Predictors of successful work role functioning after carpal tunnel release surgery

Predictors of successful work role functioning after carpal tunnel release surgery
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DOI:
10.1097/01.jom.0000126029.07223.a0
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发表时间:
2004-05-01
影响因子:
3.2
通讯作者:
Katz, JN
Katz, JN
中科院分区:
医学4区
文献类型:
--
作者:
Amick, BC;Habeck, RV;Katz, JN

文献摘要

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本研究确定了腕管松解手术(CTRS)后成功的工作角色功能(WRF)的临床,个人和工作场所预测因素。一个基于社区的队列(n = 197)在CTRS后随访6个月。成功MY的预测因素采用有序逻辑回归进行前瞻性分析。基线WRF预测成功的WRF在2个月,而抑郁和工人赔偿索赔预测失业。基线WRF、自我效能改善和支持性组织预测6个月成功的WRF。支持组织对CTS的医疗干预措施的有效性有影响。术后6个月自我效能改善和术后2个月抑郁的重要性突出了肌肉骨骼疾病的社会心理管理的重要性。
This study identified the clinical, individual, and workplace predictors of successful work role functioning (WRF) after carpal tunnel release surgery (CTRS). A community-based cohort (n = 197) was followed for 6 months post-CTRS. Predictors of successful MY were analyzed prospectively using ordinal logistic regression. Baseline WRF predicted successful WRF at 2 months, whereas being depressed and a workers' compensation claimant predicted being out of work. Baseline WRF, improved self-efficacy, and a supportive organization predicted 6-month successful WRF. Supportive organizations have an impact on the effectiveness of medical interventions for CTS. The significance of improved self-efficacy at 6 months and depression at 2 months postsurgery highlights the importance of psychosocial management of musculoskeletal disorders.