Full-text resources of CEJSH and other databases are now available in the new Library of Science.
Visit https://bibliotekanauki.pl

Refine search results

Journals help

  1. 12 International Journal of Occupational Medicine and Environmental Health

  2. 4 Medycyna Pracy

  3. 2 Niepełnosprawność - zagadnienia, problemy, rozwiązania

  4. 1 Studia Humanistyczne AGH

  5. 1 Studia Prawno-Ekonomiczne

More...
Authors help

  1. 3 Borowski A.

  2. 3 Drobniewski M.

  3. 3 Synder M.

  4. 2 Krasińska M.

  5. 2 Sibiński M.

More...
Years help

  1. 1 2024

  2. 2 2021

  3. 2 2020

  4. 3 2019

  5. 1 2018

More...

Results found: 21

first rewind previous Page / 2 next fast forward last

Search results

Search:
in the keywords:  return to work
help Sort By:

help Limit search:
first rewind previous Page / 2 next fast forward last
1
Publication available in full text mode
Content available

Return to work after spinal stenosis surgery and the patient’s quality of life

100%
Truszczyńska A., Rąpała K., Truszczyński O., Tarnowski A., Łukawski S.
International Journal of Occupational Medicine and Environmental Health
|
2013
|
vol. 26
|
issue 3
394-400
EN
Introduction: The return to work of patients who undergo spinal surgery poses important medical and social challenge. Objectives: 1) To establish whether patients who undergo spinal stenosis surgery later return to work. 2) To establish the patient's attitude towards employment. 3) To assess the quality of life of the patients and its influence on their attitude to work. Materials and Methods: The study population consisted of 58 patients aged from 21 to 80 years (the mean age was 52.33±14.12). There were 29 women (50%) and 29 men (50%) in the group. The patients' quality of life was measured by the use of the WHOQOL-BREF instrument. Individual interviews were conducted 3 to 8 months (a mean of 5.72 months ±1.6) after the surgery. Results: 1) Although 13 patients (22.3%) returned to work, 44 (75.9%) did not, these being manual workers of vocational secondary education. 2) Almost half of the patients (27 patients, i.e. 44%) intend to apply for disability pension, 16 patients (27.6%) consider themselves unfit to work, 22 patients (37.9%) do not feel like working again. 3) The quality of life of the patients decreased. Domain scores for the WHOQOL-BREF are transformed to a 0-100 scale. The mean physical health amounted to 60.67 (±16.31), the mean psychological health was 58.78 (±16.01), while the mean social relations with family and friends were 59.91 (±20.69), and the mean environment 59.62 (±12.48). Conclusions: 1) A total of 75% of the patients operated for lumbar spinal stenosis do not return to their preoperative work. Difficulties in returning to work and decreased quality of life are associated with female sex, lower-level education, hard physical work and low income. 2) Physical health, psychological health, social relations and environment decreased to the mean of approximately 60. 3) The quality of life of the patients who did return to work was similar to that of healthy people.
2
Content available remote

Exposing Myths on Returning to Work and Socially Inclusive Jobs

88%
Breuer J.
Niepełnosprawność - zagadnienia, problemy, rozwiązania
|
2019
|
issue 4(33)
7-14
EN
Return-to-work programmes and socially inclusive jobs are the subject of numerous myths. A closer look at the facts enables these myths to be exposed quickly, but it is also important to understand why they exist. They arose a long time ago, and in view of changes that have taken place in the meantime, we need to shift our mind-set and regard rehabilitation and inclusion as a means of facing the challenges of our own times, such as the digital economy and demographic change. This article also discusses the understanding of how persons with disabilities are included in society through the elimination of barriers and empowerment of the affected individuals to participate in it and live their lives as they wish. It will become apparent why the creation of inclusive workplaces and programmes for occupational rehabilitation are of both social and economic importance, not only for the individual but also for other groups in society and society as a whole.
3
Publication available in full text mode
Content available

Return to work after coronary revascularization procedures and a patient’s job satisfaction: A prospective study

88%
Fiabane E., Giorgi I., Candura S. M., Argentero P.
International Journal of Occupational Medicine and Environmental Health
|
2015
|
vol. 28
|
issue 1
52-61
EN
Introduction Research into work reintegration following invasive cardiac procedures is limited. The aim of this prospective study was to explore predictors of job satisfaction among cardiac patients who have returned to work after cardiac rehabilitation (CR). Material and methods The study population consisted of 90 cardiac patients who have recently been treated with coronary angioplasty or heart surgery. They were evaluated during their CR and 12 months after the discharge using validated self-report questionnaires measuring job satisfaction, work stress-related factors, emotional distress and illness perception. Information on socio-demographic, medical and occupational factors has also been collected. Results After adjusting for demographic, occupational and medical variables, baseline job satisfaction (p < 0.001), depression (p < 0.01) and ambition (p < 0.05) turned out to be independent, significant predictors of job satisfaction following return to work (RTW). Patients who had a partial RTW were more satisfied with their job than those who had a full RTW, controlling for baseline job satisfaction. Conclusions These findings recommend an early assessment of patients’ psychosocial work environment and emotional distress, with particular emphasis on job satisfaction and depressive symptoms, in order to promote satisfying and healthy RTW after cardiac interventions.
4
Publication available in full text mode
Content available

Entry into vocational rehabilitation program following work-related hand injury: Potential candidates

88%
Chen Y.-H., Hsu C.-Y., Lien S.-H., Yu S.-J., Chang J.-M., Su S.-W., Chao Y.-H.
International Journal of Occupational Medicine and Environmental Health
|
2015
|
vol. 29
|
issue 1
101-111
EN
Objectives This case-control study aimed to investigate the predictors of return to work (RTW) following work-related major forearm, wrist or hand injury at the preparation stage of return to work. Material and Methods A total of 80 clients were recruited and divided into 2 groups depending on their readiness of RTW. The groups were compared with each other with regard to their demographics, compensation status, hand injury severity, health perception, and time off work (TOW) using correlation coefficient. Predictors of RTW were measured by logistic regression analysis. Results There were no significant differences in demographics and the severity of hand injury between 2 groups. Self-perceived physical functioning (p = 0.04), vitality (p = 0.01), mental health (p = 0.03) and TOW (p = 0.001) were significantly different between Action group and Preparation group. With binary logistic regression analysis, self-perceived vitality (odds ratio (OR) = 1.041) and TOW (OR = 0.996) were shown to be strongly predictive of RTW at the preparation stage of return to work. Conclusions This study has shown that shorter TOW and better self-perceived vitality could predict early readiness for RTW after major work-related forearm, wrist or hand injury.
5
Publication available in full text mode
Content available

Does employment promote the process of recovery from schizophrenia? A review of the existing evidence

88%
Charzyńska K., Kucharska K., Mortimer A.
International Journal of Occupational Medicine and Environmental Health
|
2015
|
vol. 28
|
issue 3
407-418
EN
The aim of this review is to appraise current evidence on the association between employment and specific, non-vocational components that are indicators of recovery from schizophrenia, such as symptom remission, neurocognitive functioning, social cognitive functioning, and quality of life. Out of 754 studies identified in a comprehensive bibliographical data search, 43 were selected for abstract screening and 18 were included in the final review. The studies were categorized in terms of the type of employment investigated (supported employment, Individual Placement and Support, competitive employment). Studies on the Individual Placement and Support programs provide the strongest evidence for their effectiveness in terms of non-vocational outcomes. Quality of life, psychopathology and well being were the most frequently investigated outcomes and only 2 studies utilized a global concept of recovery as a measure. Employment was also associated with positive changes in domains that are not directly related to working, e.g., leisure activities. The current review reports promising, but not conclusive, results in the improvement of quality of life, social functioning and other indicators of recovery, but there is still a need for high quality, long term follow-up, randomized studies to further investigate this relationship.
6

Bezpieczny powrót do pracy po urodzeniu dziecka. Rola spostrzeganego wsparcia społecznego

75%
Dobrowolska M., Sikora J.
Zarządzanie Zasobami Ludzkimi
|
2019
|
issue 3-4(128) „Nowe trendy i różnorodność w bezpieczeństwie pracy&#034;
139-148
PL
Powrót kobiety po urodzeniu dziecka do pracy stanowi wyzwanie nie tylko dla niej samej, ale również dla rodziny, osób bliskich, a także pracodawcy, do którego kobieta powraca po przerwie w nowej roli – pracownika matki. Celem badania była analiza mediacyjnego charakteru spostrzeganego wsparcia społecznego w relacji pomiędzy radzeniem sobie z obciążeniem w pracy a konfliktem praca–rodzina i rodzina–praca u kobiet powracających do pracy po urodzeniu dziecka. W badaniu zastosowano następujące narzędzia: Skala Konfliktu Praca–Rodzina, Rodzina–Praca, Wielowymiarowa Skala Spostrzeganego Wsparcia Społecznego, Kwestionariusz Obszarów Życia Zawodowego. W badaniu wzięło udział 414 kobiet, które powróciły do pracy po urodzeniu dziecka. Wykazano, że spostrzegane wsparcie społeczne mediuje częściowo relację pomiędzy radzeniem sobie z obciążeniem w pracy a konfliktem praca–rodzina.
EN
The return of a woman to work after bearing a child is a challenge not only for her, but also for the family, close ones, and even the employer to which the woman returns in her new role—a mother and employee—after her break. The aim of the study was to analyze the mediating character of perceived social support in terms of coping with workload and work–family and family–work conflict in women returning to work after childbirth. The following tools were used in the study: scale of work–family and family–work conflict, the multidimensional scale of perceived social support, and a questionnaire concerning professional life areas. A total of 414 women who returned to work after having a child took part in the study. It was demonstrated that perceived social support partially mediates the relationship between coping with workload and work–family conflict.
7
Publication available in full text mode
Content available

Impact of exercise-based cardiac rehabilitation on attitude to the therapy, aims in life and professional work in patients after myocardial infarction

75%
Korzeniowska-Kubacka I., Bilińska M., Piotrowska D., Wolszakiewicz J., Piotrowicz R.
Medycyna Pracy
|
2019
|
vol. 70
|
issue 1
EN
Background Comprehensive cardiac rehabilitation aims to restore pathophysiological and psychosocial consequences of myocardial infarction (MI). The aim of the study was to assess how exercise-only-based cardiac rehabilitation (ECR) influences the attitude to the therapy (ATT), to the aims in life and professional work (AAL) amongst men and women after MI. Material and Methods The study comprised 44 post-MI patients: 28 men and 16 women, mean age 58±10 years old, referred to ECR. Patients underwent 24 interval cycle ergometer trainings 3 times a week. At the beginning and after the training program (TP) each patient underwent exercise stress test (EST) and was scored to ATT and ALL based on the Psychological Effects of Rehabilitation Score Scale (PERSS) according to Tylka and Makowska. The analysis covered: 1) EST findings: maximal workload and test duration (min), 2) ATT and AAL based on PERSS, 3) resuming professional work. Results Exercise capacity improved significantly after TP. Attitude to the aims in life and professional work significantly increased in the whole group (4.4±2.8 vs. 5.1±2.4, p < 0.01) and separately in men (4.5±2.9 vs. 5.1±2.5, p < 0.05) and women (4.3±2.6 vs. 5.0±2.0, p < 0.05). Attitude to the therapy did not change significantly in the whole group (5.6±2.8 vs. 6.0±2.8) and in men (5.9±2.9 vs. 6.0±2.9), but increased significantly in women (5.0±2.5 vs. 6.1±2.7, p < 0.05). Professional work was resumed, averagely by 86.4% of all patients (85.7% men and 87.5% women). Conclusions Physical training beneficially influenced post-MI men’s and women’s attitude to the aims in life, professional work and attitude to the therapy in women. Med Pr. 2019;70(1):1–7
8
Publication available in full text mode
Content available

Re-initiating professional working activity after myocardial infarction in primary percutaneous coronary intervention networks era

75%
Babić Z., Pavlov M., Oštrić M., Milošević M., Misigoj Duraković M., Pintarić H.
International Journal of Occupational Medicine and Environmental Health
|
2015
|
vol. 28
|
issue 6
999-1010
EN
Objectives To investigate the aspects of return to work, socio-economic and quality of life aspects in 145 employed patients under 60 years of age treated with primary percutaneous coronary intervention for acute ST-elevation myocardial infarction. Material and Methods During hospital treatment demographic and clinical data was collected. Data about major adverse cardiovascular events, rehabilitation, sick leave, discharge from job and retirement, salary, major life events and estimation of quality of life after myocardial infarction were obtained after follow-up (mean: 836±242 days). Results Average sick leave was 126±125 days. Following myocardial infarction, 3.4% of patients were discharged from their jobs while 31.7% retired. Lower salary was reported in 17.9% patients, major life events in 9.7%, while 40.7% estimated quality of life as worse following the event. Longer hospitalization was reported in patients transferred from surrounding counties, those with inferior myocardial wall and right coronary artery affected. Age, hyperlipoproteinemia and lower education degree were connected to permanent working cessation. Significant salary decrease was observed in male patients. Employer type was related to sick leave duration. Impaired quality of life was observed in patients who underwent in-hospital rehabilitation and those from surrounding counties. Longer sick leave was observed in patients with lower income before and after myocardial infarction. These patients reported lower quality of life after myocardial infarction. Conclusions Inadequate health policy and delayed cardiac rehabilitation after myocardial infarction may lead to prolonged hospitalization and sick leave as well as lower quality of life after the event, regardless of optimal treatment in acute phase of disease.
9
Publication available in full text mode
Content available

Predictors of early return to work after a coronary artery bypass graft surgery (CABG)

75%
Mehrdad R., Ghadiri Asli N., Pouryaghoub G., Saraei M., Salimi F., Nejatian M.
International Journal of Occupational Medicine and Environmental Health
|
2016
|
vol. 29
|
issue 6
947-957
EN
Objectives Identifying factors predictive of early return to work in patients who underwent a coronary artery bypass graft surgery (CABG). Material and Methods Two hundred twenty-six working patients who volunteered and underwent a primary coronary artery bypass surgery between September 2013 and May 2014 were selected for the study and followed up for 6 months. Predictors of early return to work (RTW) (within 2 months) were analyzed from variables in a prospectively collected database and the 36-Item Short Form Health Survey (SF-36) questionnaire carried out in the hospital and rehabilitation center as well as from the follow-up performed via the phone. Results One hundred and two (45.1%) and 155 (68.9%) patients returned to work within 2 and 3 months after the surgery, respectively. Furthermore, 196 patients (87.1%) returned to work within 6 months after the surgery. In the univariate analysis, demographic or socioeconomic factors (such as age, level of education, income), occupational factors (such as occupation type, working hours per week, duration of the preoperative absence from work), psychological factors (such as a patient’s concern about adverse health effects of RTW, feeling depressed, a patient’s attitude towards his/her ability to RTW and a patient’s perception of his/her job stress level) and medical factors (such as serum troponin T and creatine kinase MB (CKMB) level, pump time in surgery, co-surgery and dyslipidemia history) had a statistically significant correlation with early return to work. The patients who early returned to work had significantly higher scores in 3 domains on the SF-36 questionnaire (used for assessing the patients’ quality of life), compared to those who did not return to work early (including physical functioning, role limitations due to physical health and pain). Conclusions In the present study we identified 4 new medical factors that could be used as predictors of early return to work after CABG. These factors are: normal serum troponin T level, shorter pump time in surgery, normal mean arterial pressure (MAP) before the surgery and higher serum magnesium (Mg) levels. Int J Occup Med Environ Health 2016;29(6):947–957
10
Publication available in full text mode
Content available

Rehabilitation of sick-listed LBP patients in occupational health with collaboration of the workplace

75%
Kokkonen V., Lamminpää A., Reijula K., Russo F., Iavicoli S., Denaro V., Kuoppala J.
International Journal of Occupational Medicine and Environmental Health
|
2024
|
vol. 37
|
issue 1
3-17
EN
The aim was to evaluate if rehabilitation procedures including occupational health (OH) and workplace participation increase return to work (RTW) rates among patients with subacute and chronic low back pain (LBP). A systematic review of randomized controlled trials was conducted using the PubMed and Cochrane databases. Main outcomes were RTW and days of sick leave. Interventions needed to be multidisciplinary including both OH and active workplace involvement in rehabilitation. Out of 1073 potentially eligible references, 8 met the inclusion criteria. Three studies had OH and 5 case managers involved in rehabilitation. Rehabilitation involving both OH and workplace improved RTW and decreased the number of sick leave days among LBP patients. Having case managers involved had no effect in RTW. In order to improve RTW, workplace visits and work ability meetings (WAMs) between OH and workplace are essential components in the rehabilitation process among patients with chronic LBP. Based on the study results, the authors suggest utilizing these co-operative interventions with workplaces in OH. High quality research investigating only the effect of WAMs in OH setting is needed in future.
11
Publication available in full text mode
Content available

The association between rurality and return to work for workers’ compensation claimants with work-related musculoskeletal injuries: An analysis of workers who failed to return to work within typical healing time frames

75%
Lavoie C. A., Voaklander D., Beach J. R., Gross D. P.
International Journal of Occupational Medicine and Environmental Health
|
2017
|
vol. 30
|
issue 5
715-729
EN
Objectives The objectives of this study have been to: 1) describe and compare urban and rural injured worker populations in Alberta, Canada; 2) identify return-to-work outcomes in urban and rural populations; 3) examine the relationship between geographic location of residence and recovery from work-related musculoskeletal injury; and 4) investigate if this relationship is attenuated after controlling for other known risk factors. Material and Methods This study was a secondary analysis utilizing data of a population of musculoskeletal injury claimants who underwent clinical/RTW (return to work) assessment between December 2009 and January 2011 collected by the Workers’ Compensation Board of Alberta. Descriptive statistics were computed for 32 variables and used for comparing urban and rural workers. The logistic regression analysis was performed to test the association between geographic location of residence and likelihood of return-to-work. Results Data on 7843 claimants was included, 70.1% of them being urban and 29.9% – rural. Rural claimants tended to have spent less time in formal education, have a blue-collar job, have no modified work available, have a diagnosed comorbidity, and not been enrolled in a specialized rehabilitation program. They were 1.43 (1.12–1.84) times the odds more likely than urban claimants to be continuing to receive full disability benefits 90 days after their RTW assessment, and 1.68 (1.06–2.67) times the odds as likely to report a recurrence of receiving disability benefits. Conclusions Rural residence was associated with prolonged work disability, even after controlling for age, job type, education level, health utilization and other potential confounders. Further research is required to explore why injured workers in rural settings experience prolonged reception of disability benefits and have greater rates of recurrence of receiving disability benefits. Int J Occup Med Environ Health 2017;30(5):715–729
12
Publication available in full text mode
Content available

Cranioplasty as the return-to-work factor – 112 patients with cranial defects treated in the Department of Neurosurgery at the Medical University of Lodz

75%
Kasprzak P., Ormezowska E., Jaskólski D.
International Journal of Occupational Medicine and Environmental Health
|
2017
|
vol. 30
|
issue 5
803-809
EN
Objectives The number of craniectomies and the consequent reconstructive procedures has grown during the past decades. Cranial defects and methods of their repair could have some influence on work capability of the patients and their employability. Material and Methods The authors analyzed a group of 112 patients with cranial defects treated in the Department of Neurosurgery at the Medical University of Lodz, Poland, in the course of the katamnestic period longer than 6 months after reconstructive operation, and observed them between February 2008 and February 2015. Their work capability and employment were compared, all the patients were interviewed concerning the reasons for not working according to the Social Insurance Institution predication procedure. Results Before the cranioplasty, all the patients were capable of working without limitations according to biological criteria and 89 of them were employed. Twenty-three not working people consisted of 6 pupils, 7 retired and 10 not working for other reasons. During the period between the craniectomy and the cranioplasty, 88 patients were capable of working and only 2 were employed. After the reconstruction, 93 were capable of working without limitations and 16 – with limitations. Forty-seven were employed during the period of the follow-up, the rest of patients consisted of 2 pupils, 13 retired and 50 not working for various reasons. Conclusions Cranioplasty is a very important factor contributing to return to work. This outcome may be seen as having a great social value and be added to the functions of cranial repair as protective, esthetic and normalizing the intracranial pressure previously described in the literature. Int J Occup Med Environ Health 2017;30(5):803–809
13
Publication available in full text mode
Content available

The return to professional activity patients treated surgically due to advanced gonarthrosis

75%
Drobniewski M., Synder M., Krasińska M., Sibiński M., Borowski A.
International Journal of Occupational Medicine and Environmental Health
|
2021
|
vol. 34
|
issue 5
617-628
EN
ObjectivesThe goal of this work is to analyze the issue of return to professional activity by working-age patients who have been treated surgically with total knee arthroplasty (TKA) due to gonarthrosis.Material and MethodsOverall, 88 working-age patients were examined, with a total of 91 TKA procedures performed due to advanced gonarthrosis. The average age of the patients was 54.2 years for women and 58.1 years for men. A modified Knee Society Score scale was used to compile the results of the clinical trial. The Kellgren-Lawrence classification was used to assess preoperative radiographs. Postoperative radiographs evaluated the position of the endoprosthesis of both the femoral and tibial components in the anteriorposterior and lateral upright projections. The obtained results were subjected to statistical analysis.ResultsIn the preoperative assessment, both the clinical and radiological results obtained were unfavorable in all cases. Throughout the observation period of approximately over 3.8 years, a very good result was noted in 65 cases (71.4%), a good result in 20 cases (22%), and a satisfactory result in 6 cases. There were no bad results. The average improvement on the Visual Analogue Scale was 6.5 pts. The radiological assessment did not reveal any radiological symptoms of the aseptic loosening of the endoprosthesis, simultaneously concluding that each time the endoprosthesis components were properly seated. Only 53 (58.3%) of the examined patients were professionally active before the surgery. After completing the treatment, 46 (50.5%) of all patients returned to work, in favor of intellectual workers. The average duration of sick leave was 136.2 days, and rehabilitation allowance was granted in 19 cases.ConclusionsFirstly, in working-age patients, TKA is a valuable method for surgical treatment of advanced gonarthrosis of varying etiology. Secondly, most of the patients who worked before the surgery returned to performing work in the position held and on the same full-time equivalent basis.
14
Publication available in full text mode
Content available

An assessment of the return to professional activity of patients aged ≤30 years after hip replacement surgery

75%
Drobniewski M., Synder M., Krasińska M., Sibiński M., Borowski A.
International Journal of Occupational Medicine and Environmental Health
|
2021
|
vol. 34
|
issue 6
747-754
EN
ObjectivesThe study evaluated the professional activity of patients after a total cementless hip replacement surgery performed at the age of ≤30 years.Material and MethodsThe study group comprised 87 patients, with 95 total cementless hip replacements. The mean age was 25.7 years. The youngest patient was 17 years old, and the oldest 30 years old. The mean length of observation was 20.1 years, ranging 5–33 years. All patients underwent clinical and radiological evaluations before the surgery, and again in the third, sixth and twelfth months after the surgery. Further follow-up visits were performed every year. The tests were scored according to the Merle d’Aubigné and Postel (MAP) classification, as recommended by the Polish Society of Orthopaedics and Traumatology. Postoperative radiographs were used to assess the position of the endoprosthesis, and the degree of implant healing in the bone tissue. The data was subjected to statistical analysis.ResultsOf the surveyed group, 67 patients were professionally active before the surgery: 34 were white-collar workers, 29 manual workers, and 4 students or school pupils. The remaining 20 had not worked for many years, and were receiving sickness or disability benefits. An excellent result, according to the Kellgren-Lawrence classification, was noted in 22 cases, a good result in 42 cases, and a satisfactory result in 6 cases. In 25 cases, a poor result was observed. All of the patients professionally active before the surgery returned to work following the procedure. A further analysis found that 15 previously-unemployed patients commenced employment following the procedure. The mean length of the sick leave was 196.2 days, and rehabilitation payments were granted in 5 cases.ConclusionsTotal cementless hip replacement is a valuable method of treating osteoarthritis in young patients. All of the patients who worked before the surgery returned to work in the same position and on the same employment conditions. Most of the previously-unemployed patients commenced employment following the procedure.
15
Publication available in full text mode
Content available

Hip joint arthroscopy in professionally active patients with osteoarthritis

75%
Drobniewski M., Synder M., Skrzypek M., Pstrągowski K., Polguj M., Borowski A.
International Journal of Occupational Medicine and Environmental Health
|
2018
|
vol. 32
|
issue 1
115-120
EN
Objectives The primary endpoints of the study were to assess the effectiveness of hip joint arthroscopy in the treatment of femoroacetabular impingement (FAI) in patients with joint gap stenosis and to determine if and how quickly patients were able to return to work and physical activity. Material and Methods The prospective study of patients undergoing hip joint arthroscopy due to pain in FAI has been conducted. They were divided into 2 groups depending on the degree of the radiological examination. The criterion was the width of the joint gap. The study group involved 47 patients with hip joint gap of 2–3 mm, identified by means of the standardized X-ray examination. The control group consisted of 45 patients with hip joint gap > 3 mm. The post-operative follow-up period of the patients lasted at least 2 years. In addition, the Western Ontario McMaster Universities Osteoarthritis Index (WOMAC) questionnaire together with Harris Hip Score (HHS) were applied. The patients were also evaluated for the post-operative time period enabling return to work. Results All the patients after hip joint arthroscopy returned to normal physical activity within 12 weeks after operation, enabling their return to work. However, it should be noted that during the post-operative follow-up, pain sensations either recurred or did not regress in 37 patients in the study group and 12 patients in the control group after treatment. The nearly equal results of the WOMAC questionnaire and HHS before operation significantly vary between both groups in the last follow up. In the study group they did not change expressively. Conclusions Despite the little invasiveness, hip joint arthroscopy in patients with joint gap stenosis brings about the far from satisfactory results. This procedure is not worth considering. Despite unsatisfactory pain relief, patients decided to returned to work, due to their occupational position and for fear of losing the job due to long absenteeism. Int J Occup Med Environ Health. 2019;32(1):115–20
16
Content available remote

Rehabilitation and return to work: Analysis report on EU and Member States policies, strategies and programmes

63%
Niepełnosprawność - zagadnienia, problemy, rozwiązania
|
2017
|
issue 1(22)
7-25
EN
This study* investigates the systems for rehabilitation/return to work in place in the 28 European Union (EU) Member States, along with the four European Free Trade Association (EFTA) countries. It analyses what factors play a role in the development and implementation of a rehabilitation/return-to-work system. Finally, it identifies a number of elements of rehabilitation/return-to-work systems in European countries that could be considered as success factors. Systems for rehabilitating sick and injured workers are increasingly viewed as important elements of national policy approaches towards the ageing workforce. Between 2002 and 2013, life expectancy in the EU-28 increased by 2.9 years, from 77.7 to 80.6 years (Eurostat, 2015a). In parallel, the proportion of 55- to 64-year-olds in the total working-age population rose strongly between 2000 and 2015 (from 16% to 20%) and is expected to reach 21% in 2020 (Fotakis and Peschner, 2015). Ageing is accompanied by a higher risk of developing (chronic) health disorders, such as depression, chronic bronchitis, cardiovascular disease and musculoskeletal disorders. In 2013, 33.4% of the older employed population (55–64 years) in the EU-28 suffered from a long-standing illness or health problem compared with 14.6% of the younger employed population (16–44 years) (Eurostat, 2015b). This ageing of the European workforce, combined with the stagnation of healthy life years and the prevalence of long-standing illness in older age groups, is compelling workplaces and national social security systems to improve the management of sickness absence and adapt work to chronic conditions and mild disabilities. Long-term sickness absence often leads to unemployment and is a major predictor for all types of exit from the labour market, including disability pension (OECD, 2010) and early retirement (Aranki and Macchiarelli, 2013), which are all major financial burdens for Member States, the workplace and society. Actions aimed at prevention – that is, at avoiding sickness – both at the workplace (occupational safety and health (OSH) interventions) and outside the workplace (public health interventions) are clearly important. But if sickness occurs, measures focusing on rehabilitation and return to work are also important in avoiding or minimising sickness absence leading to disability. Rehabilitation – understood as the process of recovering ‘optimal physical, sensory, intellectual, psychological and social functional levels’ (WHO, 2016) – consists of three different aspects. Medical rehabilitation aims to restore the functional or mental ability and quality of life of people with physical or mental impairments or disabilities; vocational (or occupational) rehabilitation aims to enable persons with physical or mental impairments or disabilities to overcome barriers to accessing, maintaining or returning to employment or other useful occupation; and social rehabilitation aims to facilitate the participation of people with disabilities in social life. While exploring the linkages between the three types of rehabilitation, this study focuses in particular on the second category. Return to work is a concept encompassing all procedures and initiatives intended to facilitate the workplace reintegration of persons who experience a reduction in work capacity or capability, whether this is due to invalidity, illness or ageing (ISSA, 2013). The return-to-work concept fits well in the current political context of maintaining the sustainability of social security systems and reducing the economic impact of sickness absence and mismanaged return to work leading to unemployment, disability pensions or early retirement. This report analyses the systems in place for rehabilitation and return to work in the 28 EU Member States and the four EFTA countries. It also incorporates the evidence gathered through case studies describing return-to-work programmes in nine Member States and the results of expert workshops held in 10 Member States. The country studies were drafted by national experts in the field of health and safety at work between September 2013 and June 2014 and, therefore, this report does not include new policies or initiatives that countries might have introduced afterwards. *This report forms part of the activities carried out to support a three-year pilot project initiated by the European Parliament and managed by EU-OSHA on the occupational health and safety (OSH) of older workers and the rehabilitation of sick and injured workers in Europe. The project aims to assess the prerequisites for OSH strategies and systems within different European Union Member States to take account of an ageing workforce and ensure better prevention for all throughout the working life
PL
Niniejsze opracowanie* dotyczy analizy systemów rehabilitacji i powrotu do pracy w 28. Państwach Członkowskich Unii Europejskiej (UE) oraz czterech państwach Europejskiego Stowarzyszenia Wolnego Handlu (European Free Trade Association, EFTA). Analizuje również czynniki, jakie odgrywają rolę w rozwoju i wdrażaniu systemu rehabilitacji i powrotu do pracy. Określa ponadto liczbę elementów systemów rehabilitacji i powrotu do pracy w krajach europejskich, które mogłyby być uznane za skuteczne mierniki. Systemy rehabilitacji pracowników chorych oraz tych, którzy ulegli wypadkowi, coraz częściej postrzegane są jako istotne elementy polityki krajowej w związku ze starzeniem się społeczeństwa. W latach 2002–2013 średnia długość życia w UE-28 wzrosła o 2,9 lat, z 77,7 do 80,6 (Eurostat, 2015a). Równolegle, proporcjonalnie znacznie wzrósł odsetek osób w wieku 55–64 lat do ogólnej liczby ludności w wieku produkcyjnym w latach 2000–2015 (z 16% do 20%) i oczekuje się, że w 2020 r. wyniesie on 21% (Fotakis i Peschner, 2015). Procesowi starzenia się populacji towarzyszy wyższe ryzyko rozwoju schorzeń przewlekłych, takich jak depresja, przewlekłe zapalenie oskrzeli, choroby układu krążenia i zaburzenia układu mięśniowo-szkieletowego. W 2013 r. 33,4% osób starszych (55–64 lat), zatrudnionych w UE-28, od dłuższego czasu cierpiało z powodu długotrwałych problemów zdrowotnych w porównaniu z 14,6% zatrudnionych osób w młodszym wieku (16–44 lat) (Eurostat, 2015b). To starzenie się populacji w wieku aktywności zawodowej w Europie w połączeniu z latami życia w zdrowiu i występowaniem chorób przewlekłych w starszych grupach wiekowych zmusza pracodawców i krajowe systemy zabezpieczenia społecznego do poprawy zarządzania absencją chorobową i dostosowania miejsc pracy do chorób przewlekłych i umiarkowanej niepełnosprawności. Długotrwała nieobecność w pracy z powodu choroby często prowadzi do bezrobocia oraz jest głównym czynnikiem prognostycznym dla wszystkich rodzajów wyjścia z rynku pracy, włączając renty z tytułu niezdolności do pracy (OECD, 2010) i wcześniejsze emerytury (Aranki i Macchiarelli, 2013), co stanowi główne obciążenia finansowe dla Państw Członkowskich, pracodawców oraz społeczeństwa. Ważne są działania mające na celu prewencję – czyli zapobieganie wystąpieniu choroby – zarówno w miejscu pracy (upowszechnienie przestrzegania zasad BHP – occupational safety and health, OSH), jak i poza nim (działania zdrowia publicznego), aczkolwiek w przypadku wystąpienia choroby ważna jest również rehabilitacja i powrót do pracy w celu uniknięcia lub zmniejszenia absencji chorobowej prowadzącej do niepełnosprawności (niezdolności do pracy). Rehabilitacja – rozumiana jako proces odzyskiwania ,,optymalnych, fizycznych, sensorycznych, intelektualnych, psychologicznych i społecznych funkcji” (WHO, 2016) – składa się z: rehabilitacji medycznej, mającej na celu przywrócenie zdolności funkcjonalnych lub umysłowych oraz jakości życia osobom niepełnosprawnym fizycznie lub umysłowo, rehabilitacji zawodowej, mającej na celu umożliwienie osobom niepełnosprawnym fizycznie lub umysłowo pokonanie barier dostępu do pracy, jej utrzymania lub powrotu do zatrudnienia lub innej użytecznej pracy oraz z rehabilitacji społecznej, mającej na celu ułatwienie uczestnictwa osób niepełnosprawnych w życiu społecznym. Niniejsza analiza dotyczy powiązań między tymi trzema rodzajami rehabilitacji, ale w szczególności skupia się na rehabilitacji zawodowej. Powrót do pracy jest pojęciem obejmującym wszystkie procedury i inicjatywy mające na celu ułatwienie reintegracji w miejscu pracy osób, u których stwierdza się obniżoną zdolność do pracy lub wydajność, czy to z powodu inwalidztwa, choroby, czy ze względu na wiek (ISSA, 2013). Koncepcja powrotu do pracy dobrze wpisuje się w obecną sytuację polityczną utrzymania stabilności systemów zabezpieczenia społecznego, ograniczenia ekonomicznych skutków absencji chorobowej oraz niewłaściwego powrotu do pracy, prowadzącego do bezrobocia, rent inwalidzkich oraz wcześniejszej emerytury. Niniejszy raport analizuje systemy rehabilitacji i powrotu do pracy w 28. Państwach Członkowskich UE oraz czterech państwach EFTA. Uwzględnia również wyniki analizy przypadków opisujących programy powrotu do pracy w dziewięciu Państwach Członkowskich oraz wyniki warsztatów eksperckich odbywających się w 10. Państwach Członkowskich. Badania krajowe zostały opracowane przez ekspertów w dziedzinie bezpieczeństwa i higieny pracy w okresie od września 2013 r. do czerwca 2014 r. i z tego też powodu niniejszy raport nie obejmuje nowych polityk lub inicjatyw, które mogły być wprowadzone w późniejszym okresie.
17
Publication available in full text mode
Content available

Pracownik z chorobą psychiczną – możliwości i bariery w pracy zawodowej

51%
Cybula-Fujiwara A., Merecz-Kot D., Walusiak-Skorupa J., Marcinkiewicz A., Wiszniewska M.
Medycyna Pracy
|
2015
|
vol. 66
|
issue 1
57-69
EN
In Poland patients with psychiatric problems form a large group; in 2010 there were almost 1.5 million people for whom outpatient psychiatric care was provided, whereas approximately 200 thousand ill individuals were treated in 24-h psychiatric wards. Only 17% of the mentally disabled are professionally active. The results of many researches show that despite the detrimental influence of mental disorders on the employment (e.g., lower productivity, absenteeism, presenteism, increased risk of accidents at the workplace), professional activity can play a key role in the stabilization of the mental state, it can also help in disease recovery. People with mental disorders are a social group that is at the higher risk of exclusion from the job market. The opinion prevailing among employers is that mentally ill individuals have decreased ability to conduct professional activity, and social attitudes towards them tend to be based on marking and stigmatizing. This review tackles the advantages of working during the illness, barriers which people with mental disorders face on the job market when they want to either start or continue work, and professional functioning of people with diagnosed depression (e.g., affective disorders) and schizophrenia (representing psychotic disorders). The analysis of existing data show that to improve the situation of mentally ill people present on the job market close cooperation between the representatives of various medical specializations is necessary, as well as their active participation in the process of social and professional rehabilitation of people affected by mental disorders. Med Pr 2015;66(1):57–69
PL
Osoby z zaburzeniami psychicznymi stanowią w Polsce liczną grupę. W 2010 r. psychiatryczną opieką ambulatoryjną objętych było prawie 1,5 mln osób, natomiast w całodobowych oddziałach psychiatrycznych leczono około 200 tys. chorych. Jedynie 17% osób niepełnosprawnych psychicznie jest aktywnych zawodowo. Badania dowodzą, że mimo niekorzystnego wpływu zaburzeń psychicznych na zatrudnienie (np. obniżona produktywność, absentyzm, prezentyzm, zwiększone ryzyko wypadków w pracy), praca może mieć kluczowe znaczenie dla stabilizacji stanu psychicznego, a także może pomóc w powrocie do zdrowia. Osoby z zaburzeniami psychicznymi są grupą społeczną najbardziej narażoną na wykluczenie z rynku pracy. Wśród pracodawców przeważa opinia, że osoby chorujące psychicznie mają ograniczoną zdolność do pracy zawodowej, a społeczne postawy wobec nich cechuje tendencja do naznaczania i piętnowania. W artykule omówiono korzyści dla zdrowia wynikające z podjęcia pracy w przebiegu choroby psychicznej, bariery napotykane przez chorych w podejmowaniu i kontynuowaniu pracy oraz zawodowe funkcjonowanie osób z rozpoznaną depresją (będącą przykładem zaburzeń afektywnych) i schizofrenią (będącą przykładem zaburzeń psychotycznych). Analiza dostępnych danych wskazuje, że w celu polepszenia sytuacji osób chorujących psychicznie na rynku pracy konieczna jest ścisła współpraca przedstawicieli różnych specjalności medycznych i ich aktywne zaangażowanie w proces rehabilitacji społeczno-zawodowej osób dotkniętych zaburzeniami psychicznymi. Med. Pr. 2015;66(1):57–69
18
Publication available in full text mode
Content available

Miners’ return to work following injuries in coal mines

51%
Bhattacherjee A., Kunar B. M.
Medycyna Pracy
|
2016
|
vol. 67
|
issue 6
729-742
PL
Wstęp Podczas pracy w kopalni często dochodzi do urazów, które powodują poważne konsekwencje społeczno-ekonomiczne. Wcześniej przeprowadzone badania wykazały, że powstanie urazów u górników wynika z wielu czynników – demograficznych i behawioralnych, a także związanych ze zdrowiem zatrudnionych oraz środowiskiem pracy i jej warunkami. Brakuje jednak informacji na temat wpływu niektórych z tych czynników na opóźniony czas powrotu do pracy poszkodowanego w wypadku. Mogą się do tego przyczyniać cechy osobowe pracownika i jego rodziny, jego status społeczny i ekonomiczny, a także warunki pracy. Celem badania była ocena wpływu niektórych z ww. czynników na powrót do pracy poszkodowanego w wypadku w kopalni. Materiał i metody Grupę badaną stanowiło 109 pracowników podziemnej kopalni węgla, którzy ulegli wypadkowi w latach 2000–2009. W wyniku przeprowadzonego badania kwestionariuszowego uzyskano m.in. następujące dane: datę urodzenia, wzrost i masę ciała, staż w zawodzie, spożycie alkoholu, czas trwania snu, choroby, stres w pracy, satysfakcję z pracy i typ urazu. Do analizy wyników użyto estymatorów Kaplana-Meiera i modelu proporcjonalnego hazardu Coxa. Wyniki Obliczenia wykonane z wykorzystaniem metody Kaplana-Meiera wykazały, że duży wpływ na szybki powrót do pracy po urazie ma mniejsza liczba członków rodziny, dłuższy czas snu, brak stresu w pracy, niewystępowanie chorób, brak uzależnienia od alkoholu i wyższy dochód miesięczny. Natomiast analiza regresji Coxa wykazała, że istotnymi czynnikami ryzyka, które wpływają na czas powrotu górników do pracy, były występowanie choroby, satysfakcja z pracy i typ urazu. Wnioski Kierownictwo kopalni powinno zwracać uwagę na istotne czynniki ryzyka urazów w celu opracowania efektywnych środków prewencyjnych. Med. Pr. 2016;67(6):729–742
EN
Background The occupational injuries in mines are common and result in severe socio-economical consequences. Earlier studies have revealed the role of multiple factors such as demographic factors, behavioral factors, health-related factors, working environment, and working conditions for mine injuries. However, there is a dearth of information about the role of some of these factors in delayed return to work (RTW) following a miner’s injury. These factors may likely include personal characteristics of injured persons and his or her family, the injured person’s social and economic status, and job characteristics. This study was conducted to assess the role of some of these factors for the return to work following coal miners’ injuries. Material and Methods A study was conducted for 109 injured workers from an underground coal mine in the years 2000–2009. A questionnaire, which was completed by the personnel interviews, included among others age, height, weight, seniority, alcohol consumption, sleeping duration, presence of diseases, job stress, job satisfaction, and injury type. The data was analyzed using the Kaplan-Meier estimates and the Cox proportional hazard model. Results According to Kaplan-Meier estimate it was revealed that a lower number of dependents, longer sleep duration, no job stress, no disease, no alcohol addiction, and higher monthly income have a great impact on early return to work after injury. The Cox regression analysis revealed that the significant risk factors which influenced miners’ return to work included presence of disease, job satisfaction and injury type. Conclusions The mine management should pay attention to significant risk factors for injuries in order to develop effective preventive measures. Med Pr 2016;67(6):729–742
19
Publication available in full text mode
Content available

Czynniki wpływające na utrzymanie aktywności zawodowej w okresie 2–3 lat po zabiegu całkowitej endoprotezoplastyki stawu biodrowego

51%
Pop T., Bejer A., Baran J., Szymczyk D.
Medycyna Pracy
|
2018
|
vol. 69
|
issue 2
191-198
EN
Background The purpose of this paper was to assess the occupational activity in patients after hip replacement over a 2–3-year post operational period and to analyze the effect of selected factors (age, gender, body mass index (BMI), functional state and self-assessed health status) on this activity. Material and Methods In the research 107 people (56 women and 51 men) participated. The average age of the subject’s was 55.1 years. A standardized author’s survey questionnaire, including questions about personal and clinical data, occupational activity and self-assessment of health status, was applied. The body mass and height were measured and the BMI index was calculated. The 100 points Harris Hip Score (HHS) was used to assess the functional state in the respondents. Results After the operation about 60% of the patients were not occupationally active; 44 (41.1%) respondents received the state health benefit, 18 (16.8%) respondents were eligible for pension benefit, and 2 (1.9%) respondents were unemployed with benefit. No one unemployed before the operation undertook work afterwards. Neither gender nor the character of the job or BMI exerted statistically significant effect on the occupational activity after the operation. Significant differences were noted in undertaking the occupational activity after the operation in patients with different level of functional efficiency assessed with the use of HHS (p = 0.0350) and different level of self-assessed health statuse (p = 0.0057). Conclusions More than half of the respondents have not returned to work after total hip replacement, while people doing intellectual work most frequently returned to occupation after surgery. Age, functional efficiency, and self-assessed health status of the patient had a significant influence on their return to work. Med Pr 2018;69(2):191–198
PL
Wstęp Celem pracy była ocena statusu zawodowego osób po całkowitej endoprotezoplastyce stawu biodrowego w okresie 2–3 lat od zabiegu oraz analiza wpływu takich czynników, jak wiek, płeć, BMI (body mass index – wskaźnik masy ciała), sprawność funkcjonalna i samoocena stanu zdrowia na utrzymanie aktywności zawodowej. Materiał i metody W badaniu wzięło udział 107 osób, w tym 56 kobiet i 51 mężczyzn. Średni wiek badanych wynosił 55,1 roku. Zastosowano wystandaryzowany autorski kwestionariusz, który zawierał pytania dotyczące danych osobowych i klinicznych, aktywności zawodowej oraz samooceny stanu zdrowia. Dokonano pomiaru masy ciała i wzrostu i wyliczono wskaźnik BMI. Wykorzystano także 100-punktową skalę Harrisa (Harris Hip Score) do oceny sprawności funkcjonalnej badanych. Wyniki Po zabiegu endoprotezoplastyki stawu biodrowego ok. 60% pacjentów nie było aktywnych zawodowo – świadczenia rentowe pobierały 44 (41,1%) osoby, świadczenia emerytalne – 18 (16,8%) osób, a zasiłek dla bezrobotnych – 2 (1,9%) osoby. Nikt z badanych niepracujących przed zabiegiem (z powodu renty) nie podjął pracy po zabiegu. Płeć badanych nie miała istotnego statystycznie wpływu na podjęcie aktywności zawodowej po zabiegu, podobnie jak rodzaj wykonywanej pracy i BMI. Stwierdzono natomiast statystycznie istotne zależności między podejmowaniem aktywności zawodowej po zabiegu a poziomem sprawności funkcjonalnej ocenianej skalą Harrisa (p = 0,0350) i samooceną stanu zdrowia (p = 0,0057). Wnioski Ponad połowa badanych nie podjęła pracy po całkowitej endoprotezoplastyce biodra w okresie 2–3 lat od zabiegu. W grupie osób pracujących umysłowo przed zabiegiem do pracy powróciło stosunkowo najwięcej osób spośród wszystkich badanych. Istotny wpływ na powrót do pracy miały wiek, sprawność funkcjonalna i samoocena stanu zdrowia. Med. Pr. 2018;69(2):191–198
20
Publication available in full text mode
Content available

Szczególna pozycja posła-pracownika a interes pracodawcy

51%
Wrocławska T.
Studia Prawno-Ekonomiczne
|
2015
|
vol. XCVII
145-166
PL
Prezentowane opracowanie zawiera krytyczne uwagi na temat pozycji posła-pracownika. Punkt odniesienia stanowi w tym przypadku interes pracodawcy. Obowiązki, nałożone na pracodawców zatrudniających pracowników piastujących mandat posła (senatora) wydają się nieproporcjonalne do obecnych uwarunkowań społeczno-gospodarczych. Widoczne jest to zwłaszcza na przykładzie małych pracodawców. Wątpliwości budzi nie tylko dyferencjacja statusu pracowniczego posłów zawodowych oraz niezawodowych, jaka występuje w zakresie ochrony szczególnej, ale także sam zakres powyższej ochrony oraz obowiązek dopuszczenia pracownika do pracy po zakończeniu pełnienia mandatu. W omawianym zakresie zastanawia też możliwość odpowiedniego stosowania przepisów kodeksu pracy oraz innych ustaw i rozporządzeń, regulujących sytuację pracowniczą. Dość wątpliwie ze względu na obowiązek udzielania zwolnień od pracy wypada również pozycja posłów nie korzystających z urlopów bezpłatnych. Pomimo występującej w literaturze krytyki przedmiotowych unormowań prawnych (powoływane w opracowaniu stanowisko Jakuba Steliny), przeniesionych z poprzednio obowiązującej ustawy, jak dotychczas nie doszło do zmiany wątpliwych przepisów.
EN
Presented paper contains comments and analysis related to the position of the Member of Parliament (Deputy, Senator) as an employee from the point of view of the employer’s interest. The Deputies who exercise the mandate and remain in labour relations with their previous employer could be divided into two categories: those who have got the unpaid leave (granted on employee’s request) and those who are actively performing their employee’s being entitled to a leave of absence for the entire working day or any part thereof, as required to perform duties connected with mandate. It is connected with the assessment of duties, which encumbered the person employing employee who have held the Deputy’s mandate (Senator’s mandate). Doubts that arise in relation to these charges also update the questions about the legal status of the Parliament’s Member (professional or nonprofessional). The study also presents the viewpoint at the position of the Member of Parliament as a representative of the public interest when this status is linked to the status of the employee. It implies the question of the boundaries of acceptable conjunction of the above mentioned status with the employee’s duties and responsibilities.
first rewind previous Page / 2 next fast forward last
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.