Nemarnik Renata Ecimović, Macan Jelena
Health Centre Zagreb-West, Zagreb, Croatia.
Institute for Medical Research and Occupational Health, Zagreb, Croatia.
Arh Hig Rada Toksikol. 2018 Sep 1;69(3):220-225. doi: 10.2478/aiht-2018-69-3132.
Occupational diseases (ODs) often have a chronic, progressive course, resulting in reduced work capacity and quality of life, prolonged sick leaves, unemployment, early retirements, and disability claims. The aim of this retrospective study was to see how diagnosed ODs affected the employment of 95 Croatian workers between 2005 and 2014. To do that, we reviewed archived data and made a telephone survey. The lowest age at which an OD was diagnosed was 20 years in women and 22 in men, while the shortest duration of work before OD diagnosis was one year for both genders. The most common ODs were overuse syndromes on the arms, carpal tunnel syndrome in particular, diagnosed mostly in textile and office workers. Of the 95 participants, 12 lost their jobs since the OD diagnosis, 46 retired, and 37 continued to work. Significantly more participants became unemployed after OD diagnosis in the period 2010-2014 than 2005-2009 (9 out of 43, 21 %, vs. 3 out of 52, 6 %, P<0.05). Only five participants were included in an occupational rehabilitation programme. Our findings warn against the deterioration in care for workers diagnosed with OD in Croatia.
职业病往往病程呈慢性、进行性,会导致工作能力和生活质量下降、病假延长、失业、提前退休以及残疾索赔。这项回顾性研究的目的是了解2005年至2014年间确诊的职业病对95名克罗地亚工人就业情况的影响。为此,我们查阅了存档数据并进行了电话调查。确诊职业病的最低年龄女性为20岁,男性为22岁,而确诊职业病之前最短工作时长男女均为一年。最常见的职业病是手臂过度使用综合征,尤其是腕管综合征,大多在纺织工人和办公室职员中确诊。在95名参与者中,12人自确诊职业病后失去了工作,46人退休,37人继续工作。2010 - 2014年期间确诊职业病后失业的参与者明显多于2005 - 2009年期间(43人中有9人,21%,对比52人中有3人,6%,P<0.05)。只有五名参与者参加了职业康复计划。我们的研究结果警示克罗地亚对确诊职业病工人的护理情况有所恶化。