作残疾持续时间。
