1.Factors Affecting Return to Work of Upper Limb Fracture Workers 2.Factors Affecting Quality of Life of Upper Limb Fracture Workers
Date Issued
2004
Date
2004
Author(s)
Lai, Chin-Fen
DOI
zh-TW
Abstract
1.Factors Affecting Return to Work of Upper Limb Fracture Workers
This is a prospective study, and we tried to understand what factors will affect returning to work (RTW) of upper limb fracture workers. We collected data from Bureau of Labor Insurance of those with occupational injury causing upper limb fracture and being hospitalized (from July 15, 2003 to September 20, 2003). Questionnaires concerning RTW were applied and filled up by researcher through telephone interview. We have followed up each case at 45days, 90 days and 180 days from their injury respectively. Multiple logistic regression and Cox regression to analyse factors affecting RTW and duration required for RTW were executed. There were 110 workers recruited by the first interview (response rate 54 %) and 102 workers (93 %) were successfully followed up throughout three times of interview. The results show the significant factors (p<0.05) affecting RTW are fracture site, with fixed employer and self- perceived workability. The factors affecting duration required for RTW are gender, age, major income source of family, fracture site, self-perceived handicap, whether paid after injury, work as blue or white collar, days of hospitalization. We concluded that when occupational injury occurred, workers should be sent to hospital as soon as possible, and proper compensation and functional capacity evaluation should be provided, which would be helpful for protecting these victimized workers. We also have to pay attention to the workers without fixed employer because of poor occupational support.
2.Factors Affecting Quality of Life of Upper Limb Fracture Workers
This is a prospective study, and we tried to understand what factors will affect Quality of life (QOL) of upper limb fracture workers. We collected data from Bureau of Labor insurance of those with occupational injury causing upper limb fracture and being hospitalized (from July 15, 2003 to September 20, 2003). Questionnaires concerning RTW and QOL were applied and filled up by researcher through telephone interview. We have followed up each case at 45days, 90 days and 180 days from their injury respectively. paired t-test and multiple liner regression model to analyse the change between two QOL and what factors will affect their QOL were executed. There were 110 workers recruited by the first interview (response rate 54 %) and 90 workers (82 %) were successfully followed up throughout two times of interview. The results show that there are significant changes between the two QOL tests in each domain and facet excepting social support, sexual activity, freedom, physical safety and security, home environment, opportunities for acquiring new information and skills, physical environment (pollution / noise / traffic / climate), and changes in pain and discomfort, negative feelings, dependence on medicinal substances and medical aids are negative. The duration required of RTW is the most important factor affecting QOL, and the type of work is a important predictor for QOL.
Subjects
上肢骨折
復工
職業災害
生活品質
追蹤型研究
Upper limb
Prospective study
Occupational injury
Type
thesis
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