预防病假的基于证据的干预措施:对审查的范围审查
Esmee Bosma1, Diana Grigore1, Femke I Abma1
1Center for Prevention, Lifestyle and Health, National Institute for Public Health and the Environment, P.O. Box 1, Bilthoven, 3720 BA, The Netherlands.
预防病假是一项挑战,发现的有效干预措施很少. 有希望的策略包括多元组件的生活方式和心理健康计划,以及针对高风险工人的有针对性的疗法.
科学领域:
- 职业健康 职业健康 职业健康
- 基于证据的实践.
- 公共卫生 公共卫生
背景情况:
- 关于预防病假的研究是广泛的,但分散的.
- 缺乏基于证据的干预措施的全面概述.
- 本范围审查综合了有关预防病假的现有证据.
研究的目的:
- 为预防病假提供基于证据的干预措施的概述.
- 在各种健康问题和工人群体中确定有效的策略.
主要方法:
- 在Embase和PsycInfo系统搜索评论 (2000-2024年).
- 纳入标准:活跃工人,病假作为结果,受控设计.
- 描述性摘要和干预措施的有效性报告.
主要成果:
- 分析了28篇评论,重点关注身体,精神或各种原因的病假.
- 总体而言,很少有干预措施被证明是有效的;生活方式和心理健康的多组件计划显示出有前途.
- 针对焦虑/抑郁症的CBT和职业人员咨询等有针对性的干预措施对高危人群有效. 运动计划对身体健康问题是有效的.
结论:
- 确定了预防病假的有限有效干预措施.
- 需要更多高质量的随机对照试验,并进行长期随访.
- 未来的研究应该集中在工作场所的整合和实施障碍.
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