摘要目的 调查我国职业性手外伤患者一般状况,分析影响职业性手外伤回归工作的因素.方法 对2008年9月至2009年9月在华山医院急诊、门诊就诊及住院的共216名职业性手外伤患者进行前瞻性调查队列分析,了解其基本特征、受伤状况、心理学特征、经济及社会支持情况及回归工作状况,分析回归工作结局与可能的影响因素.结果 约71.7%的患者在离开医院8个月内成功返回工作,缺勤时间中位数为24 d.临床状况、社会支持状况及心理学特征均影响回归工作结局.结论 影响职业性手外伤患者回归工作的因素是多方面的,未来应建立跨学科的干预措施,以促进工人工伤后回归工作.

abstractsObjective To study the composition and distribution of occupational hand injuries and to identify the potential determinants of return to work (RTW) after traumatic hand injuries. Methods A prospective cohort study was carried out in 216 patients of occupational hand injuries treated in the department of hand surgury, Huashan Hospital from September 2008 to September 2009. Demographic, clinical, economic and social, psychological features and post-injury information were interviewed and collected. Univariate analysis was used to examine the associations between potential determinants and outcomes of RTW. Results 71.7% of the patients returned to work within 8 month after hospital discharge. The median absence time was 24 days.Factors from socio-demographic, clinical, economic and psychological domains affected RTW in the univariate analyses. Conclusion There were multidimensional factors that affect RTW after occupational hand injury.Future studies should be conducted to develop a multidisciplinary intervention strategy towards promoting RTW.