荷兰职业健康中的心血管疾病和缺勤率:在正常工作人口中进行的一项回顾性研究
Ivo M van Dongen1,2, Jobst Winter3, Bart Aben4
1De Nieuwe Arts, Occupational Health Service, Amsterdam, The Netherlands. i.m.vandongen@amsterdamumc.nl.
概括
心血管疾病 (CVD) 显著影响员工缺勤率,导致长时间缺勤和大量的雇主成本. 在心血管疾病治疗中,更多地关注与工作相关的问题对于可持续的恢复工作至关重要.
科学领域:
- 职业健康 职业健康 职业健康
- 心血管医学 心血管医学
- 卫生经济学 卫生经济学
背景情况:
- 关于心血管疾病 (CVD) 对员工缺勤和相关雇主成本的影响的数据有限.
- 心血管疾病是工作场所缺勤,工作时间和财务负担的重要因素.
研究的目的:
- 分析与心血管疾病 (CVD) 相关的缺勤的发生,持续时间和成本.
- 为雇主和医疗保健提供者提供关于心血管疾病对经济和生产力的影响的数据.
主要方法:
- 利用来自两个国家职业健康服务的2019-2022年 (n=443,740) 的缺勤数据.
- 使用描述性统计学,曼·惠特尼U测试,皮尔森千平方,克鲁斯卡尔-瓦利斯和卡普兰-梅尔分析返回工作.
- 包括超过6周缺勤的疾病病例.
主要成果:
- 心血管疾病占所有缺勤病例的3.2%.
- 对心血管疾病的中位数缺勤时间为119个工作日,雇主每名员工至少要花费37,000欧元.
- 常见的CVD诊断包括心肌梗塞,脑血管疾病和心律失常.
结论:
- 心血管疾病 (CVD) 是员工长时间缺勤和雇主高成本的常见原因.
- 建议在心血管疾病治疗中更多地强调与工作有关的问题和返回工作的策略.
- 对于患有心血管疾病的员工来说,可持续返回工作对个人和社会的贡献都有好处.
相关概念视频
Assessment of the Cardiovascular System I: Subjective Data
730
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
730
Psychoneuroimmunology: Cardiovascular Disease
363
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
363
Stress and Mental Health
465
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
465
Exercise and Cardiac Output
1.8K
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
1.8K
Coronary Artery Disease IV: Preventive Measures
563
Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
563
Longitudinal Studies
441
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
441


