Veille documentaire MTPH

Auteur     A. Lindegård
Auteur     P. Larsman
Auteur     E. Hadzibajramovic
Auteur     G. Ahlborg
Volume     87
Numéro     4
Pages     373-379
Publication     International Archives of Occupational and Environmental Health
ISSN     1432-1246
Date     May 2014
Résumé     OBJECTIVES: To evaluate the influence of perceived stress and musculoskeletal ache/pain, separately and in combination, at baseline, on self-rated work ability and work performance at two-year follow-up. METHODS: Survey data were collected with a 2-year interval. Health care workers participating at both waves were included. Inclusion criteria were good self-reported work ability and unchanged self-rated work performance at baseline, resulting in 770 participants; 617 women and 153 men. Musculoskeletal pain was assessed using the question « How often do you experience pain in joints and muscles, including the neck and low back? », perceived stress with a modified version of a single item from the QPS-Nordic questionnaire, work performance by the question « Have your work performance changed during the preceding 12 months? » and work ability by a single item from the work ability index. Associations between baseline data and the two outcomes at follow-up were analysed by means of the log binomial model and expressed as risk ratios (RR) with 95% confidence intervals (CI). RESULTS: A combination of frequent musculoskeletal pain and perceived stress constituted the highest risk for reporting decreased work performance (RR 1.7; CI 1.28-2.32) and reduced work ability (RR 1.7; CI 1.27-2.30) at follow-up. Separately, frequent pain, but not stress, was clearly associated with both outcomes. CONCLUSION: The results imply that proactive workplace interventions in order to maintain high work performance and good work ability should include measures to promote musculoskeletal well-being for the employees and measures, both individual and organizational, to minimize the risk of persistent stress reactions.