手部工伤患者回归工作的调查

A Pilot Study on Return-to-work Following Occupational Acute Traumatic Hand Injuries

[目的]了解手部工伤患者回归工作的现状及主要影响因素,为制订干预措施、提高手部工伤后再就业率提供科学依据。[方法]采用横断面研究方法,从3家合作医院随机抽取2007年1月至2008年12月满足研究要求的共120名手部工伤患者为研究对象,收集性别、年龄、受伤部位、住院天数等资料,并通过电话调查,了解受伤程度、伤前职业、户籍、保险待遇。采用单因素分析、Logistic回归方法分析上述因素与伤后回归工作的关系。[结果]本次共有研究对象118人,其中72人(61.0%)回归工作,平均缺勤87.3d。性别、年龄、受伤部位、伤前职业类型、城镇户籍、是否享有工伤保险或医疗保险对回归工作无明显影响,受伤严重程度与回归工作明显相关(OR=5.18,P<0.05)。[结论]手部工伤后大部分工人能回归工作,受伤程度对回归工作有明显影响。

[ Objective ] To explore the situation and the potential factors that influence return-to-work （ RTW ）following occupational acute traumatic hand injuries, and to provide evidence for the intervention strategy towards prompting the rate of RTW. [ Methods ] A cross-section study design was applied to the investigation. A total of 120 workers with work-related hand traumatic injuries were randomly selected from the 3 cooperative hospitals during January 2007 to December 2008. The data of injured patients were Collected from the collaborative hospitals on their gender, age, injury locus and hospitalization duration. The patients were interviewed by telephone for information collecting on pre-injury job, type of the residential registration, status of being covered in the medical and/or work-related injury insurance, and outcomes of RTW. Univariable and logistic analyses were performed for assessing the relationship of potential factors and RTW. [ Results ] A total of 118 patients were collected in the present study. Of these, 72 （ 61.0% ）successfully RTW, and the average absenteeism lasted for 87.3 d after injury onset. It Showed that gender, age, injured locus, pre-injury job, residential registration, status of being covered in the security scheme were not statistically associated with RTW. Whereas the severity of injury was significantly related to the rate of RTW（ OR=5.18, P 〈 0.05 ）. [ Conclusion ] Most of the workers successfully returned to work after the occupational acute traumatic hand injuries. The severity of injury seems to be one of the most predominant factors affecting RTW.