Division of Occupational Medicine, St. Michael's Hospital, Toronto, Ontario, Canada.
Dalla Lana School of Public Health and Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Occup Med (Lond). 2018 Sep 13;68(7):478-481. doi: 10.1093/occmed/kqy097.
Hand-arm vibration syndrome (HAVS) is a chronic occupational disease affecting workers exposed to hand-transmitted vibration. However, limited information exists on task-related disability experienced by workers with HAVS.
This study was conducted to characterize the impact of HAVS on task-related disability and daily life activities.
A retrospective chart review was undertaken of difficulty in carrying out activities reported by workers with HAVS who had been assessed in an Occupational Medicine clinic in 2015. Prior to their clinical assessment, the workers had been asked to complete an open-ended questionnaire regarding activities they were having difficulty performing in the domains of personal care, household activities and recreational activities or hobbies.
Data from 107 workers diagnosed with HAVS were obtained through the retrospective chart review. The activities most affected included: getting dressed (n = 72), lawn maintenance (n = 61), fishing (including ice fishing) (n = 56), snow removal (n = 36), washing the car (n = 26) and doing the dishes (n = 25).
These findings reported in an open-ended fashion by workers with HAVS provide a better understanding of the impact of HAVS on specific activities of daily living in comparison to highly structured questionnaires lacking any open-ended responses. Understanding the implications of HAVS on activities of daily living will contribute to the provision of patient-centred care, by enabling health care providers to effectively support HAVS patients, based on workers' actual experiences of functional limitations.
手臂振动病（HAVS）是一种影响接触手部传振的工人的慢性职业病。然而，关于患有 HAVS 的工人经历的与任务相关的残疾的信息有限。
本研究旨在描述 HAVS 对与任务相关的残疾和日常生活活动的影响。
对 2015 年在职业医学诊所接受评估的 HAVS 工人报告的活动相关残疾进行回顾性图表审查。在进行临床评估之前，工人被要求完成一份关于他们在个人护理、家务活动和娱乐活动或爱好领域难以完成的活动的开放式问卷。
通过回顾性图表审查获得了 107 名被诊断患有 HAVS 的工人的数据。受影响最大的活动包括：穿衣（n=72）、草坪维护（n=61）、钓鱼（包括冰钓）（n=56）、除雪（n=36）、洗车（n=26）和洗碗（n=25）。
与缺乏任何开放式回答的高度结构化问卷相比，HAVS 工人以开放式方式报告的这些发现提供了对 HAVS 对特定日常生活活动的影响的更好理解。了解 HAVS 对日常生活活动的影响将有助于提供以患者为中心的护理，使医疗保健提供者能够根据工人实际的功能限制体验，有效地为 HAVS 患者提供支持。
