Page 100 - Petelin, Ana, Nejc Šarabon, Boštjan Žvanut, eds. 2017. Zdravje delovno aktivne populacije ▪︎ Health of the Working-Age Population. Zbornik povzetkov z recenzijo ▪︎ Book of Abstracts. Koper: Založba Univerze na Primorskem/University of Primorska Press
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avje delovno aktivne populacije | health of the working-age population 98 Vabljeno predavanje
Invited lecture
Delazmožnost delavcev s kardiovaskularnimi boleznimi
Work ability of workers with cardiovascular diseases
Metoda Dodič Fikfak
University Medical Centre Ljubljana, Clinical Institute of Occupational, Traffic,
and Sports Medicine, Poljanski nasip 58, Ljubljana
metoda.dodic-fikfak@guest.arnes.si
Izhodišča: Plavi ovratniki imajo dvakrat večjo verjetnost, da se zgodaj upokoji-
jo zaradi kardiovaskularnih bolezni (KVB) v primerjavi z belimi ovratniki. KVB
so vodilni vzrok smrti na delu. Cilj prispevka je prikazati stanje zdravja delavcev
zaradi KVB v SI in opozoriti na potrebne ukrepe. Metode dela: V presečni ana-
lizi so bili uporabljeni podatki nacionalnih zbirk podatkov in študije o Murinih
delavcih v času prestrukturiranja. Rezultati: Odstotek bolniške odsotnosti (BO)
zaradi KVB niha od 0,13 do 0,23. Resnost (R) bolezni pada. Odstotek BO zaradi
KVB je v javnem sektorju višji kot v zasebnem, R pa v zasebnem sektorju višja
kot v javnem. Tudi BO zaradi akutnega miokardnega infarkta, angine pektoris,
kronične ishemične bolezni srca in možganskega infarkta je višja v zasebnem se-
ktorju. Na pojav KVB vplivajo tudi zunanji dejavniki kot npr. gospodarska kriza.
Diskusija: Resnosti KVB je v zasebnim sektorju višja tudi zato, ker se ti delav-
ci odločajo za BO, ko so KVB že zelo razvite in zahtevajo daljše zdravljenje.
Ocenjevanje delazmožnosti bolnika s KVB zahteva predvsem odlično pozna-
vanje obremenitev in obremenjenosti na delovnem mestu. Ostaja izziv, kako v
športno-gibalne aktivnosti vključiti modre ovratnike.
Ključne besede: kardiovaskularne bolezni, bolniška odsotnost, delovna
invalidnost, prestrukturiranje gospodarstva.
Introduction: Researchers establish that blue-collar workers are twice as likely
to retire early due to cardiovascular diseases (CVDs) if compared with white-
collar workers. CVDs are the main cause of death in the workplace. The aim of
this contribution is to present the health status of workers with CVDs in Slo-
venia and to suggest necessary measures. Methods: In a cross-sectional study,
the data from national databases and from research of Mura’ workers during
restructuring were used. Results: The percentage of sick leave (SL) varies from
0.13 to 0.23. The severity of CVD decreases. The percentage of SL due to CVS
in the public sector is higher than in private, but the severity (S) of the CVD is
higher in the private sector. Also acute myocardial infarction, angina pectoris,
chronic ischemic heart disease and cerebral infarction is higher in private sec-
tor. Sick leave is influenced also by restructuring. Discussion and conclusions: Se-
verity of CVDs is higher in private sector also because workers decide to go
to their doctors when a CVD is already developed and requires a longer treat-
ment. Assessment of workability of a patient with a CVD demands mostly a
very good knowledge of strain and straining in the workplace.
Key words: cardiovascular diseases, sick leave, work disability, restructuring
Invited lecture
Delazmožnost delavcev s kardiovaskularnimi boleznimi
Work ability of workers with cardiovascular diseases
Metoda Dodič Fikfak
University Medical Centre Ljubljana, Clinical Institute of Occupational, Traffic,
and Sports Medicine, Poljanski nasip 58, Ljubljana
metoda.dodic-fikfak@guest.arnes.si
Izhodišča: Plavi ovratniki imajo dvakrat večjo verjetnost, da se zgodaj upokoji-
jo zaradi kardiovaskularnih bolezni (KVB) v primerjavi z belimi ovratniki. KVB
so vodilni vzrok smrti na delu. Cilj prispevka je prikazati stanje zdravja delavcev
zaradi KVB v SI in opozoriti na potrebne ukrepe. Metode dela: V presečni ana-
lizi so bili uporabljeni podatki nacionalnih zbirk podatkov in študije o Murinih
delavcih v času prestrukturiranja. Rezultati: Odstotek bolniške odsotnosti (BO)
zaradi KVB niha od 0,13 do 0,23. Resnost (R) bolezni pada. Odstotek BO zaradi
KVB je v javnem sektorju višji kot v zasebnem, R pa v zasebnem sektorju višja
kot v javnem. Tudi BO zaradi akutnega miokardnega infarkta, angine pektoris,
kronične ishemične bolezni srca in možganskega infarkta je višja v zasebnem se-
ktorju. Na pojav KVB vplivajo tudi zunanji dejavniki kot npr. gospodarska kriza.
Diskusija: Resnosti KVB je v zasebnim sektorju višja tudi zato, ker se ti delav-
ci odločajo za BO, ko so KVB že zelo razvite in zahtevajo daljše zdravljenje.
Ocenjevanje delazmožnosti bolnika s KVB zahteva predvsem odlično pozna-
vanje obremenitev in obremenjenosti na delovnem mestu. Ostaja izziv, kako v
športno-gibalne aktivnosti vključiti modre ovratnike.
Ključne besede: kardiovaskularne bolezni, bolniška odsotnost, delovna
invalidnost, prestrukturiranje gospodarstva.
Introduction: Researchers establish that blue-collar workers are twice as likely
to retire early due to cardiovascular diseases (CVDs) if compared with white-
collar workers. CVDs are the main cause of death in the workplace. The aim of
this contribution is to present the health status of workers with CVDs in Slo-
venia and to suggest necessary measures. Methods: In a cross-sectional study,
the data from national databases and from research of Mura’ workers during
restructuring were used. Results: The percentage of sick leave (SL) varies from
0.13 to 0.23. The severity of CVD decreases. The percentage of SL due to CVS
in the public sector is higher than in private, but the severity (S) of the CVD is
higher in the private sector. Also acute myocardial infarction, angina pectoris,
chronic ischemic heart disease and cerebral infarction is higher in private sec-
tor. Sick leave is influenced also by restructuring. Discussion and conclusions: Se-
verity of CVDs is higher in private sector also because workers decide to go
to their doctors when a CVD is already developed and requires a longer treat-
ment. Assessment of workability of a patient with a CVD demands mostly a
very good knowledge of strain and straining in the workplace.
Key words: cardiovascular diseases, sick leave, work disability, restructuring
