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心率变异性测量和简明韧性量表对工作能力和活力的预测价值。

Predictive value of Heart Rate Variability measurements and the Brief Resilience Scale for workability and vitality.

机构信息

Research Group Smart Health, Saxion University of Applied Sciences, Enschede, The Netherlands.

Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

出版信息

Work. 2023;76(3):1007-1017. doi: 10.3233/WOR-220366.

DOI:10.3233/WOR-220366
PMID:37154192
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10657665/
Abstract

BACKGROUND

Sustainable employability is increasingly important with current socio-economic challenges. Screening for resilience could contribute to early detection of either a risk, or a protector for sustainable employability, the latter being operationalized as workability and vitality.

OBJECTIVE

To study the predictive value of Heart Rate Variability (HRV) measurements and the Brief Resilience Scale (BRS) for worker self-reported workability and vitality after 2-4 years.

METHODS

Prospective observational cohort study with mean follow-up period of 38 months. 1,624 workers (18-65 years old) in moderate and large companies participated. Resilience was measured by HRV (one-minute paced deep breathing protocol) and the BRS at baseline. Workability Index (WAI), and the Vitality dimension of the Utrecht Work Engagement Scale-9 (UWES-9-vitality) were the outcome measures. Backward stepwise multiple regression analysis (p < 0.05) was performed to evaluate the predictive value of resilience for workability and vitality, adjusted for body mass index, age and gender.

RESULTS

N = 428 workers met inclusion criteria after follow-up. The contribution of resilience, measured with the BRS, was modest but statistically significant for the prediction of vitality (R2 = 7.3%) and workability (R2 = 9.2%). HRV did not contribute to prediction of workability or vitality. Age was the only significant covariate in the WAI model.

CONCLUSION

Self-reported resilience modestly predicted workability and vitality after 2-4 years. Self-reported resilience may provide early insight into the ability of workers to stay at work, although caution must be applied because explained variance was modest. HRV was not predictive.

摘要

背景

随着当前社会经济挑战的增加,可持续就业能力变得越来越重要。对韧性进行筛查可以帮助早期发现可持续就业能力的风险或保护因素,后者表现为工作能力和活力。

目的

研究心率变异性(HRV)测量和简要韧性量表(BRS)对工人自我报告的工作能力和活力在 2-4 年后的预测价值。

方法

前瞻性观察队列研究,平均随访时间为 38 个月。有 1624 名(18-65 岁)中度和大型公司的员工参与了该研究。在基线时,使用 HRV(一分钟有节奏的深呼吸方案)和 BRS 测量韧性。工作能力指数(WAI)和乌得勒支工作投入量表-9(UWES-9-活力)的活力维度是测量结果。采用向后逐步多元回归分析(p<0.05),对韧性对工作能力和活力的预测价值进行评估,调整了体重指数、年龄和性别。

结果

在随访后,有 428 名工人符合纳入标准。使用 BRS 测量的韧性对活力(R2=7.3%)和工作能力(R2=9.2%)的预测具有适度但统计学意义的贡献。HRV 对工作能力或活力的预测没有贡献。年龄是 WAI 模型中唯一的显著协变量。

结论

自我报告的韧性在 2-4 年后适度预测了工作能力和活力。自我报告的韧性可能为工人保持工作能力提供早期的洞察力,尽管需要谨慎应用,因为解释的方差适度。HRV 没有预测能力。

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