参与式人体工效学干预对腰背损伤患者复工意愿的影响

关键词：参与式人体工效学  就业意愿  腰背损伤  复工

Keywords:participatory ergonomics  willingness to work  back injury  return to work

摘要：

      摘要 目的：探讨参与式人体工效学干预方案对腰背损伤患者复工意愿的影响。 方法：将符合标准的64例腰背损伤患者，随机分成对照组（33例）和试验组（31例）。对照组给予常规职业康复训练，试验组给予常规职业康复训练+参与式人体工效学干预，分别在干预前和干预4周后对两组患者进行腰背功能评估（SFS）、就业意愿评估（LASER）、恐惧-回避信念评估（FABQ）。 结果：干预前，两组患者在各项指标上没有明显差异（P>0.05）。干预4周后，两组患者在腰背功能自评、就业意愿评估上都有明显改善（P<0.05），且试验组的评价指标显著优于对照组（P<0.05）。试验组恐惧-回避信念明显下降（P<0.05），对照组下降不明显（P>0.05）。 结论：参与式人体工效学干预结合可提高腰背痛患者对腰背功能的自我感知、降低恐惧-回避信念，提高就业意愿。

Abstract:

      Abstract Objective： To investigate the effect of a participatory ergonomics intervention program on the willingness to return to work in patients with back injuries. Method： A total of 64 patients with lumbar&back injury were randomly divided into control group （n=33） and experimental group （n=31）. The experimental group was given the participatory ergonomics intervention, and both group were given the conventional vocational rehabilitation training. Patients in the two groups were evaluated by spinal function sort （SFS）， Lam assessment of stages of employment readiness （LASER）， fear-avoidance belief questionnaire （FABQ） before and after intervention. Result： There were no statistically significant differences between the two groups in FABQ score ，SFS score and LASER score before invention（P>0.05）. There were statistically significant differences in SFS scores and LASER scores in both groups before and after treatment （P<0.05）， and the evaluation index of the experimental group was significantly better than that of the control group （P<0.05）. In the experimental group， FABQ scores decreased significantly （P<0.05）， no significant decrease in control group （P>0.05）. Conclusion： Participatory ergonomics intervention combined with vocational rehabilitation training can improve the self-perception of spinal function， and improve the willingness to work of patients with low back pain.