Maoua Maher, Maalel Olfa El, Kacem Imène, Guedri Sana, Ben Kacem Maha, Aissa Sana, Ghammem Monia, Brahem Aicha, Kalboussi Houda, Debbabi Faten, Chatti Souhaiel, Mrizak Néjib
Department of Occupational Medicine - Teaching Hospital Farhat Hached, Avenue Ibn El Jazzar, Sousse, 4000, Tunisia.
University of Sousse, Faculty Of Medicine Ibn El Jazzar, Avenue Mohamed Karoui, 4002, Sousse, Tunisia.
Tanaffos. 2019 Jan;18(1):58-65.
Several studies demonstrated the negative impact of allergic rhinitis on Quality of Life (QOL) and occupational activities. Similar studies on allergic Occupational Rhinitis (OR) are rare. The aim of this study was to evaluate the QOL and work productivity of patients diagnosed with allergic occupational rhinitis.
We conducted a cross-sectional study from January 2005 to December 2015 at the Department of Occupational Medicine in Farhat Hached Teaching Hospital-Tunisia including patients diagnosed with allergic OR. QOL was assessed by the Mini-RQLQ (Rhinitis quality of life questionnaire) and Work impairment was measured by WPAI (Work Productivity and Activity Impairment) questionnaire.
a total of 414 patients was enrolled in the study with a mean age of 37.82±8.08 years and a sex ratio = 0.33. Textile and clothing industry was the most represented sector (65.7%). The mean percent work time missed (absenteeism) due to allergic OR was 9.98±20.86% with a median of 0% and the mean presenteeism score was 46.7±32.67%. Overall QOL was 2.71±1.31. The most affected domains were practical problems and activity limitations. Absenteeism was positively correlated with age and eye symptoms scores. Both presenteeism and percent overall activity impairment were positively correlated with severe nasal obstruction and activity limitations score.
Allergic OR impairs QOL and work productivity. Although it doesn't seem to be associated with an important absenteeism, work productivity is reduced by an important rate of presenteeism. QOL and work productivity seem to interact significantly.
多项研究表明变应性鼻炎对生活质量（QOL）和职业活动有负面影响。关于变应性职业性鼻炎（OR）的类似研究较少。本研究的目的是评估诊断为变应性职业性鼻炎患者的生活质量和工作效率。
2005年1月至2015年12月，我们在突尼斯法哈特·哈谢德教学医院职业医学科进行了一项横断面研究，纳入诊断为变应性OR的患者。生活质量通过小型RQLQ（鼻炎生活质量问卷）进行评估，工作障碍通过WPAI（工作效率和活动障碍）问卷进行测量。
本研究共纳入414例患者，平均年龄为37.82±8.08岁，性别比为0.33。纺织和服装行业是最具代表性的行业（65.7%）。因变应性OR导致的平均工作时间缺勤率为9.98±20.86%，中位数为0%，平均出勤主义得分是46.7±32.67%。总体生活质量为2.71±1.31。受影响最大的领域是实际问题和活动受限。缺勤率与年龄和眼部症状评分呈正相关。出勤主义和总体活动受限百分比均与严重鼻塞和活动受限评分呈正相关。
变应性OR损害生活质量和工作效率。虽然它似乎与重要的缺勤率无关，但工作效率因较高的出勤主义率而降低。生活质量和工作效率似乎有显著的相互作用。
