在患有风湿性疾病的人员的工作场所披露疾病:一项探索性研究
S M T Ostuzzi1, E N Aiello2, F Ingegnoli3
1ALOMAR ODV - Lombard Association for Rheumatic Diseases, Milan.
Reumatismo
|October 1, 2024
概括
大多数类风湿病患者在工作中披露他们的病情. 披露受疾病的可见性,工作类型,家庭支持和特殊情况 (如牛皮关节炎或纤维肌痛) 的影响.
科学领域:
- 类风湿病学 类风湿病学
- 职业健康 职业健康 职业健康
- 心理学 心理学 心理学
背景情况:
- 类风湿性肌肉骨疾病 (RMDs) 显著影响工作生产力和出席率.
- 对于RMD患者来说,在工作场所披露诊断 (DD-W) 的决定是复杂的,会影响他们的职业生活.
- 了解DD-W的预测因素对于支持工作患者至关重要.
研究的目的:
- 确定预测RMD患者在工作场所披露疾病 (DD-W) 的社会人口统计学,临床和心理因素.
- 探索RMD特征与DD-W行为之间的关系.
主要方法:
- 在意大利对250名被诊断患有RMD的工作患者进行了横截面在线调查.
- 收集的数据包括人口统计数据,与工作相关的因素,临床状态和心理因素,使用临时和验证的问卷.
- 进行了逐步后勤回归分析,以确定DD-W的显著预测因素.
主要成果:
- 观察到DD-W的高患病率,81.2%的参与者在工作场所披露了他们的RMD.
- DD-W的主要预测因素包括感知到的疾病可见性,工作类型,一般披露行为和感知到的家庭支持.
- 具体的RMD显示出不同的披露模式:牛皮关节炎与较高的DD-W有关,而纤维肌痛与较低的DD-W有关. 较短的疾病持续时间也预测了更高的DD-W.
结论:
- 大多数在职RMD患者在工作中披露他们的病情,受到医疗,职业和心理因素的结合的影响.
- 这些发现凸显了RMD患者工作场所披露的多维性质.
- 建议在教育,政策和工作场所文化方面进行进一步的研究和有针对性的干预,以支持明智的DD-W决策.
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