Back pain and work
Back pain and work
复制标题
DOI：
10.1016/j.berh.2009.11.007
复制
发表时间：
2010-04-01
影响因子：
5.2
通讯作者：
Pransky, Glenn
中科院分区：
文献类型：
--
作者：
Costa-Black, Katia M.;Loisel, Patrick;Pransky, Glenn
下背痛是导致工作残疾的主要原因，并在全球范围内构成重大的社会经济负担。为了防止长期残疾的严重后果，正在推广一种在初级保健中治疗背痛的新方法。它主要侧重于确定疼痛/残疾与工作之间的关系，认识到重要的工作场所和心理社会问题，为患者提供有关活动的放心信息，促进重返工作过程，并根据需要利用其他资源。本文探讨了目前的专家意见和有效的背痛管理工作问题的现有证据。一般来说，返回工作岗位，如果安全的话，有利于恢复和福祉。在某些情况下，医生可能需要积极与雇主，索赔经理和其他人沟通，以实现安全和持续的重返工作岗位，而在大多数情况下，直接与患者确定和讨论工作问题的简单努力可以带来更好的工作成果。(C)2009爱思唯尔有限公司保留所有权利。
Low back pain is a leading cause of work disability and constitutes a significant socioeconomic burden worldwide. In an attempt to stem the serious consequences of long-term disability, a new approach for back pain in primary care is being disseminated. It mainly focusses on identifying the relationship between pain/disability and work, recognising important workplace and psychosocial issues, providing patients reassuring messages about activity, facilitating the return to work process and engaging other resources as needed. This article examines current expert opinion and available evidence on work issues for effective back pain management. In general, return to work, if safe, is beneficial for recovery and well-being. Some cases might require physicians to actively communicate with employers, claims managers and others in order to achieve safe and sustained return to work, while in most instances, simple efforts to identify and discuss work issues directly with the patient can lead to better work outcomes. (C) 2009 Elsevier Ltd. All rights reserved.