Elabd Kossay, Alkhenizan Abdullah, Aldughaither Abdullah
Family Medicine, King Faisal Specialist Hospital & Research Centre, Riyadh, SAU.
Family Medicine and Polyclinics, King Faisal Specialist Hospital & Research Centre-Alfaisal University, Riyadh, SAU.
Cureus. 2020 Nov 18;12(11):e11543. doi: 10.7759/cureus.11543.
Background Frequent sick leaves in any healthcare organization is a critical problem that can undermine the patients' care through increasing the workload on other co-workers and costing the organization a lot of money. Methods This is a quantitative cross-sectional study looking at the frequency of sick leaves among employees of a large, tertiary healthcare facility in Riyadh. We randomly selected 474 employees, who were seen in family medicine clinics during a one-year period. We collected all the data retrospectively from their electronic medical records. Then we reviewed and analyzed all the data using SPSS software version 26.0 (IBM Corp., Armonk, NY). Results There was no difference in the sick leaves rate between males and females (p-value = 0.8618), but we saw a higher rate among younger employees (40 years old or less) compared to those 41 years or older (p-value <0.0001). We also investigated those who took four sick leaves or more during the period of the study, and we found that majority of them were nursing staff (31.71%), hospital assistances (24.39%) and housekeepers (14.63%). The commonest cause for taking sick leave in our study was viral upper respiratory tract infection (VURTI). Therefore, we studied the effect of influenza vaccine on the frequency of sick leaves and we found that those who took the vaccine were less likely to take a leave because of flu (p-value <0.0001, odds ratio 0.4067 with 95% CI: 0.2739-0.608). Conclusion Younger employees, nurses, hospital assistants and housekeepers are more likely to take sick leaves. Flu is the leading cause of sick leaves and influenza vaccine seemed to reduce its rate. In this study, we also discussed different methods that can be used by any healthcare organization to reduce the absence rate. Further studies are required to better manage the issue of excessive sick leaves.
背景 在任何医疗保健机构中，频繁的病假都是一个关键问题，它会增加其他同事的工作量，给机构造成巨大经济损失，进而破坏患者护理。方法 这是一项定量横断面研究，旨在调查利雅得一家大型三级医疗保健机构员工的病假频率。我们随机选取了474名员工，他们在一年时间里曾在家庭医学诊所就诊。我们从他们的电子病历中回顾性收集了所有数据。然后，我们使用SPSS 26.0软件（IBM公司，纽约州阿蒙克）对所有数据进行了审查和分析。结果 男性和女性的病假率没有差异（p值 = 0.8618），但我们发现40岁及以下的年轻员工病假率高于41岁及以上的员工（p值 < 0.0001）。我们还调查了在研究期间请了四次及以上病假的员工，发现其中大多数是护理人员（31.71%）、医院助理（24.39%）和勤杂工（14.63%）。在我们的研究中，请病假最常见的原因是病毒性上呼吸道感染（VURTI）。因此，我们研究了流感疫苗对病假频率的影响，发现接种疫苗的人因流感请假的可能性较小（p值 < 0.0001，优势比为0.4067，95%置信区间：0.2739 - 0.608）。结论 年轻员工、护士、医院助理和勤杂工更容易请病假。流感是请病假的主要原因，流感疫苗似乎可以降低病假率。在本研究中，我们还讨论了任何医疗保健机构都可采用的不同方法来降低缺勤率。还需要进一步研究以更好地管理过多病假的问题。
