疼痛管理对慢性肌肉骨疼痛的老年工人的工作能力的影响:一个横截面研究
Narucha Komolsuradej1, Siwaluk Srikrajang2, Chalat Ratanapisit3
1Department of Family and Preventive Medicine, Faculty of Medicine, Prince of Songkla University, Kanchanavanich road 15, Hatyai, 90110, Songkhla, Thailand.
Scientific reports
|April 2, 2025
概括
有效的疼痛管理对于保持慢性肌肉骨疼痛的老年员工的工作能力至关重要. 虽然药物治疗和联合治疗有希望,但某些应对策略会对工作表现产生负面影响.
科学领域:
- 职业健康 职业健康 职业健康
- 疼痛管理 疼痛管理
- 老年学是一门学科.
背景情况:
- 人口老龄化和预期寿命的增加导致越来越多的劳动力经历慢性肌肉骨疼痛 (MSP).
- 疼痛管理策略对患有MSP的老年工人的工作能力的影响在很大程度上未被调查.
研究的目的:
- 检查疼痛管理策略与慢性MSP的老年工人 (≥45岁) 的工作能力之间的关联.
- 确定特定的疼痛管理方法和应对策略,这些策略会影响这个人口中的工作能力.
主要方法:
- 一项涉及264名老龄化工人慢性MSP (≥3个月) 的横截面研究.
- 通过面对面采访收集的数据,使用经过验证的泰国版本的简要疼痛库存,疼痛应对库存和工作能力指数 (WAI).
- 疼痛管理分为药理,非药理和自我应对策略;工作特征和健康状况记录.
主要成果:
- 药物 (69.3%),非药物 (60.3%) 和自我应对 (90.9%) 的策略通常被采用.
- 药物治疗,药物治疗/非药物治疗的结合,以较慢的速度继续活动,撤退到宁静的环境中,并持续关注疼痛,与工作能力有显著的关联.
- 当户外活动被确定为通过顺序逻辑回归来确定工作能力低下的显著风险因素时,立即返回家园.
结论:
- 疼痛管理在维持慢性MSP的老年工人的工作能力方面发挥着重要作用.
- 虽然药物治疗和联合治疗很普遍,但某些自我应对策略 (例如,立即撤退) 与工作能力的降低有关.
- 疼痛的严重程度,疼痛干扰和慢性疾病 (高血压,脂质失调,膝盖/腰部疼痛) 是工作能力下降的关键决定因素.
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