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物理治疗师主导的预防和改善员工慢性疼痛的举措:基于企业环境中调查结果举办研讨会的案例研究

Physical Therapist-Led Initiatives for the Prevention and Improvement of Chronic Pain Among Workers: A Case Study of Hosting Workshops Based on Survey Results in a Corporate Setting.

作者信息

Oka Yasumasa, Wachi Michio, Kida Noriyuki

机构信息

Kanazawa Orthopaedic and Sports Medicine Clinic, Shiga 520-3016, Japan.

Graduate School of Science and Technology, Kyoto Institute of Technology, Kyoto 606-8585, Japan.

出版信息

Int J Environ Res Public Health. 2024 Dec 23;21(12):1709. doi: 10.3390/ijerph21121709.

Abstract

Industrial physical therapy (IPT) interventions by physical therapists can enhance labor productivity. However, in Japan, there is a scarcity of case studies involving corporate visits, questionnaire-based data, and insights into corporate demands. Addressing this gap is vital for improving presenteeism related to chronic pain and increasing employees' health literacy, thereby advancing corporate health management. This case study evaluates the effectiveness of a workshop aimed at preventing and reducing chronic pain among employees in the Development Department of Company A, an information technology (IT) firm. The research employed pre- and post-survey questionnaires, workshop interventions, and meetings with corporate management to assess the current state of musculoskeletal chronic pain and productivity losses and to verify the intervention's effectiveness. Approximately 50 participants attended the workshop in person, while around 30 participated online, totaling 80 attendees. A total of 56 (51 men and 5 women) individuals responded to the pre-workshop questionnaire, and 28 responded to the post-workshop questionnaire. The age distribution of the 56 pre-survey respondents was as follows: 9 in their twenties, 13 in their thirties, 22 in their forties, and 12 aged 50 and older. Preliminary survey results showed that 55.4% of participants experienced chronic pain in at least one body part. The average presenteeism value was 82.8% (standard deviation = 16.8). It was also found that literacy regarding appropriate pain management strategies was low. An independent -test comparing literacy scores based on the presence or absence of pain showed no significant differences ( = 0.34). Additionally, a one-way ANOVA conducted to examine differences across four age groups revealed no significant differences (F = 0.934, = 0.431). Results from the post-workshop questionnaires indicated that more than 70% of the employees experienced an increase in understanding and satisfaction, with positive feedback on the improvement of knowledge about chronic pain mechanisms and posture. However, there were also requests for more interactive communication and a desire to learn more about specific care methods, suggesting the need to provide interventions tailored to appropriate stages of preventive medicine.

摘要

物理治疗师实施的工业物理治疗(IPT)干预措施可以提高劳动生产率。然而,在日本,涉及企业走访、问卷调查数据以及对企业需求洞察的案例研究较少。弥补这一差距对于改善与慢性疼痛相关的出勤主义以及提高员工的健康素养至关重要,从而推动企业健康管理。本案例研究评估了一个旨在预防和减轻A公司(一家信息技术(IT)公司)开发部员工慢性疼痛的工作坊的效果。该研究采用了前后调查问卷、工作坊干预以及与企业管理层的会议,以评估肌肉骨骼慢性疼痛和生产力损失的现状,并验证干预措施的有效性。约50名参与者亲自参加了工作坊,约30名在线参与,总计80名参与者。共有56人(51名男性和5名女性)回复了工作坊前的问卷,28人回复了工作坊后的问卷。56名调查前受访者的年龄分布如下:20多岁的有9人,30多岁的有13人,40多岁的有22人,50岁及以上的有12人。初步调查结果显示,55.4%的参与者至少在一个身体部位经历过慢性疼痛。平均出勤主义值为82.8%(标准差 = 16.8)。还发现,关于适当疼痛管理策略的知识水平较低。基于是否存在疼痛对知识得分进行的独立t检验显示无显著差异(t = 0.34)。此外,为检验四个年龄组之间的差异而进行的单因素方差分析也未显示出显著差异(F = 0.934,p = 0.431)。工作坊后问卷的结果表明,超过70%的员工在理解和满意度方面有所提高,对慢性疼痛机制和姿势知识的改善给予了积极反馈。然而,也有更多互动交流的需求,以及想要更多了解具体护理方法的愿望,这表明需要提供针对预防医学适当阶段的干预措施。

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