Schoutens Antonius M C, Frings-Dresen Monique H W, Sluiter Judith K
Academic Medical Center, Department: Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
FluxPlus BV, Tilburg, The Netherlands.
BMC Public Health. 2016 Jul 19;16:597. doi: 10.1186/s12889-016-3276-6.
BACKGROUND: Work-related chronic stress is a common problem among workers. The core complaint is that the employee feels exhausted, which has an effect on the well-being and functioning of the employee, and an impact on the employer and society. The employee's absence is costly due to lost productivity and medical expenses. The usual form of care for work-related chronic stress is coaching, using a cognitive-behavioural approach whose primary aim is to reduce symptoms and improve functioning. Light therapy and pulsed electromagnetic field therapy are used for the treatment of several mental and physical disorders. The objective of this study is to determine whether coaching combined with light therapy plus pulsed electromagnetic field therapy is an effective treatment for reducing absenteeism, fatigue and stress, and improving quality of life compared to coaching alone. METHODS/DESIGN: The randomized placebo-controlled trial consists of three arms. The population consists of 90 participants with work-related chronic stress complaints. The research groups are: (i) intervention group; (ii) placebo group; and (iii) control group. Participants in the intervention group will be treated with light therapy/pulsed electromagnetic field therapy for 12 weeks, twice a week for 40 min, and coaching (once a fortnight for 50 min). The placebo group receives the same treatment but with the light and pulsed electromagnetic field switched to placebo settings. The control group receives only coaching for 12 weeks, a course of six sessions, once a fortnight for 50 min. The primary outcome is the level of return to work. Secondary outcomes are fatigue, stress and quality of life. Outcomes will be measured at baseline, 6 weeks, 12 and 24 weeks after start of treatment. DISCUSSION: This study will provide information about the effectiveness of coaching and light therapy plus pulsed electromagnetic field therapy on return to work, and secondly on fatigue, stress and quality of life in people with work-related chronic stress. TRIAL REGISTRATION: NTR4794 , registration date 18-sept-2014.
背景：工作相关的慢性压力是劳动者中常见的问题。核心诉求是员工感到疲惫不堪，这会影响员工的幸福感和工作效能，也会对雇主和社会产生影响。员工缺勤会因生产力损失和医疗费用而代价高昂。针对工作相关慢性压力的常规护理形式是辅导，采用认知行为方法，其主要目的是减轻症状并改善功能。光疗法和脉冲电磁场疗法用于治疗多种精神和身体疾病。本研究的目的是确定与单独辅导相比，辅导联合光疗法加脉冲电磁场疗法是否是减少缺勤、疲劳和压力以及改善生活质量的有效治疗方法。 方法/设计：这项随机安慰剂对照试验包括三个组。研究对象为90名有工作相关慢性压力主诉的参与者。研究组包括：（i）干预组；（ii）安慰剂组；（iii）对照组。干预组的参与者将接受12周的光疗法/脉冲电磁场疗法治疗，每周两次，每次40分钟，以及辅导（每两周一次，每次50分钟）。安慰剂组接受相同的治疗，但光和脉冲电磁场设置改为安慰剂设置。对照组仅接受12周的辅导，共六个疗程，每两周一次，每次50分钟。主要结局是重返工作岗位的水平。次要结局是疲劳、压力和生活质量。结局将在基线、治疗开始后6周、12周和24周进行测量。 讨论：本研究将提供关于辅导以及光疗法加脉冲电磁场疗法对重返工作岗位有效性的信息，其次是关于工作相关慢性压力患者的疲劳、压力和生活质量的信息。 试验注册：NTR4794，注册日期2014年9月18日。
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