职业性手外伤患者术后恢复工作状况及其影响因素分析

Status and influencing factors of postoperative resumption of work of patients with occupational hand injury

目的调查职业性手外伤患者术后恢复工作状况,并分析其影响因素。方法采用便利抽样法,选取2020年9月—2021年4月在浙江省永康市第一人民医院接受治疗的110例职业性手外伤患者作为研究对象。通过问卷调查方式收集患者一般资料、疾病相关资料,采用手外伤严重程度评分系统、心理弹性量表(CD-RISC)、家庭关怀度量表(APGAR)及社会支持评定量表进行调查。共发放问卷110份,回收有效问卷100份。结果100例患者中有64例患者出院后3个月内回归工作,36例未复工。多因素Logistic回归分析显示,受伤部位、工作类型、伤后对家庭总收入的影响、手外伤严重程度、心理弹性水平及社会支持是职业性手外伤患者伤后未复工的影响因素(P<0.05)。结论职业性手外伤患者未复工率较高。未复工主要受受伤部位、伤后对家庭总收入的影响、手外伤严重程度、心理弹性水平及社会支持影响。

Objective To investigate status of postoperative resumption of work of patients with occupational hand injury and analyze the influencing factors.Methods A total of 110 patients with occupational hand injury who received treatment in The First People's Hospital of Yongkang in Zhejiang Province from September 2020 to April 2021 were selected as the research objects by the convenient sampling method.The general data and disease-related data of the patients were collected through questionnaires.The investigation was conducted according to Hand Injury Severity Scoring(HISS)System,Connor-Davidson Resilience Scale(CD-RISC),Family Care Scale(APGAR)and Social Support Rating Scale(SSRS).A total of 110 questionnaires were distributed,and 100 valid questionnaires were recovered.Results Among the 100 patients,64 patients returned to work within 3 months after discharge,and 36 patients did not return to work.Multivariate Logistic regression analysis showed that the injury site,work type,the effect of post-injury on the total family income,the severity of hand injury,the level of psychological resilience and social support were the influencing factors for occupational hand injury patients who did not return to work after injury(P<0.05).Conclusions Patients with occupational hand injury have a high rate of not returning to work.Those who did not return to work are mainly affected by the injured part,the impact of post-injury on the total family income,the severity of hand trauma,the level of psychological resilience,and social supports.