ارزیابی میزان و عوامل مؤثر بر بازگشت به کار پس از جراحی هریناسیون دیسک کمری

Background: to work absenteeism. This disability which is usually due to spinal disc herniation prevents anemployee from doing his/her daily job, thus creating numerous destructive socioeconomicconsequences for him/her as well as the society. The goal of this study is to determine the patientsreturn-to-work rate after undergoing the lumbar disc herniation surgery and to study the relatedfactors.The disability caused by the lower back pain is one of the leading factors contributingMethods: 2005 to 2009 at two TUMS (Tehran University of Medical Sciences) educational hospitals wereincluded in this study. Required data about the patients were gathered from the hospital documents,and the return-to-work rate was evaluated by following up on patients via phone calls. Chi-square andT tests were used for evaluation of quantitative and qualitative variables, respectively.This study was a cross sectional study. All patients suffered from lumber discetomy fromResults: work. From these 504 cases, 364 patients (72.2%) returned full time, and 140 patients (27.8%)returned part time. A multivariate regression analysis showed that the return-to-work rate has a strongcorrelation with age, sex, educational level, body mass index, positive expectation from the surgerybefore doing it, doctor's encouragement, hospitalization time, manual work, and job satisfaction(p<0.05) however, it had no significant correlation with marriage status, income level, impairmentrequest, insurance coverage, peer support, and the work category with respect to physical labordemand (p>0.05).From 603 final participants, at least 6 month after the surgery, 504 cases (83.6%) returned toConclusions: determinants of the return-to-work rate after the lumbar disc surgery. From this study, it is apparentthat appropriate strategies and team work (between the patient, the surgeon, the rehabilitationspecialist, the occupational medicine specialist, and the employer) would elevate the job satisfactionand positive expectations about the surgery, and therefore, they encourage the patient to return towork at a suitable time which in turn, may increase the total return-to-work rate.Our findings show the importance of work related and psychological factors as the