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与工作相关的创伤性脑损伤:关于工人对工作、健康与安全培训、监督及伤害可预防性看法的简要报告。

Work-related traumatic brain injury: A brief report on workers perspective on job and health and safety training, supervision, and injury preventability.

作者信息

Sharma Bhanu, Nowrouzi-Kia Behdin, Mollayeva Tatyana, Kontos Pia, Grigorovich Alisa, Liss Gary, Gibson Brian, Mantis Steve, Lewko John, Colantonio Angela

机构信息

McMaster University, Hamilton, ON, Canada.

Laurentian University, Sudbury, ON, Canada.

出版信息

Work. 2019;62(2):319-325. doi: 10.3233/WOR-192866.

Abstract

BACKGROUND

Although work-related injuries are on the decline, rates of work-related traumatic brain injury (wrTBI) continue to rise. As even mild wrTBI can result in cognitive, behavioural, and functional impairments that can last for months and even years, injury prevention is a primary research focus. Administrative claims data have provided valuable insights into the mechanisms that cause wrTBI; however, data from the perspective of injured workers on wrTBI prevention is limited.

OBJECTIVE

Our study aimed to better understand the factors that precipitate wrTBI, as perceived by injured workers.

METHODS

We recruited 101 injured workers from a neurology services clinic with a province-wide catchment area in a large, urban teaching hospital and studied perceived preventability of these injuries from the injured workers' perspective.

RESULTS

Key findings were that nearly 80% of injuries were perceived as preventable, and nearly 25% and 50% of workers reported that they did not receive job and health and safety training, respectively. Less than half of all workers reported being regularly supervised, and of those who were supervised, approximately two-thirds reported that supervision was adequate. Moreover, 84% and 77% reported they were advised to rest and take time-off after the injury, respectively.

CONCLUSIONS

Our study is the first to show that the vast majority of injured workers consider their wrTBI to be preventable. In addition, we found that training and supervision are two areas that can be targeted by wrTBI prevention strategies. Our study provides valuable and unique perspectives to consider when designing wrTBI prevention initiatives.

摘要

背景

尽管与工作相关的伤害在减少,但与工作相关的创伤性脑损伤(wrTBI)的发生率仍在上升。即使是轻度的wrTBI也可能导致认知、行为和功能障碍,这些障碍可能持续数月甚至数年,因此伤害预防是主要的研究重点。行政索赔数据为导致wrTBI的机制提供了有价值的见解;然而,从受伤工人角度获取的关于wrTBI预防的数据有限。

目的

我们的研究旨在更好地了解受伤工人所认为的引发wrTBI的因素。

方法

我们从一家大型城市教学医院的神经内科服务诊所招募了101名受伤工人,该诊所的服务覆盖全省范围,并从受伤工人的角度研究了这些伤害的可预防性。

结果

主要发现是,近80%的伤害被认为是可预防的,近25%和50%的工人分别报告称他们未接受工作以及健康与安全培训。不到一半的工人报告称受到定期监督,在那些受到监督的工人中,约三分之二报告称监督是充分的。此外,分别有84%和77%的工人报告称受伤后有人建议他们休息并请假。

结论

我们的研究首次表明,绝大多数受伤工人认为他们的wrTBI是可预防的。此外,我们发现培训和监督是wrTBI预防策略可以针对的两个领域。我们的研究为设计wrTBI预防举措时提供了有价值且独特的视角以供参考。

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