Do Short-Term Improvements in Activities of Daily Living and Instrumental Activities of Daily Living Have Association With Return to Work in Workers With Occupational Injury? From an Occupational Injury Cohort in Taiwan

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work Pub Date : 2025-03-01 DOI:10.1016/j.shaw.2024.12.003

Fa-Chen Lin , Chia-Pin Lin , Hung-Yi Chuang , Tse-Wei Wu , Peng-Ju Huang , Chen-Cheng Yang , Chao-Hung Kuo

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引用次数: 0

Abstract

Background

Rates of return to work (RTW) after an occupational injury vary considerably according to a range of factors. Limited studies have been conducted on the specific correlation between RTW and functional assessments, including activities of daily living (ADL) and instrumental activities of daily living (IADL). This prospective cohort study aims to determine if a relationship exists between ADL/IADL and RTW among injured workers in Taiwan.

Methods

We recruited 162 workers who reported work-related injuries from January 2023 to May 2024. The assessment of ADL was evaluated using the Barthel Index, whereas IADL was evaluated using the Lawton Instrumental Activities of Daily Living scale. ADL/IADL were assessed immediately after the injury, at 3 and 6 months postinjury. Logistic regression models were used for the connections between ADL, IADL, and RTW while considering various confounding factors.

Results

The mean ADL and IADL improved significantly at both 3 and 6 months postinjury. Logistic regression analysis indicated that IADL scores at 3 and 6 months postinjury were significantly linked to RTW. ADL scores lost significance after adjustment. Age was negatively associated with RTW, whereas sex and labor insurance status showed no significant association.

Conclusion

Short-term improvements in IADL are linked to successful RTW, rather than ADL for occupationally injured workers. Evaluations of IADL should be incorporated into rehabilitation plans to predict and improve RTW. Thorough rehabilitation approaches that address various aspects of functional abilities may be crucial to support successful RTW. Further studies are required to validate these results.

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职业伤害后重返工作岗位（RTW）的比率根据一系列因素而有很大差异。关于RTW与功能评估（包括日常生活活动（ADL）和日常生活工具活动（IADL））之间具体相关性的研究有限。本前瞻性队列研究旨在探讨台湾工伤工人的ADL/IADL与RTW之间是否存在关系。方法从2023年1月至2024年5月，我们招募了162名报告工伤的工人。ADL采用Barthel指数评估，IADL采用劳顿日常生活工具活动量表评估。损伤后立即、损伤后3个月和6个月评估ADL/IADL。在考虑各种混杂因素的情况下，采用Logistic回归模型分析ADL、IADL和RTW之间的关系。结果损伤后3、6个月平均ADL和IADL均有明显改善。Logistic回归分析显示，损伤后3个月和6个月的IADL评分与RTW显著相关。调整后ADL评分无显著性。年龄与RTW呈负相关，性别与劳保状况无显著相关。结论成功的RTW与短期内IADL的改善有关，而与职业损伤工人的ADL无关。IADL的评价应纳入康复计划，以预测和改善RTW。针对功能能力各个方面的彻底康复方法可能是支持成功的RTW的关键。需要进一步的研究来验证这些结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Safety and Health at Work Social Sciences-Safety Research

CiteScore

6.40

自引率

5.70%

发文量

1080

审稿时长

38 days

期刊介绍： Safety and Health at Work (SH@W) is an international, peer-reviewed, interdisciplinary journal published quarterly in English beginning in 2010. The journal is aimed at providing grounds for the exchange of ideas and data developed through research experience in the broad field of occupational health and safety. Articles may deal with scientific research to improve workers'' health and safety by eliminating occupational accidents and diseases, pursuing a better working life, and creating a safe and comfortable working environment. The journal focuses primarily on original articles across the whole scope of occupational health and safety, but also welcomes up-to-date review papers and short communications and commentaries on urgent issues and case studies on unique epidemiological survey, methods of accident investigation, and analysis. High priority will be given to articles on occupational epidemiology, medicine, hygiene, toxicology, nursing and health services, work safety, ergonomics, work organization, engineering of safety (mechanical, electrical, chemical, and construction), safety management and policy, and studies related to economic evaluation and its social policy and organizational aspects. Its abbreviated title is Saf Health Work.