Department of Psychology, Maynooth University, Co Kildare, Ireland.
Department of Psychology, Anglia Ruskin University, Cambridge, UK.
J Occup Rehabil. 2018 Sep;28(3):559-567. doi: 10.1007/s10926-017-9748-4.
Purpose To assess self-reported work impacts and associations between psychosocial risk factors and work impairment amongst workers seeking care for musculoskeletal pain while continuing to work. Methods Patients were recruited from Musculoskeletal Assessment Clinics at 5 hospitals across Ireland. Participants completed questionnaires including assessments of work impairment (Work Productivity and Activity Impairment Questionnaire), work ability (single item from the Work Ability Index) and work performance (Work Role Functioning Questionnaire; WRFQ). Logistic and hierarchical regressions were conducted to analyse the relation between psychosocial variables and work outcomes. Results 155 participants (53.5% female; mean age = 46.50 years) who were working at the time of assessment completed the questionnaires. Absenteeism was low, yet 62.6% were classified as functioning poorly according to the WRFQ; 52.3% reported having poor work ability. Logistic regression analyses indicated that higher work role functioning was associated with higher pain self-efficacy (OR 1.51); better work ability was associated with older age (OR 1.063) and lower functional restriction (OR 0.93); greater absenteeism was associated with lower pain self-efficacy (OR 0.65) and poorer work expectancy (OR 1.18). Multiple regression analysis indicated that greater presenteeism was associated with higher pain intensity (β = 0.259) and lower pain self-efficacy (β = - 0.385). Conclusions While individuals continue to work with musculoskeletal pain, their work performance can be adversely affected. Interventions that target mutable factors, such as pain self-efficacy, may help reduce the likelihood of work impairment.
评估在继续工作的同时，因肌肉骨骼疼痛而寻求治疗的劳动者的自我报告的工作影响以及心理社会风险因素与工作障碍之间的关联。
参与者从爱尔兰 5 家医院的肌肉骨骼评估诊所招募。患者完成了调查问卷，包括工作障碍评估（工作产品和活动障碍问卷）、工作能力（工作能力指数的单一项目）和工作绩效（工作角色功能问卷；WRFQ）。进行逻辑回归和层次回归分析，以分析心理社会变量与工作结果之间的关系。
155 名参与者（53.5%为女性；平均年龄为 46.50 岁）在评估时正在工作，完成了问卷。缺勤率较低，但根据 WRFQ，62.6%的人被归类为功能障碍较差；52.3%的人报告工作能力较差。逻辑回归分析表明，较高的工作角色功能与较高的疼痛自我效能（OR 1.51）相关；更好的工作能力与年龄较大（OR 1.063）和较低的功能限制（OR 0.93）相关；更高的缺勤率与较低的疼痛自我效能（OR 0.65）和较差的工作预期（OR 1.18）相关。多元回归分析表明，较高的现患率与较高的疼痛强度（β=0.259）和较低的疼痛自我效能（β=-0.385）相关。
虽然个人继续因肌肉骨骼疼痛而工作，但他们的工作表现可能会受到不利影响。针对可改变因素（如疼痛自我效能）的干预措施可能有助于减少工作障碍的可能性。
