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首页> 外文期刊>Rheumatology >A high physical workload and high job demands hamper the good prognosis in physical functioning in persons with early inflammatory joint conditions.
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A high physical workload and high job demands hamper the good prognosis in physical functioning in persons with early inflammatory joint conditions.

机译：高体力工作量和高工作要求妨碍了早期炎症性关节疾病患者身体功能的良好预后。

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OBJECTIVE: To determine the influence of job characteristics on the prognosis of patients with early inflammatory joint conditions. METHODS: In a prospective cohort study of 210 workers with inflammatory joint conditions present for <12 months, data were collected by questionnaires and medical examination at baseline and after 6 and 12 months. Outcomes were self-reported pain and physical functioning, and the presence of at least one swollen joint. Generalized estimation equations were used to study the influence of job characteristics on prognosis in pain and function, and logistic regression analysis to study prognosis in swollen joints. RESULTS: Pain and physical functioning strongly improved during the first 6-month period (40 and 14%, respectively), and improvement slowed considerably in the second 6-month period. The proportion of workers with swollen joints dramatically decreased from 58 to 20 then 7%. The good prognosis in pain and physical functioning in the first 6 months was hampered by persistent high levels of inflammation, older age, low perceived health control and low social support. Job characteristics had no influence on the prognosis of pain and swollen joints, whereas workers with frequent manual material handling or high job demands improved approximately 50% less in physical functioning. CONCLUSIONS: Job characteristics had no influence on the disease characteristics pain and swollen joints, but strongly affected the consequences of disease in physical functioning. Among patients with early inflammatory joint conditions, who do not recover in functional abilities, adjustments in working conditions may be imperative.
机译：目的：确定工作特征对早期炎症性关节病患者预后的影响。方法：在一项针对前瞻性队列研究中，对存在<12个月的炎症性关节病的210名工人进行了调查，在基线和6、12个月后通过问卷调查和医学检查收集了数据。结果是自我报告的疼痛和身体机能，以及至少有一个肿胀的关节。使用广义估计方程来研究工作特征对疼痛和功能预后的影响，并使用逻辑回归分析来研究关节肿胀的预后。结果：在最初的6个月中，疼痛和身体机能得到了显着改善（分别为40％和14％），而在接下来的6个月中，疼痛和身体功能的改善显着放缓。关节肿胀的工人比例从58急剧下降到20，然后下降了7％。持续的高水平炎症，高龄，低感知的健康控制和低社会支持阻碍了头6个月疼痛和身体机能的良好预后。工作特征对疼痛和关节肿胀的预后没有影响，而经常进行手工材料处理或工作要求高的工人的身体机能降低了约50％。结论：工作特征对疾病特征疼痛和关节肿胀没有影响，但强烈影响疾病对身体机能的影响。在患有早期炎症性关节疾病的患者中，如果他们的功能无法恢复，则必须调整工作条件。

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