Baker D M, Rider M A, Fawcett A N
Department of Surgery, Queens Medical Centre, Nottingham, UK.
J R Coll Surg Edinb. 1994 Feb;39(1):31-3.
Recurrence of an inguinal hernia following routine repair is not influenced by the convalescent time off work. Advice on this interval off work should not be influenced by the type of hernia, or the physical content of the patient's occupation. To determine if this is the case a questionnaire was sent to the 32 consultant surgeons and 487 general practitioners in the Nottingham district. They were asked when they advised males between 18 and 65 years of age to return to work following a routine hernia repair and what factors influenced this time interval. The median advised time off work (4-6 weeks) was longer than that proposed by earlier studies (3-4 weeks). The advice of only 4% of doctors was not influenced by other factors. The physical content of the patient's job and whether he was self-employed had most influence on the advice doctors gave on when to return to work. In conclusion most doctors are wrongly advising patients on when to return to work following an inguinal hernia repair.
常规修复后腹股沟疝复发不受康复期休假时间的影响。关于这段休假时间的建议不应受疝的类型或患者职业的体力劳动内容影响。为确定是否如此，向诺丁汉地区的32名外科顾问医师和487名全科医生发送了一份调查问卷。询问他们建议18至65岁男性在常规疝修补术后何时复工以及哪些因素影响了这段时间间隔。建议的中位休假时间（4至6周）比早期研究提出的时间（3至4周）更长。只有4%的医生的建议不受其他因素影响。患者工作的体力劳动内容以及他是否为个体经营者对医生给出的复工时间建议影响最大。总之，大多数医生在腹股沟疝修补术后何时复工的问题上给患者的建议是错误的。
