职业性手外伤患者重返工作预测工具的效度研究  

A validity study on predicting return to work after occupational hand trauma

作　　者：卢讯文[1] 高结枝 黄茹 孙天宝[1] 高潮铨 LU Xunwen;GAO Jiezhi;HUANG Ru(Guangdong Provincial Work Injury Rehabilitation Center, Occupational Rehabilitation Research Center, Guangzhou,510440)

机构地区：[1]广东省工伤康复中心,广州市510440 [2]广州市从化区中医医院

出　　处：《中国康复医学杂志》2019年第6期678-682,共5页Chinese Journal of Rehabilitation Medicine

基　　金：广东省医学科研基金项目(B2016107)

摘　　要：目的:研究指定工作的功能性能力评估对职业性手外伤工人就业状况的预测效度,检测其有效性。方法:依据142例参加者的功能性能力评估表现给予他们重返工作建议。3个月内,通过电话随访以确定参加者的就业状况,以此检查功能性能力评估的预测有效性。结果:治疗师给出的重返工作建议与参加者3个月后的就业情况有中等强度的联系(k=0.355),McNemar-Bowker测试在统计学上有非常显著意义(P<0.01),功能性能力评估预测重返受伤前原工作岗位的准确率可达91.38%,重返原工作岗位但需要调整部分工作任务的准确率为72.22%,改变工作岗位的准确率为77.08%,不适宜工作的准确率为19.23%。是否进行现场工作评估及工作的体能要求对功能性能力评估的预测效度有影响。结论:指定工作的功能性能力评估对手外伤患者的重返工作岗位有较好的预测效力。Objective:To examine the predictive validity of the job-specific functional capacity evaluation(FCE) for the patients with occupational hand trauma to return to work.Method:Based on FCE performance, 142 participants with occupational hand trauma were received recommendations of return-to-work. After three months later, participants were contacted to ascertain their employment status by telephone and examined the predictive validity of each item of FCE.Result:There were significant and moderate relationship between recommendations of return to work and employment rate after three months by McNemar-Bowker test(P<0.01).The accurate rate of FCE to predict return to previous job was 91.38%, return to previous job with modifications 72.22%, change job 77.08%, and the accuracy of inappropriate return to work was 19.23%. The items of whether or not the on-site work assessment and the physical requirements of the assigned work had an impact on the predictive validity of functional capacity evaluation.Conclusion:Job-specific FCE shows a good predictive validity in relation to the return to work of patients with occupational hand trauma.

关 键 词：功能性能力评估 预测效度 重返工作 职业性手外伤 

分 类 号：R496[医药卫生—康复医学]