Predictors of successful work role functioning after carpal tunnel release surgery

被引:76
作者
Amick, BC
Habeck, RV
Ossmann, J
Fossel, AH
Keller, R
Katz, JN
机构
[1] Univ Texas, Sch Publ Hlth, Ctr Hlth Sci, Houston, TX 77030 USA
[2] Rice Univ, Texas Program Soc & Hlth, Houston, TX 77251 USA
[3] Inst Work & Hlth, Toronto, ON, Canada
[4] WE Upjohn Inst Employment Res, Kalamazoo, MI USA
[5] Brigham & Womens Hosp, Robert Brigham Arthrit & Musculoskeletal Clin Res, Div Rheumatol Allergy & Immunol, Sect Clin Sci, Boston, MA 02115 USA
[6] Maine Spine & Rehabilitat Ctr, Portland, ME USA
关键词
D O I
10.1097/01.jom.0000126029.07223.a0
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
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.
引用
收藏
页码:490 / 500
页数:11
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