RESUMO
Objective To establish a management system to promote early rehabilitation for work injured patients. Methods The 2015 hospitalized patients were set as control group (n=16,635), and the 2016 hospitalized patients were set as observation group (n=15,372). The control group was hospitalized for injury data collection surveys and was not implemented systematic rehabilitation propaganda, rehabilita-tion assessment and rehabilitation guidance. However, the observation group hospitalized after establishment of the Work Injuries Rehabilita-tion Investigation System and accepted work injuries rehabilitation intervention, such as rehabilitation propaganda, rehabilitation assessment and rehabilitation guidance. The changes of hand trauma rehabilitation indicators were compared between two groups. Results The rate of work injuries rehabilitation intervention was 80.6%in the observation group. In the observation group, the proportion of the patients who re-ceived early rehabilitation treatment in the designated hospital (56.8%) was significantly higher than that of the control group (17.0%) (χ2=2603.683, P<0.001);the proportion of injured patients who were admitted to the designated work injuries rehabilitation institutions (9.4%) was higher than that of the control group (4.3%) (χ2=285.906, P<0.001). The proportion of patients evaluated as disability in the observation group (17.4%) was significantly less than that of the control group (26.3%) (χ2=235.327, P<0.001). The disability score was significantly lower in the observation group (6.23±1.29) than in the control group (8.26±1.16) (t=68.371, P<0.001). Conclusion The Work Injuries Reha-bilitation Investigation System can promote the early rehabilitation for the hand trauma patients in the designated hospital for work injuries, improve the proportion of hand trauma patients to enter the designated work injuries rehabilitation institutions to receive rehabilitation treat-ment, reduce the proportion of disabled persons, and reduce the degree of disability, effectively promote the overall recovery of patients with hand trauma.
RESUMO
Objective To establish a management system to promote early rehabilitation for work injured patients. Methods The 2015 hospitalized patients were set as control group (n=16,635), and the 2016 hospitalized patients were set as observation group (n=15,372). The control group was hospitalized for injury data collection surveys and was not implemented systematic rehabilitation propaganda, rehabilita-tion assessment and rehabilitation guidance. However, the observation group hospitalized after establishment of the Work Injuries Rehabilita-tion Investigation System and accepted work injuries rehabilitation intervention, such as rehabilitation propaganda, rehabilitation assessment and rehabilitation guidance. The changes of hand trauma rehabilitation indicators were compared between two groups. Results The rate of work injuries rehabilitation intervention was 80.6%in the observation group. In the observation group, the proportion of the patients who re-ceived early rehabilitation treatment in the designated hospital (56.8%) was significantly higher than that of the control group (17.0%) (χ2=2603.683, P<0.001);the proportion of injured patients who were admitted to the designated work injuries rehabilitation institutions (9.4%) was higher than that of the control group (4.3%) (χ2=285.906, P<0.001). The proportion of patients evaluated as disability in the observation group (17.4%) was significantly less than that of the control group (26.3%) (χ2=235.327, P<0.001). The disability score was significantly lower in the observation group (6.23±1.29) than in the control group (8.26±1.16) (t=68.371, P<0.001). Conclusion The Work Injuries Reha-bilitation Investigation System can promote the early rehabilitation for the hand trauma patients in the designated hospital for work injuries, improve the proportion of hand trauma patients to enter the designated work injuries rehabilitation institutions to receive rehabilitation treat-ment, reduce the proportion of disabled persons, and reduce the degree of disability, effectively promote the overall recovery of patients with hand trauma.
RESUMO
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.
RESUMO
O artigo aborda epidemiologicamente o perfil dos coletores de lixo seletivo e descreve as lesões musculares e acidentes de trabalho mais freqüentes. Este estudo transversal foi desenvolvido com duas empresas (denominadas como empresa A e empresa B), em Porto Alegre, selecionando-se 50 funcionários aleatoriamente (presentes e aptos nos dias das entrevistas para a pesquisa) e aos quais foi aplicado um questionário. A Média de idade da amostra foi de 34 e 22 anos para a empresa A e B, respectivamente. Cerca de 66% dos funcionários da empresa B trabalham a menos de 5 anos na companhia, ao passo que 95% dos funcionários da empresa A trabalham há mais de 5 anos. O índice de lesões entre as duas empresas é alta 90% e 46,6% para empresas A e B, respectivamente. Lesões são mais comuns nos membros inferiores, seguidas pelas lesões dos membros superiores e da coluna. Ambas as empresas apresentavam deficiência do uso de equipamentos de proteção, sendo estes praticamente ignorados pelos funcionários, embora de uso obrigatório. As avaliações médicas são realizadas esporadicamente, sem acompanhamento regular. Ambas as empresas apresentam altos índices de leões em geral, sendo as lesões de membros inferiores mais comuns. Também são altos os índices de cortes e outros pequenos ferimentos, provavelmente pelo não uso de equipamentos de proteção obrigatórios.
Study the epidemiological profile of selective garbage collectors and describe the major muscle lesions and work acidents. Material and techniques this was a transversal study comparing the employees of the two principal companies who collects selective garbaje at Porto Alegre city, symbolized in this study as company A and company B. We applied a questionnaire randomly for 50 workers of the two companies. The mean age was 34 and 22 years old for company A and B respectively. Around sixty six percente of worker at company B have les than 5 years of experience at the job, comparing with the 95% of the employees of the company A who have more than 5 years at the job. The lesions indices are high at the two companies, 90 and 46,% for company A and B, respectively. The most common injuries were in inferior limbs, followed by upper limbs and column. Both the companies lack the do use of protection equipament in their workers, despite the obrigatory use in the work legislation. Medical evaluations are not regular. Both companies have a elevated percentage on injuries at work in general, being inferior limbs the most common ones. They also presented elevated indices of cuts and other small bruises, probably because of the no use of the obrigatory protection equipament.
RESUMO
Se estudian los accidentes de trabajo de una zona manufacturera en la ciudad de Mexico, atendidos por el Instituto Mexicano del Seguro Social (IMSS). Se analizaron 4.154 accidentes ocurridos en 42.748 trabajadores. El 95 por ciento de ellos ocasionó una incapacidad temporal, 2 por ciento generó algún grado de incapacidad permanente. Para el sector de la manufactura de Naucalpan se presentó una tasa de 7,26 por ciento trabajadores, superior a la media nacional de 6,28. Los datos permiten apreciar el papel de algunas variables sociedemográficas y laborales. Entre otros aspectos destaca la inserción de la mujer, 34 por ciento de la fuerza de trabajo. Las tasas son de 8.5 para los hombres y 4,6 para las mujeres (RR 1,84), pero por otra parte, la gravedad de los accidentes es similar en ambos sexos, 17,2 y 16,1 días de incapacidad por accidente respectivamente. Conforme aumenta la edad en los hombres, la frecuencia de accidentes disminuye pero la gravedad aumenta, mientras que en las mujeres se presenta un incremento de la frecuencia hacia los 40 años. Se encontró también una gran diversidad en la incidencia y la gravedad al comparar los grupos industriales. En las ramas de mayor accidentabilidad tienen una mayor presencia los varones. En otras, hombres y mujeres se accidentan de manera similar. Asímismo la experiencia laboral, evaluada según años de afiliación al IMSS no parece tener mayor peso. La información también se analizó por tipo diagnóstico y factores asociados al accidente, entre ellos se identificaron aspectos probablemente asociados a la organización del trabajo(AU)
Injuries resulting from work accidents among industrial workers attended by the social security system, Instituto Mexicano del Seguro Social (IMSS), in a manufacturers area of Mexico city were studied. There were analyzed 4,154 injuries occurred in 42,748 workers. The 95 % of those injuries caused a temporal incapacity, the 2 % caused permanent incapacity in some extent. For the Naucalpan manufacturer area, the was a rate of 7,26 in a hundred workers, rate which is superior to the national media of 6,28. Data allows to appreciate the roll of some other aspects, women introduction to work, which is the 34 %, is outstanding. The rates are: 8,5 for men and 4,6 for women )RR 1,84), but in the other hand, the severity of injuries is similar for both sexes, 17,2 and 16,1 days out of work due to accidents, respectively. As men grow older, frequency in accident decreases, but become more severe, while in women there is an increase in frequency around 0 years. It was also found a great diversity in the incidence and seriousness when comparing the industrial groups. In branches of greater accidents there are more among men, in others, men and women have accidents in the same way. Also, the working experience, evaluated according to years of affiliation to the IMSS seems not to have any great meaning. The information was also analyzed by kind of diagnosis and associated facts with the accident, among them factors, probably associated to work organization were identified(AU)