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Abstract@#Introduction: Work-related road traffic crashes (RTC) are a significant global public health challenge due to the seriousness of its consequences. Injured workers who have survived work-related RTC are advised to go for rehabilitation after they have been treated physically by healthcare providers. Reintegrate as soon as possible into the working community able avoid long periods of sick leave. Return to work (RTW) rate have been used extensively in many previous studies as an indicator of rehabilitation outcomes on the working capacity of injured workers. The objective of this study was to compare RTW rate after rehabilitation for injured workers who received physical rehabilitation only (control group) and physical rehabilitation plus outcome-focused intervention (intervention group). Methods: Eligible 200 workers who were involved in work-related RTC and agreed to participate in SOCSO RTW Program were identified and invited to be part of this study. Sociodemographic, employment and injury-related questions were distributed. Results: This study finding showed majority (79.5%) of the respondents were aged 25 years old or older, male (86.0%), married or divorced (63.5%), and attained secondary and below education level at secondary or below (66.0%). More than half of injured workers consisted of blue-collar workers (69%), had fracture injury (93.0%), and had injury to their lower limbs (48.5%). RTW rate was higher in the intervention group (received physical rehabilitation and outcome-focused intervention) compared to the control group (received physical rehabilitation only). Conclusion: RTW rate for work-related RTC was higher with outcome-focused intervention, in addition to physical rehabilitation.
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O objetivo deste estudo foi o de compreender as relações entre a organização do trabalho e o agravamento dos casos por LER/DORT, além das repercussões na saúde na situação de afastamento do trabalho pela doença. Métodos: Foram levantados dados sociodemográficos e de trabalho de prontuários de sujeitos atendidos no Centro de Referência em Saúde do Trabalhador- CEREST, da cidade de Santos/SP, e selecionados sujeitos com diagnósticos clínicos estabelecidos para LER/DORT e que haviam vivenciado a situação de afastamento do trabalho por motivo da doença. Os sujeitos foram convidados a participar de entrevista individual e semiestruturada, com base em roteiros pré-elaborados. As entrevistas foram gravadas e transcritas na íntegra para análise de conteúdo categorial temática. Os resultados obtidos trouxeram a compreensão de que houve envolvimento dos modos de organização do trabalho no agravamento dos casos, e as consequências interferem na saúde do trabalhador e no seu cotidiano de vida, resultando em sofrimento psíquico. Evidencia-se a necessidade de uma maior inserção de equipes multiprofissionais em ações interdisciplinares, e com psicólogos junto a esta temática.
The aim of this study was to understand the relationship between the organization of work and the increase of cases by RSI / WRMSDs, in addition to the effects on health in the clearance status of work by the disease. Methods: Collection of sociodemographic and labor subjects' records data on Worker-Health Reference Center -CEREST, city of Santos/SP, and selected subjects with clinical diagnoses established for RSI/WRMSDs and who had experienced the absence of work because of the disease. The subjects were invited to participate in individual and semi structured interviews, based on pre-prepared scripts. The interviews were recorded and transcribed for thematic content analysis. The results brought the understand that there was involvement of the work organization in the worsening of the cases, and the consequences interfere in workers' health and their daily lives, resulting in psychological suffering. It highlights the need for greater integration of multidisciplinary teams in interdisciplinary actions, and psychologists with this theme.
Subject(s)
Cumulative Trauma Disorders , Psychology , Cost of Illness , Occupational HealthABSTRACT
@#Objective To measure the reliability and validity of the Lam Assessment of Stages of Employment Readiness (LASER) Putonghua version for injured workers, and observe the confidence of return to work on different preparation stages. Methods 85 injured workers with limb fractures were included. The data was obtained through face-to-face structured interview. The test-retest reliability and internal consistency were measured. Factor analysis was used to examine construct validity of the Putonghua version LASER. Results Principle component analysis extracted four factors, which was consistent with the original version of LASER. Intra- class correlation coefficient (ICC) of test-retest ranged 0.27~0.89, whereas the internal consistence among these 4 stages ranged 0.691~0.796. There were significantly differences in confident scores in different stages among 3 different confidence groups. Conclusion The structure validity of Putonghua version of LASER is useful for reflecting the readiness of injured workers' return to work. However, the reliability coefficient is rather low in some of the items, which could be resulted in incorrect judgment of readiness of return to work of injured workers. The further study on items correction and development is apparent.
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PURPOSE: The purpose of this study was to explore relationship among pain, body image and satisfaction in hand-injured workers. METHODS: Using a sample of 96 out-patient workers with hand injuries, pain, body image and satisfaction were measured by VAS and Modified Jung Keum-hee's Tennesee Self Concept Scale. Repeated measured ANOVA and a Bonferroni correction for multiple statistical testing during post hoc analyses were conducted to evaluate relationship among pain, body image and satisfaction in hand-injured workers. RESULT: Functional satisfaction(r=.46, p<.001) and appearance satisfaction(r=.55, p<.001) significantly increased by treatment satisfaction. Functional satisfaction(r=.35, p= .001) and appearance satisfaction(r=.31, p= .002) increased by body image. But treatment satisfaction(r=-.20, p=.049), functional satisfaction (r=-.34, p=.001) and appearance satisfaction (r=-.39, p<.001) significantly decreased by pain. CONCLUSION: Poor pain management was related to bad body image and treatment satisfaction. Therefore, interventions targeting at pain management are needed for hand-injured workers.
Subject(s)
Humans , Body Image , Hand Injuries , Outpatients , Pain Management , Self ConceptABSTRACT
Neste estudo descrevem-se as características da utilização de serviços de saúde por trabalhadores que sofreram acidentes de trabalho. Os dados provêm das três primeiras fases de um estudo de coorte de base comunitária sobre saúde e trabalho, iniciado no ano 2000, e conduzido com todos os trabalhadores de 2.512 famílias selecionadas por amostragem aleatória de conglomerado, de estágio único, residentes na cidade de Salvador, Bahia. Entrevistas individuais foram empregadas para a coleta de dados. Nesta pesquisa analisaram-se os trabalhadores (n = 628) que referiram ter sofrido acidente de trabalho nos 12 meses antes da entrevista. Observou-se que cerca de metade dos casos de acidentes recebeu primeiros socorros e tratamento médico. A maioria (71%) foi atendida em unidades do SUS. Cerca de 15% tiveram o atendimento pago por planos de saúde privados. Observou-se também que a maioria referiu alta satisfação com o atendimento, tanto em serviços públicos como privados. Entre os usuários do SUS, predominaram os trabalhadores sem carteira assinada, mas trabalhadores segurados também utilizaram os serviços públicos em sua maioria. Concluiu-se que o SUS tem expressiva participação no atendimento de acidentados do trabalho, independentemente da condição de cobertura por planos de saúde.
This study describes the characteristics of health services utilization by workers reporting work-related injuries. Data comes from the three first phases of a community-based cohort study about health and work that started in the year 2000, carried out with all workers from 2,512 families living in the city of Salvador, Bahia, that were selected by one-stage cluster area random sampling. Individual interviews were used for data collection. In this study, cases of work injuries reported during the 12 months before the interview (n=628) are analyzed. The majority (71.0%) of injured workers received medical treatment in facilities from the Unified Health System, SUS, a public health care system of universal coverage. Around 15% received treatment from private health insurance plans. Among SUS customers most workers have no formal job contracts, although insured workers also utilized public health care services. In sum, the SUS has expressive participation in the health care of injured workers independently of their entitlement for private health care.
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OBJECTIVES: In order to obtain information useful in setting up occupational rehabilitation programs, an evaluation was conducted to determine predictive factors of workers' return to work after an occupational injury. METHODS: 13, 903 records of registered occupationally injured cases identified to have received disability compensation in 1998 were collected from the 36 branch of Korean Labor Welfare Corporation(KLWC). Through simple systematic sampling, a total of 3, 658 cases were selected as final subjects. Status of return to work, general characteristics, workplace characteristics, disability characteristics and disability outcome characteristics were collected from the KLWC and National Health Insurance Corporation records(NHIC). For statistical analyses, chi-square test and stepwise multiple logistic regression analysis were applied using the SAS software package program. RESULTS: Negatively affecting significant predictive factors for return to work were included the female gender, age of 50 years or older, 6 month or less of work duration, 1 or less family dependents, workplace with 200 or less employees, electric, gas, waterwork companies, foot injuries compared to finger injuries, fall from elevation, high degree of disability claims(1~4 grade), and period of medical care more than 181 days. CONCLUSIONS: The results suggest that the poor rate return to work in occupationally injured workers' is particularly affected by female gender, older-aged employees, and workers employed by electric, gas, waterwork companies. Also, it was more difficult to return to work for workers who received injuries from a fall from elevation and who had longer period of medical care(more than 181days). It is strongly recommended that more efficient and systematic occupational rehabilitation programs be set up, taking into consideration the above mentioned factors.