scholarly journals Psychosocial Working Conditions Play an Important Role in the Return-to-Work Process After Total Knee and Hip Arthroplasty

2021 ◽  
Author(s):  
Tamara Kamp ◽  
Sandra Brouwer ◽  
Tjerk H. Hylkema ◽  
Jan van Beveren ◽  
Paul C. Rijk ◽  
...  
Keyword(s):  
Return To Work ◽  
Sex Education ◽  
Working Conditions ◽  
Hip Arthroplasty ◽  
Survey Study ◽  
Related Factors ◽  
Psychosocial Working Conditions ◽  
Work Related ◽  
Multicenter Survey ◽  
Total Knee

AbstractPurpose Both personal and work-related factors affect return to work (RTW) after total knee arthroplasty (TKA) and total hip arthroplasty (THA). Little is known about work-related factors associated with the recovery process. This study aimed to determine which work-related factors are associated with time to RTW for both TKA and THA patients. Methods A prospective multicenter survey study was conducted that included patients aged 18–63, had a paid job and were scheduled to undergo primary TKA/THA. Surveys were completed preoperatively, 6 weeks, and 3, 6, and 12 months postoperatively, and included four domains of work-related factors: work characteristics, physical working conditions, psychosocial working conditions and work adjustments. Control variables included age, sex, education, and comorbidity. Time to RTW was defined as days from surgery until RTW. Multivariate linear regression analyses were conducted separately for TKA/THA patients. Results Enrolled were 246 patients (n = 146 TKA, n = 100 THA, median age 56 years, 57% female). Median time to RTW was 79 days (IQR 52.0–146.0). Mainly physical tasks (TKA: B 58.2, 95%CI 9.5–106.8; THA: B 52.1, 95%CI 14.1–90.2) and a combination of physical and mental tasks (TKA: B 50.2, 95%CI 6.4–94.0; THA B 54.0, 95%CI 24.2–83.7) were associated with longer time to RTW after both TKA and THA. More possibilities for personal job development (B − 12.8, 95%CI − 25.3–0.4) and more work recognition (B − 13.2, 95%CI − 25.5 to − 0.9) were significantly associated with shorter time to RTW after TKA. Higher quality of supervisor leadership (B − 14.1, 95%CI − 22.2 to − 6.0) was significantly associated with shorter time to RTW after THA. Conclusion The findings of this study stress the importance of psychosocial working conditions, besides type of job tasks, in RTW after TKA/THA. Further research on work-related factors is needed, as arthroplasty is being performed on an increasingly younger population of knee and hip OA patients for whom participating in work is of critical importance.

scholarly journals Factors associated with employment and expected work retention among persons with multiple sclerosis: findings of a cross-sectional citizen science study

2020 ◽  
Vol 267 (10) ◽  
pp. 3069-3082
Author(s):  
Anja I. Lehmann ◽  
Stephanie Rodgers ◽  
Christian P. Kamm ◽  
Mathias Mettler ◽  
Nina Steinemann ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Social Support ◽  
Working Conditions ◽  
Time Pressure ◽  
Related Factors ◽  
Cross Sectional ◽  
Work Retention ◽  
Psychosocial Working Conditions

Abstract Background Multiple sclerosis (MS) notably affects adults of working age. For persons with MS (PwMS), being employed enhances their quality of life and it may be regarded as an indicator of overall functioning. Thus, ensuring work participation in PwMS is of general public health interest. Objective To examine relevant socio-demographic, MS-, health- and work-related factors, including psychosocial working conditions, associated with currently working PwMS in Switzerland and their expected work retention. Methods Using cross-sectional data of PwMS in the Swiss MS Registry (n = 541, median age = 48 [IQR 40;55]), multivariable logistic regression models were computed. First, currently working PwMS were characterised in comparison with those not currently working. Second, expected work retention, operationalized as subjective judgement “likely to work in the same job in 2 years”, was examined within the group of currently working PwMS. Results The factors age (OR 0.96, 95% CI 0.92–0.99), sex (OR 0.28, 95% CI 0.13–0.60), highest achieved job position (OR 1.21, 95% CI 1.01–1.46), health-related quality of life (HRQoL) (OR 1.02, 95% CI 1.01–1.04) and the number of MS symptoms (OR 0.90, 95% CI 0.82–0.98) were associated with currently working PwMS. Moreover, HRQoL (OR 1.07, 95% CI 1.04–1.10) and psychosocial working conditions, such as job resources (e.g. autonomy, control or social support) (OR 2.83, 95% CI 1.50–5.33) and job demands (e.g. workload, time pressure) (OR 0.41, 95% CI 0.18–0.90) were important factors for expected work retention among this group. Conclusions Resourceful psychosocial working conditions are crucial for PwMS to maintain employment. Employers could contribute to work retention among PwMS by creating a work environment with resourceful psychosocial working conditions and providing, for instance, social support.

scholarly journals Total Knee Arthroplasty and the Unforeseen Impact on Return to Work: A Cross-Sectional Multicenter Survey

2014 ◽  
Vol 29 (6) ◽  
pp. 1163-1168 ◽  
Author(s):  
Arthur J. Kievit ◽  
Rutger C.I. van Geenen ◽  
P. Paul F.M. Kuijer ◽  
Thijs M.J. Pahlplatz ◽  
Leendert Blankevoort ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Return To Work ◽  
Knee Arthroplasty ◽  
Cross Sectional ◽  
Multicenter Survey ◽  
Total Knee

Return to Work after a Myocardial Infarction: The Influence of Background Factors, Work Characteristics and Illness Severity

1986 ◽  
Vol 14 (4) ◽  
pp. 183-195 ◽  
Author(s):  
John Gunnar Mæland ◽  
Odd Erik Havik
Keyword(s):  
Myocardial Infarction ◽  
Return To Work ◽  
Rural Areas ◽  
Total Sample ◽  
Clinical Severity ◽  
Stepwise Discriminant Analysis ◽  
Related Factors ◽  
Work Related ◽  
Clinical Complications ◽  
Work Resumption

The relationship between return to work (RTW) within 6 months after a myocardial infarction (MI) and selected demographic factors, characteristics of prior work situation, pre-MI health status, and clinical severity of the MI has been studied in 249 patients below 67 years of age living in urban and rural areas of Western Norway. At the follow-up 8 out of 10 urban patients and 6 out of 10 rural patients were back at work. The RTW rate for the total sample was 73%. Age below 51 years, high educational and income level, working in tertiary industries, and in a job characterized by low physical activity and little psychosocial stress were all factors associated with a favourable work resumption. Multivariate analyses showed that socioeconomic or work-related factors could not fully explain the urban-rural differences in RTW. Stepwise discriminant analysis identified the following factors as important and independent predictors for RTW: Place of residence, age, education, perceived job stress, and clinical complications during hospitalization. Failure to return to work after a MI can be explained by a number of individual and social factors and only to a limited degree by the medical status of the patient. More knowledge is needed concerning the socio-cultural differences among both patients and attending physicians in attitudes towards work resumption after a MI.

SAT0320 Return to Work After Total Knee and Hip Arthroplasty: a Systematic Review

2013 ◽  
Vol 72 (Suppl 3) ◽  
pp. A692.1-A692
Author(s):  
C. Tilbury ◽  
W. Schaasberg ◽  
J. W. Plevier ◽  
M. Fiocco ◽  
T. P. Vliet-Vlieland ◽  
...  
Keyword(s):  
Systematic Review ◽  
Return To Work ◽  
Hip Arthroplasty ◽  
Total Knee ◽  
Knee And Hip Arthroplasty

scholarly journals Recovery Courses of Patients Who Return to Work by 3, 6 or 12 Months After Total Knee Arthroplasty

2021 ◽  
Author(s):  
T. H. Hylkema ◽  
M. Stevens ◽  
J. van Beveren ◽  
P. C. Rijk ◽  
R. W. Brouwer ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Return To Work ◽  
Knee Arthroplasty ◽  
Physical Functioning ◽  
International Classification Of Functioning ◽  
Survey Study ◽  
Activity Limitations ◽  
Physical Impairments ◽  
Participation Restrictions ◽  
Total Knee

AbstractPurpose This study compared the preoperative levels and postoperative recovery courses of physical and mental impairments, activity limitations and participation restrictions of working-age patients who return to work (RTW) by 3, 6 or 12 months after total knee arthroplasty (TKA). Methods A prospective survey study including TKA patients (aged < 65) (n = 146) who returned to work (RdTW) in the first postoperative year. Three groups were compared: those who returned by 3 (n = 35), 6 (n = 40) or 12 (n = 29) months. Surveys were completed preoperatively and at 6 weeks and 3, 6 and 12 months postoperatively. Outcomes represented domains of the International Classification of Functioning, i.e. physical impairments (pain, stiffness, vitality), mental impairments (mental health and depressive symptoms), activity limitations (physical functioning) and participation restrictions (social and work functioning). Results Preoperative knee-specific pain and physical functioning levels were better among patients who RdTW by 3 months, compared to those who returned by 12 months. Patients who RdTW by 3 months experienced significantly better recovery from physical impairments than those who returned by 6 months (on general pain) or 12 months (on general and knee-specific pain and on stiffness). Patients returning by 3 months experienced significantly better recovery from activity limitations (on knee-specific physical functioning). Conclusions To optimize return to work outcome after TKA surgery, the focus should lie on physical impairments (general and knee-specific pain, stiffness) and activity limitations (knee-specific physical functioning) during recovery.

scholarly journals Mental health of chemical workers: violation risk factors

2020 ◽  
Vol 101 (4) ◽  
pp. 550-560
Author(s):  
S V Kuzmina ◽  
R V Garipova ◽  
Z M Berhkeeva ◽  
K K Yakhin
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Organic Synthesis ◽  
Working Conditions ◽  
Related Factors ◽  
Work Related ◽  
Production Factors ◽  
Chemical Workers ◽  
Fire And Explosion ◽  
Fire And Explosion Hazards

Aim. To study the structure of psychosocial maladjustment in chemical workers and assess the contribution of industrial and non-industrial risk factors in the formation of mental illness. Methods. It was analysed of hygienic assessment of the leading harmful production factors chemical, physical, factors of severity and intensity of labor. During the periodic medical examination, the mental health status of 1,226 people was examined, with a focus on professional experience, mental hygiene aspects of production factors, as well as individual and personal characteristics of employees. Confidence intervals and standard errors estimating, the logistic regression models fitting were performed using R Statistical Software with significance level 0.05. Results. The working environment hazards in organic synthesis included chemical risk factor, continuous noise exceeding the permissible exposure limit, emotional stress and life-threatening conditions (fire and explosion hazards in the work). The general assessment of working conditions was performed using clauses 5.15.11 P 2.2.2006-05-harmful working conditions of the second-third degree (3.23.3). Working conditions at all stages of the manufacturing process of pyroxylin powders were assessed as harmful to the third-fourth degree (3.33.4), including the chemical factor, the severity and intensity of work, fire and explosion hazards in the work. It was revealed the dependence of the development of psychosocial maladjustment on non-work-related factors (such as the level of education, marital status), conditional work-related factors (level of material security). Also, the dependence of the structure of pre-existing mental health condition on the work-related and developmental characteristics (work experience) of labor in chemical production was found. Conclusion. Working conditions in the studied industries correspond to the 3rd harmful class, 2nd and 3rd degrees in the production of organic synthesis (3.23.3), while at the production of pyroxylic powders, it is close to dangerous (3.33.4); the structure and risk of the developmental process of employee maladjustment are determined by the feature effect of workplace hazards.

scholarly journals The association between physicians’presenteeism and job burnout: a cross-sectional survey study in China

2019 ◽  
Author(s):  
pei pei ◽  
Guohua Lin ◽  
Gaojie Li ◽  
Yifan Zhu ◽  
Xiaoyu Xi
Keyword(s):  
Emotional Exhaustion ◽  
Job Burnout ◽  
Three Dimensions ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Cross Sectional ◽  
Work Related ◽  
Medical Institutions ◽  
The Relationship

Abstract Background: Research shows that physicians often report job burnout and have a high level of presenteeism, but few studies concerns the relationship between job burnout and presenteeism. The purpose of this study was to explore the relationship between physicians’ presenteeism and three dimensions of job burnout in China, and to identify aspects that can help alleviate presenteeism. Methods: A cross-sectional survey involving physicians in second-and third-class medical institutions was conducted in the interior of China. Using a single presenteeism questionnaire and a 15-item Chinese version of the BMI-GS questionnaire, this study investigated prevalence of physicians' presenteeism behavior and job burnout in three dimensions, and determined the relationship between presenteeism and job burnout by logistical model. Results: Relationships between presenteeism and three dimensions of job burnout were explored, and the influence of demography and work factors were evaluated. The survey was completed by 1376/1547 hospital doctors, with a response rate of 88.9%. 30.7%(n=422) of the subjects reported having presenteeism behavior. Using MBI-GS, 86.8%(n=1195) of physicians were moderately burnout and 6.0%(n=82) were severely job burnout. Logistic regression analysis showed that physicians with moderate, severe emotional exhaustion and severe cynicism were more likely to engage in presenteeism (all p < 0.05). In addition, two other work-related factors, including the physician's department and position, were also more likely to influence their presenteeism (all p < 0.05). Conclusions: At present, there is quite presenteeism among physicians in the second-and third-class medical institutions in China, which is significantly related to emotional exhaustion and cynicism. Considering the modifiable job-related factors, health care institutions must take appropriate measures to relieve physicians' job burnout, help them adjust their self-awareness properly, and ensure occupational mental health to alleviate the prevalence of presenteeism. Keywords: presenteeism, job burnout, emotional exhaustion, cynicism, physicians

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