工伤康复的介入时间和康复时间及其相关因素

doi:10.3969/j.issn.1006-9771.2025.03.012

Abstract

Abstract:

Objective To investigate the intervention and duration of work-related injury rehabilitation, and explore the related factors.

Methods The intervention and duration of rehabilitation were investigated in a total of 595 subjects after work-related injuries accepting rehabilitation in Dexin Hospital of Yancheng from 2021 to 2023, as well as the related clinical factors.

Results The intervention of rehabilitation was average in 188.54 days after injuries, and duration for 44.52 days. The intervention of rehabilitation was different among the locations of the work-related injury certification (Z = 159.193, P< 0.001). The duration of rehabilitation was different among injury sites, surgical statuses and locations of the work-related injury certification (|Z| > 5.585, P< 0.001). Some locations of work-related injury certifications correlated with the intervention of rehabilitation (t > 2.332, P< 0.05); while aged 60 to 69, type of injuries, some locations of work-related injury certifications and rehabilitation expenses correlated with the intervention of rehabilitation (t > 2.064, P< 0.05).

Conclusion The locations of the work-related injury certification may influence the work-related injured employees to receive rehabilitation, while the duration of rehabilitation is related to the age, types of injury, surgical status, locations of the work-related injury certification and rehabilitation medical expenses.

Key words: work-related injury, rehabilitation, intervention, duration, related factors

CLC Number:

CHEN Yuanyue, ZHU Jun, HU Jingjun, GUO Chuan, ZHU Lan. Intervention and duration of work-related injury rehabilitation, and related factors[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(3): 348-355.

Figures/Tables 5

Table 1

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Table 5

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自变量	赋值
性别	女性 = 0，男性 = 1
年龄	20~29岁 = 0，30~39岁 = 1，40~49岁 = 3，50~59岁 = 4，60~69岁 = 5
损伤部位	头颈部 = 0，上肢 = 1，躯干 = 2，下肢 = 3，手 = 4，烧伤 = 5，多部位损伤 = 6
手术情况	未手术 = 0，手术 = 1
工伤认定书归属地	盐城 = 0，盐都 = 1，亭湖 = 2，城南 = 3，开发区 = 4，大丰 = 5，东台 = 6，建湖 = 7，阜宁 = 8，滨海 = 9，射阳 = 10，响水 = 11
康复医疗费用	原值

自变量	n	均数	M(Q)	Z值	P值	自变量	n	均数	M(Q)	Z值	P值
性别				-0.999	0.318	手术情况				-0.362	0.718
男	437	187.14	133.0(152)			是	499	191.49	135.0(158)
女	158	192.43	145.0(161)			否	96	173.25	136.5(142)
年龄				6.964	0.138	工伤认定书				159.193	< 0.001
20~29岁	52	203.15	156.0(145)			归属地
30~39岁	141	185.62	124.0(154)			盐城	47	128.96	104.0(79)
40~49岁	188	182.22	133.5(141)			盐都	50	188.56	138.0(147)
50~59岁	203	187.41	145.0(158)			亭湖	46	182.39	141.0(165)
60~69岁	11	286.00	195.0(146)			城南	19	166.68	127.0(90)
损伤部位				7.289	0.295	开发区	24	145.67	78.0(103)
头颈部	17	190.94	108.0(141)			大丰	110	203.68	147.5(147)
上肢	102	192.61	145.5(72)			东台	74	336.34	252.5(158)
躯干	33	177.27	125.0(146)			建湖	18	113.06	84.5(84)
下肢	217	194.76	145.0(155)			阜宁	20	224.40	116.0(1252)
手	186	165.43	125.5(118)			滨海	60	112.42	80.0(55)
烧伤	10	304.10	149.0(209)			射阳	75	198.48	160.0(122)
多部位	30	245.57	187.5(194)			响水	52	119.12	78.5(65)

自变量	n	均数	M(Q)	Z值	P值	自变量	n	均数	M(Q)	Z值	P值
性别				-0.414	0.679	手术情况				-5.585	< 0.001
男	437	46.27	30.0(47)			是	499	48.27	31.0(47)
女	158	39.70	30.0(45)			否	96	25.03	16.5(20)
年龄				6.055	0.195	工伤认定书				86.219	< 0.001
20~29岁	52	34.73	25.0(48)			归属地
30~39岁	141	46.21	30.0(48)			盐城	47	47.28	31.0(31)
40~49岁	188	43.80	30.0(46)			盐都	50	37.26	30.0(46)
50~59岁	203	44.98	30.0(47)			亭湖	46	71.22	60.5(61)
60~69岁	11	73.18	31.0(61)			城南	19	69.47	60.0(60)
损伤部位				36.708	< 0.001	开发区	24	45.63	30.0(32)
头颈部	17	113.00	82.0(187)			大丰	110	37.71	30.0(46)
上肢	102	51.73	31.0(58)			东台	74	24.08	11.0(20)
躯干	33	43.15	28.0(37)			建湖	18	72.44	57.0(65)
下肢	217	45.07	31.0(39)			阜宁	20	92.65	89.0(100)
手	186	32.72	29.0(29)			滨海	60	43.50	30.5(48)
烧伤	10	19.00	14.5(17)			射阳	75	34.12	18.0(40)
多部位	30	60.47	59.5(78)			响水	52	47.31	31.0(74)

自变量		回归系数		β	t值	P值	95%置信区间
自变量		B	SE	β	t值	P值	下限	上限
性别	女性	0
性别	男性	-5.291	15.387	-0.014	-0.344	0.731	-35.510	24.928
年龄	20~29岁	0
	30~39岁	-17.537	26.860	-0.045	-0.653	0.514	-70.289	35.215
	40~49岁	-10.465	12.970	-0.059	-0.807	0.420	-35.937	15.007
	50~59岁	-5.248	8.577	-0.045	-0.612	0.541	-22.093	11.597
	60~69岁	20.712	13.735	0.067	1.508	0.132	-6.265	47.688
损伤部位	头颈部	0
	上肢	1.667	43.146	0.004	0.039	0.969	-83.072	86.405
	躯干	-6.834	24.585	-0.019	-0.278	0.781	-55.119	41.450
	下肢	1.275	13.827	0.011	0.092	0.927	-25.881	28.431
	手	-6.378	10.433	-0.071	-0.611	0.541	-26.868	14.112
	烧伤	22.632	13.127	0.088	1.724	0.085	-3.150	48.414
	多部位	9.104	8.333	0.072	1.093	0.275	-7.262	25.470
手术情况	未手术	0
手术情况	手术	18.966	18.381	0.042	1.032	0.303	-17.133	55.066
工伤认定书归属地	盐城	0
	盐都	59.603	31.141	0.100	1.914	0.056	-1.560	120.765
	亭湖	26.717	15.895	0.086	1.681	0.093	-4.502	57.936
	城南	12.576	13.890	0.040	0.905	0.366	-14.705	39.856
	开发区	4.177	9.614	0.020	0.435	0.664	-14.705	23.059
	大丰	14.945	5.342	0.175	2.798	0.005	4.453	25.437
	东台	34.563	4.765	0.414	7.254	< 0.001	25.205	43.922
	建湖	-2.272	6.070	-0.016	-0.374	0.708	-14.193	9.649
	阜宁	11.930	5.115	0.104	2.332	0.020	1.884	21.977
	滨海	-1.838	3.317	-0.030	-0.554	0.580	-8.354	4.678
	射阳	6.952	2.852	0.139	2.438	0.015	1.352	12.553
	响水	-0.895	2.805	-0.017	-0.319	0.750	-6.403	4.613
康复医疗费用		0.000	0.000	0.006	0.142	0.887	0.000	0.000

自变量		未标准化系数		β	t值	P值	95%置信区间
自变量		B	SE	β	t值	P值	下限	上限
性别	女性	0
性别	男性	6.565	3.925	0.069	1.672	0.095	-1.144	14.275
年龄	20~29岁	0
	30~39岁	11.482	6.847	0.115	1.677	0.094	-1.965	24.929
	40~49岁	4.534	3.306	0.100	1.371	0.171	-1.960	11.027
	50~59岁	3.417	2.186	0.115	1.563	0.119	-0.878	7.711
	60~69岁	9.613	3.501	0.122	2.745	0.006	2.736	16.489
损伤部位	头颈部损伤	0
	上肢损伤	-61.275	10.475	-0.546	-5.850	< 0.001	-81.848	-40.701
	躯干损伤	-34.924	5.969	-0.378	-5.851	< 0.001	-46.647	-23.202
	下肢损伤	-22.642	3.357	-0.773	-6.745	< 0.001	-29.235	-16.049
	手外伤	-20.070	2.533	-0.879	-7.924	< 0.001	-25.045	-15.095
	烧伤	-18.800	3.187	-0.286	-5.899	< 0.001	-25.060	-12.540
	多部位损伤	-8.756	2.023	-0.272	-4.328	< 0.001	-12.729	-4.782
手术情况	未手术	0
手术情况	手术	23.426	4.605	0.205	5.087	< 0.001	14.382	32.469
工伤认定书归属地	盐城	0
	盐都	-10.017	8.039	-0.066	-1.246	0.213	-25.805	5.772
	亭湖	11.970	4.103	0.151	2.917	0.004	3.912	20.029
	城南	7.399	3.586	0.092	2.064	0.040	0.357	14.441
	开发区	-0.413	2.482	-0.008	-0.166	0.868	-5.287	4.461
	大丰	-1.914	1.379	-0.088	-1.388	0.166	-4.622	0.795
	东台	-3.866	1.230	-0.181	-3.143	0.002	-6.282	-1.450
	建湖	3.595	1.567	0.102	2.295	0.022	0.518	6.673
	阜宁	5.672	1.320	0.193	4.295	< 0.001	3.078	8.265
	滨海	-0.420	0.856	-0.027	-0.490	0.624	-2.102	1.262
	射阳	-1.316	0.736	-0.103	-1.787	0.074	-2.761	0.130
	响水	0.003	0.724	0.000	0.004	0.997	-1.419	1.425
康复医疗费用		0.001	0.000	0.619	19.175	< 0.001	0.001	0.001

Intervention and duration of work-related injury rehabilitation, and related factors

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