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1.
目的:分析影响工伤职工重返工作岗位的因素,为促进工伤职工再就业制订干预措施。方法:查阅本中心社会康复科的档案资料(包括基本信息、辅导记录、出院后跟进记录),采用单因素分析检查及二分类logistic回归分析影响重返工作的因素。结果:在1953例工伤职工中,1346例(68.9%)在随访期间成功返回工作岗位,单因素分析表明:年龄、文化程度、户籍、社保归属地、公司性质、伤残等级均影响重返工作岗位的结局。多因素分析结果表明:伤残级别的影响最大,其次是文化程度、公司性质、社保归属地。结论:多种因素影响工伤职工返回工作岗位,伤残级别、文化程度、社保归属地、公司性质对重返工作岗位有影响。  相似文献   

2.
目的:通过研究个案管理技术在推动工伤职工重返工作过程中的作用,分析工伤职工再就业问题,探讨协助工伤职工再就业的有效方法。方法:选择5位伤残情况不同的工伤职工作为研究对象,将个案管理的介入工作分为4个时期,在工伤职工的住院康复和重返工作过程中采用了评估、康复辅导、干预和管理、就业支援与随访等个案管理技术方法,协助工伤职工实现再就业,并对再就业问题进行比较分析。结果:经过出院后6个月的就业随访,1位返回了原公司不同工作岗位,1位在新公司实现再就业,2位实现自雇创业,1位多次尝试创业未成功。结论:工伤职工在再就业过程中存在多种影响因素;个案管理技术对工伤职工的重返工作有帮助,可以应用于工伤职业康复服务中。  相似文献   

3.
目的了解女性工伤职工重返工作岗位的状况及其主要影响因素。方法查阅本中心社会康复科的档案资料,包括基本信息、辅导记录、出院后跟进记录,采用单因素分析及二分类Logistic回归分析影响女性工伤职工的因素。结果本次共有研究对象232名,其中149名(64.2%)回归工作岗位,缺勤中位数为206.5 d。单因素分析表明,年龄、婚姻、缺勤时间、文化程度与女性工伤职工结局不相关(P0.05);社保归属地、户籍、受伤严重程度与女性工伤职工结局相关(P0.05)。结论女性工伤职工大部分能回归工作。除受伤严重程度外,一些体制性因素也影响女性工伤职工重返工作岗位。  相似文献   

4.
工伤职工职业康复及重返社会的行动研究   总被引:3,自引:1,他引:2  
目的探讨对工伤职工实施包括职业康复及社区回归在内的完整康复计划的原则与方法。方法从跟进的371例工伤职工中抽取14个深入跟进的康复个案为样本,从性别及家庭角色差异、伤残部位及程度、康复的进展、工伤赔偿方式等方面,分析工伤后的职业康复及回归社区状况,整理出有关工伤职工职业康复及社区回归的影响因素。结果影响工伤职工职业康复和社区回归的因素包括工伤职工残疾部位与程度、性别与家庭角色差异,以及工伤补偿与工伤康复政策和跨专业团队提供的工伤康复服务管理模式等。结论完整的工伤康复计划需要考虑工伤职工的基本医疗康复、职业康复及社区康复需要,及早提供适当的支持和指引,建立一站式全面深入跟进的工伤康复服务管理模式。  相似文献   

5.
目的 调查截肢工伤患者的生存状况并探讨其影响因素,为促进截肢工伤患者重返工作、融入社会制订干预措施。 方法 查阅本中心社会康复科的档案资料(包括基本信息、辅导记录、出院后跟进记录等),采用卡方检验和非条件Logistic回归分析探讨影响截肢工伤患者转归的相关因素。 结果 本次共入选研究对象253例,其中138例(54.55%)重返工作岗位。单因素分析结果表明:年龄、婚姻状况、公司性质、户籍、受伤部位与截肢工伤患者的转归不相关(P>0.05);年龄、性别、文化程度、社保归属地、伤残级别与截肢工伤患者转归具有相关性(P<0.05)。多因素分析进一步证实:性别、文化程度、伤残级别是影响截肢工伤患者重返工作的重要因素。 结论 本研究入选截肢工伤患者复工率低于一般国际水平,除与本身因素有关外,工伤保险政策因素也会限制截肢工伤患者转归。  相似文献   

6.
疼痛和伤残的关联   总被引:2,自引:0,他引:2  
本研究的目的是在0~10分的疼痛程度中确定最佳的切入点.以确定患工作相关的腕管综合征和下背部损伤的不同个体间的伤残水平,这些切入点足否因条件及伤残衡量方法的不同而不同,以及疼痛程度与伤残度之间是否呈线性相关。2183名工人(其中1059名腕管综合征,1124名下背部损伤)在获得工伤索赔后3周完成了疼痛和伤残程度的评估。在下背部损伤组中,疼痛程度评分分别为1~4,5~6,7—10.这3组评分极佳地界定了伤残水平.而在腕管综合征组中,未发现适宜的疼痛评分优于伤残评估。  相似文献   

7.
目的:探讨影响急性职业性手外伤患者回归工作(return to work ,RTW)的因素,以期为工伤职工回归工作提供参考。方法:对福州地区60例急性职业性手外伤患者通过电话采访进行问卷调查,调查内容包括受伤的类型、职业、工作性质、教育程度、损伤部位、住院时间、受伤归因、单位的性质、雇佣类型、伤前对工作的满意度、伤前与同事间关系、是否为家庭主要劳动力、工伤保险状况以及是否接受正规康复治疗等。采用单因素相关分析和Logistic回归分析方法获得影响返回工作岗位的潜在因素。结果:在被调查的内容中得到4个有意义的影响因素,包括工作类型(白领)(OR=19.195,95%可信区间为1.001-368.014)、受伤归因(内因)(OR=6.256,95%可信区间为1.024-38.215)、伤前与同事有良好关系(OR=11.016,95%可信区间为1.715-70.755)及是家庭主要劳动力(OR=10.568,95%可信区间为1.528-73.086)。结论:RTW是一个受多因素影响的过程。  相似文献   

8.
蔡素芳 《中国康复》2015,30(6):412-415
目的:探讨影响急性职业性手外伤患者回归工作(RTW)的因素,以期为工伤职工回归工作提供参考。方法:对福州地区60例急性职业性手外伤患者通过电话采访进行问卷调查,调查内容包括受伤的类型、职业、工作性质、教育程度、损伤部位、住院时间、受伤归因、单位的性质、雇佣类型、伤前对工作的满意度、伤前与同事间关系、是否为家庭主要劳动力、工伤保险状况以及是否接受正规康复治疗等。采用单因素相关分析和Logistic回归分析方法获得影响返回工作岗位的潜在因素。结果:在被调查的内容中得到4个有意义的影响因素,包括工作类型(白领)(OR=19.195,95%可信区间为1.001~368.014)、受伤归因(内因)(OR=6.256,95%可信区间为1.024~38.215)、伤前与同事有良好关系(OR=11.016,95%可信区间为1.715~70.755)及是家庭主要劳动力(OR=10.568,95%可信区间为1.528~73.086)。结论:RTW是一个受多因素影响的过程。  相似文献   

9.
目的通过质性访谈了解乳腺癌个案管理师管理患者的阻碍因素,探索解决问题的办法,为提高个案管理的质量提供参考。方法采用现象学研究方法,对广州市内的9所医院的9名乳腺癌个案管理师进行半结构式访谈,采用Colaizzi 7步分析法进行资料分析。结果提炼的主题:个案管理师工作量大,个案工作的多学科、社区支持力度小,个案管理信息化平台不完善,个案管理师的专业性缺乏(个案管理师缺乏处方权,个案管理师能力有限),个案管理对象的阻碍因素(与患者沟通交流障碍,患者遵医依从性差,不理解、不配合个案管理师工作)5个主题。结论由个案管理师主导的个案管理模式优势明显,但受多种因素的阻碍,应提供针对性支持措施以提高个案管理师管理患者的能力,为患者提供更好的延续性护理。  相似文献   

10.
目的:观察广东地区职业康复者的复工特点,研究出院后7天内、8—180天、半年内的复工影响因素。方法:回顾性研究,从病历库搜集广东地区2015年1月—2017年5月间由各地劳动能力鉴定委员会批准职业康复期的工伤职工病历资料及出院后回访资料,按照入选标准和排除标准进行筛查,纳入样本775例,描述样本不同时期的复工特点,采用单因素分析及二分类logistic回归分析出院后7天内、8—180天、半年内的复工影响因素。结果:①出院后7天内复工率为52.7%,半年内复工率为74.2%;②二分类logistic回归分析显示出院后7天内复工影响因素有工作安置方式、学历、参保地、就业意愿(P0.05);8—180天复工的影响因素有性别、工种、就业意愿(P0.05);半年内复工的综合影响因素有工作安置方式、性别、工种、参保地、伤残级别、就业意愿(P0.05)。结论:①累计复工比例呈现出院后7天内快速增长、随后半年内增幅放缓;②工作安置方式、性别、学历、工种、参保地、伤残级别、就业意愿影响工伤职工复工,不同时间段影响因素存在不同。  相似文献   

11.
This article describes the findings from a study of injured workers conducted as part of a multifaceted evaluation study of a case management program. The sample consisted of workers who filed a workers' compensation claim between January 1 and September 30, 1995. Data collection consisted of written surveys (n = 45), personal interviews (n = 27), and telephone interviews (n = 16). The findings from this study provided many insights into the injured workers' personal and work experiences, and, in particular, their perceptions of their experience with the nurse case management program. Workers satisfied with services described the nurse case manager (NCM) as having the ability to see the "big picture," to develop appropriate goals, and to anticipate client needs. Dissatisfied workers reported feeling unimportant in terms of service provision. They reported feeling that "the system" did not respond to their needs, and that the NCM was uninterested and disrespectful. This vivid portrayal of workers' experiences and perceptions of case management services provides valuable information about the world view of the injured worker.  相似文献   

12.
目的探讨279例医学放射工作人员职业健康体检情况及管理对策。方法回顾性分析279例医学放射工作人员的职业健康体检资料,根据放射工作时间长短将受检者分为A组(n=93,放射工作时间<5年)、B组(n=93,放射工作时间5~15年)和C组(n=93,放射工作时间>15年)。分析三组受检者的健康体检情况。结果B组、C组的眼睛晶状体异常总发生率均高于A组,且C组高于B组(P<0.05)。B组、C组的WBC、AST水平均低于A组,且C组低于B组;B组、C组的PLT、ALT水平均高于A组,且C组高于B组(P<0.05)。C组的染色体辐射损伤总发生率高于A组及B组(P<0.05)。B组、C组的P波时限、PR间期均长于A组,且C组长于B组;B组、C组的振幅大于A组,且C组大于B组(P<0.05)。B组、C组的TAC、SOD活性均低于A组,且C组低于B组;B组、C组的MDA水平高于A组,且C组高于B组(P<0.05)。结论本院医学放射工作人员工龄<5年的健康状况良好,但随着工龄增长,放射工作人员健康状况堪忧。放射医学科仍是我院职业病防治的工作要点,需不断加强放射防护工作。  相似文献   

13.
14.
Objective: Emergency medical services (EMS) workers incur occupational injuries at a higher rate than the general worker population. This study describes the circumstances of occupational injuries and exposures among EMS workers to guide injury prevention efforts. Methods: The National Institute for Occupational Safety and Health collaborated with the National Highway Traffic Safety Administration to conduct a follow-back survey of injured EMS workers identified from a national sample of hospital emergency departments (EDs) from July 2010 through June 2014. The interviews captured demographic, employment, and injury event characteristics. The telephone interview data were weighted and are presented in the results as national estimates and rates. Results: Telephone interviews were completed by 572 EMS workers treated in EDs, resulting in a 74% cooperation rate among all EMS workers who were identified and successfully contacted. Study respondents represented 89,100 (95% CI 54,400–123,800) EMS workers who sought treatment in EDs over the four-year period. Two-thirds were male (59,900, 95% CI 35,200–84,600) and 42% were 18–29 years old (37,300, 95% CI 19,700–54,700). Three-quarters of the workers were full-time (66,800, 95% CI 39,800–93,800) and an additional 10% were part-time or on-call (9,300, 95% 4,900–13,700). Among career EMS workers, the injury rate was 8.6 per 100 full-time equivalent EMS workers (95% CI 5.3–11.8). Over half of all injured workers had less than ten years of work experience. Sprains and strains accounted for over 40% of all injuries (37,000, 95% CI 22,000–52,000). Body motion injuries were the leading event (24,900, 95% CI 14,900–35,000), with 90% (20,500, 95% CI 12,800–32,100) attributed to lifting, carrying, or transferring a patient and/or equipment. Exposures to harmful substances were the second leading event (24,400, 95% CI 11,700–37,100). Conclusion: New and enhanced efforts to prevent EMS worker injuries are needed, especially those aimed at preventing body motion injuries and exposures to harmful substances. EMS and public safety agencies should consider adopting and evaluating injury prevention measures to improve occupational safety and promote the health, performance, and retention of the EMS workforce.  相似文献   

15.
BACKGROUND: A 3-year pilot program to expand the role of nurse practitioners (NPs) in the Washington State workers' compensation system was implemented on July 1, 2004. This legislation authorized NPs to independently perform most functions of an attending physician. OBJECTIVE: The purpose of this study was to assess the impact of this legislation by examining medical costs and disability outcomes for injured workers in the care of NPs benchmarked against those in the care of primary care physicians (PCPs). RESEARCH DESIGN: This observational study compared NPs and PCPs in the role of attending provider based on the medical costs and disability outcomes of injured workers in their care. Comparisons controlled for sociodemographics, geographic location, injury, employment, and provider characteristics. DATA SOURCE: The Washington State Department of Labor and Industries provided claim and medical billing data for 29,949 injured workers who had an accident report filed by an NP or PCP between July 1, 2004 and June 30, 2005. Data were collected through June 30, 2006. RESULTS: NPs were more likely than PCPs to be located in rural areas and counties with high unemployment. The distributions of injury type and severity/complexity indicators were similar across provider types. The likelihood of any time loss was lower for NP claims, but duration of lost work time and medical costs did not significantly differ by provider type. CONCLUSIONS: Attending provider type is not a significant predictor of disability or medical costs for injured workers in Washington State.  相似文献   

16.
Return to work experience of injured workers in a case management program.   总被引:3,自引:0,他引:3  
A major goal of case management programs is the worker's timely return to work. Few studies have examined return to work from the perspective of the injured worker. This article describes the findings from the case management evaluation that describe the return to work experience of workers who sustained catastrophic injuries, or who had secondary conditions or complications following the injury occurrence. Among the factors determined to affect the return to work experience were structural factors (i.e., psychosocial variables including job satisfaction and relationship with employer and coworkers, financial pressures, and system issues such as securing benefits) and process factors (i.e., interaction with service providers and with the workers' compensation system). Outcomes are described in terms of satisfaction with services and return to work.  相似文献   

17.
1. Through a community based program, nurses were hired by a rural medical center to facilitate care for injured workers in the community. This placed the nurses outside the industrial and insurance arenas. 2. Rapid access to care and expedited return to work were made possible largely through improved communication, facilitated by the nurse case coordinators, among all involved parties (i.e., workers, employers, health care providers, insurance carriers). 3. The program provides access to occupational health nurses, or case managers, to a large number of rural workers--many of whom work for small employers and would not have these services otherwise. 4. The simple administrative model has resulted in increased numbers of workers returning to work with decreasing numbers of transitional or modified duty days.  相似文献   

18.
An increasing number of employers and third party administrators are choosing case management as a strategy to coordinate services for workers who sustain an occupational injury or illness. The successful delivery of case management services requires the service provider possess special skills and knowledge. Occupational health nurses are uniquely qualified to provide case management services to injured and ill workers. The effectiveness of case management services is generally described in terms of costs and quality of services; thus, determining the effectiveness of a case management program requires an evaluation of costs and service quality.  相似文献   

19.
OBJECTIVES: To explore the views of chiropractors about timely return-to-work in treating patients with musculoskeletal injuries, to identify the approaches used by chiropractors when treating injured workers with musculoskeletal disorders, and to learn about chiropractors' perspectives on the barriers and facilitators of successful return-to-work. DESIGN: Qualitative study of 3 focus groups of chiropractors. METHODS: Focus groups of 8 to 11 chiropractors were conducted in 3 large Canadian cities. The selected participants were experienced in treating patients with occupational musculoskeletal injuries. Standard questions were used to collect data. The data from each focus group were coded and analyzed separately and then considered in relation to each other. RESULTS: The participants indicated that timely return-to-work depends on patients' characteristics, severity of injury, clinical progress, the availability of work accommodation, and clinical judgment. The chiropractors commented that their treatment of injured workers rests on their strength in diagnosis and treatment and on providing patient-centered care. Positive human relations within workplaces and the ability to accommodate the work of an injured worker were described as important in return-to-work programs. The participants believed that a bias against chiropractic is present within the medical profession and workers' compensation boards. They viewed this bias as an important barrier when assisting their patients to successfully return to work. CONCLUSION: The broad approaches described by the participating chiropractors to return injured workers to work are consistent with those proposed in evidence-based practice guidelines. Better communication among chiropractors, medical doctors, and workers' compensation boards would likely decrease interprofessional tensions and improve the recovery of workers with musculoskeletal injuries.  相似文献   

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