与古巴哈瓦那因公受伤的美国外交官重返工作岗位相关的临床和心理因素。
Clinical and Psychological Factors Associated With Return to Work Among United States Diplomats Who Sustained a Work-Related Injury While on Assignment in Havana, Cuba.
机构信息
Division of Occupational Medicine, Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine; Center of Excellence in Environmental Toxicology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; Leonard Davis Institute of Health Economics, Philadelphia, Pennsylvania (Dr Green-McKenzie); Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine (Dr Shofer); SHARP Rees-Stealy Medical Group, San Diego, California (Dr Matthei);University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (Dr Matthei); Department of Physical Medicine and Rehabilitation, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (Dr Biester); Rehabilitation Medicine Service, Corporal Michael Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania (Dr Biester); The Center or Emotional Health of Greater Philadelphia, Philadelphia, Pennsylvania (Dr Deibler).
出版信息
J Occup Environ Med. 2022 Mar 1;64(3):212-217. doi: 10.1097/JOM.0000000000002450.
OBJECTIVE
To determine factors associated with return to work in US diplomats injured during a work assignment in Cuba.
METHODS
In this case series work ability was determined at each visit. Questionnaires used included the Symptom Score Questionnaire, Beck Anxiety Inventory, Beck Depression Inventory, Quality-of-Life Inventory, and Patient Health Questionnaire.
RESULTS
Of the 45 employees referred to Occupational Medicine, the mean age was 42.5 years, 60% were men, 68% were never out of work, 22% were out of work for some period, and 15% remain out of work. Vestibular, cognitive, hearing, sleep, and visual symptoms, and a higher initial symptom score were significantly associated with work inability while psychiatric symptoms were not.
CONCLUSIONS
This exposure resulted in prolonged illness with cognitive impairment and other clinical manifestations associated with work inability.
目的
确定与在美国驻古巴外交人员在执行公务期间受伤后重返工作岗位相关的因素。
方法
本病例系列研究在每次就诊时均确定工作能力。使用的问卷包括症状评分问卷、贝克焦虑量表、贝克抑郁量表、生活质量量表和患者健康问卷。
结果
在被转介至职业医学的 45 名员工中，平均年龄为 42.5 岁，60%为男性，68%从未缺勤，22%曾有一段时间缺勤，15%仍缺勤。前庭、认知、听力、睡眠和视觉症状以及较高的初始症状评分与工作能力丧失显著相关，而精神症状则没有。
结论
这种暴露导致认知障碍和其他与工作能力丧失相关的临床表现的疾病迁延不愈。
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