Institute of Occupational Medicine and Industrial Hygiene, National Taiwan University School of Public Health, Taipei, Taiwan.
National Institute of Environmental Health Science, National Health Research Institutes, Zhunan, Taiwan.
Qual Life Res. 2018 Mar;27(3):609-618. doi: 10.1007/s11136-017-1772-5. Epub 2017 Dec 29.
Occupational injuries have considerable impact on workers' lives. However, data regarding workers' health-related quality of life (HRQOL) at several years after the injury are lacking. This study assessed workers' HRQOL at 6 years after occupational injury and determined related factors in each HRQOL domain.
Workers who sustained an occupational injury in 2009 and who responded to a previous survey at 3 or 12 months after their injury were followed up in 2015. A total of 1715 participants were candidates for this study. The Taiwanese version of the World Health Organization Quality of Life scale-abbreviated version (WHOQOL-BREF) was used to assess their HRQOL. Multiple linear regression analysis identified predictive factors for HRQOL at 6 years after occupational injury.
A total of 563 workers completed the questionnaire (response rate, 32.8%). Adverse life events and additional severe occupational injuries that occurred within the follow-up period, and decreased salary after the injury were significant factors for low scores in all domains of the WHOQOL-BREF. In addition, unmarried participants had low scores in the social relationship domain. Workers with family members requiring care scored low in the physical and environment domains. Workers whose injuries had major effects on their physical appearance had low scores in the physical and psychological domains. Workers with unstable employment had low scores in physical, psychological, and environment domains.
At 6 years after occupational injury, workers' HRQOL was poor among those whose salaries decreased after the injury, after adjustment for other factors.
职业伤害对工人的生活有重大影响。然而，关于受伤后数年工人健康相关生活质量（HRQOL）的数据却很缺乏。本研究评估了职业伤害后 6 年工人的 HRQOL，并确定了每个 HRQOL 领域的相关因素。
2009 年发生职业伤害且在受伤后 3 或 12 个月时对之前的调查有回应的工人在 2015 年接受随访。共有 1715 名参与者符合这项研究的条件。使用世界卫生组织生活质量量表简表（WHOQOL-BREF）的台湾版本评估他们的 HRQOL。多元线性回归分析确定了职业伤害后 6 年 HRQOL 的预测因素。
共有 563 名工人完成了问卷（应答率为 32.8%）。在随访期间发生的不良生活事件和其他严重职业伤害以及受伤后工资下降是所有 WHOQOL-BREF 领域评分较低的显著因素。此外，未婚参与者的社会关系领域评分较低。有需要照顾的家庭成员的工人在身体和环境领域的评分较低。受伤对其外貌有重大影响的工人在身体和心理领域的评分较低。就业不稳定的工人在身体、心理和环境领域的评分较低。
在职业伤害后 6 年，与其他因素调整后相比，受伤后工资下降的工人的 HRQOL 较差。
