Department of Occupational Medicine, Charles Nicolle Hospital, Tunis, Tunisia .
Neber District Hospital, Kef, Tunisia.
Med Lav. 2023 Aug 2;114(4):e2023031. doi: 10.23749/mdl.v114i4.13704.
Carpal tunnel syndrome (CTS) is frequently present among workers. This syndrome's professional and economic impact makes it a priority in occupational health. We aimed to describe the professional future of workers suffering from occupational CTS after surgery and the factors that could influence their retention at the job. -Methods: A retrospective descriptive study of workers operated on occupational CTS was conducted from 2014 to 2019. The data was collected using pre-established and phone questionnaires to determine their professional future after surgery.
We included 99 workers with operated CTS. They had a mean age of 45±6.5 years, were predominantly female (97%), and had two dependent children in 72.7% of cases. They worked as a seamstress in 44.4% of patients with a mean professional seniority of 18±7.2 years. The professional future was a return to work with a job transfer at 44.4% and job maintenance with ergonomic adjustments at 39.4%. A job loss was noticed in 12.2% of cases. Early retirement was noticed in 8.2%, dismissal in 3%, and resignation in 1% of cases. The factors influencing the professional future were age 50 to 59 years (p=0.01) and dependent children (p=0.02).
In our survey, most operated-CTS workers benefited from a job transfer and kept their job with ergonomic adjustments to their work conditions. Therefore, interventions aiming to improve the professional future of workers operated on CTS by ensuring sufficient staff and adjusting workplaces are needed.
腕管综合征（CTS）在劳动者中较为常见。这种综合征对职业和经济的影响使其成为职业健康的重点。我们旨在描述手术后患有职业性 CTS 的劳动者的职业前景，以及可能影响其工作保留率的因素。
方法：这是一项回顾性描述性研究，研究对象为 2014 年至 2019 年期间接受职业性 CTS 手术的劳动者。通过预先设定的问卷调查和电话调查收集数据，以确定他们手术后的职业前景。
结果：我们共纳入 99 例接受手术治疗的 CTS 劳动者，平均年龄为 45±6.5 岁，均为女性（97%），72.7%的劳动者有两个未成年子女。44.4%的劳动者是裁缝，平均工龄为 18±7.2 年。职业前景为恢复工作，其中 44.4%的患者需要调岗，39.4%的患者需要通过调整工作环境来维持工作。12.2%的患者失业，8.2%的患者提前退休，3%的患者被解雇，1%的患者辞职。影响职业前景的因素为年龄 50-59 岁（p=0.01）和有未成年子女（p=0.02）。
结论：在我们的调查中，大多数接受手术治疗的 CTS 劳动者通过调岗或通过调整工作环境来维持工作，从而获得了职业机会。因此，需要采取干预措施来改善接受 CTS 手术的劳动者的职业前景，包括确保足够的劳动力和调整工作场所。
