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[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 understand the status quo and the main influential factors of returning workers to occupational injuries and to provide a scientific basis for formulating interventions and improving the rate of re-employment after hand injuries. [Methods] A total of 120 hand-wounding patients who met the research requirements from January 2007 to December 2008 were randomly selected from three cooperative hospitals as the research object by the method of cross-sectional study. Gender, age, injured site and hospital stay were collected Information, and by telephone survey to understand the degree of injury, pre-injury occupations, household registration, insurance benefits. Using univariate analysis, Logistic regression analysis of the above factors and the relationship between post-injury regression. [Results] The total of 118 subjects, of whom 72 (61.0%) return to work, the average absence of 87.3d. Gender, age, location of injury, type of pre-injury occupations, household registration in cities and towns, whether or not they enjoyed work-related injury insurance or medical insurance had no significant effect on return to work. The severity of injury was significantly associated with return to work (OR = 5.18, P <0.05). [Conclusion] The majority of workers after hand injuries can return to work, the degree of injury has a significant impact on the return to work.