Return to Work 2-5 Years After Stroke: A Cross Sectional Study in a Hospital-Based Population.

作者: H. J. Arwert , M. Schults , J. J. L. Meesters , R. Wolterbeek , J. Boiten

DOI: 10.1007/S10926-016-9651-4

关键词: Physical therapyHospital Anxiety and Depression ScaleSeverity of illnessLogistic regressionAnxietyPopulationConfidence intervalOdds ratioCross-sectional studyMedicine

摘要: Purpose To describe factors associated with RTW in patients 2–5 years after stroke. Methods Cross sectional study, including hospitalization for a first-ever stroke, who were <65 and had been gainfully employed before Patients completed set of questionnaires on working status educational level, physical functioning (Frenchay Activities Index, FAI), mental (Hospital Anxiety Depression Scale, HADS), Coping Orientations to Problems Experienced, (COPE easy) quality life (Short-Form(SF)-36 EQ(Euroqol)-5D). Caregivers the Caregiver Strain Index (CSI). Baseline stroke characteristics gathered retrospectively. current health compared between did not by means logistic regression analysis odds ratios (OR) 95 % confidence intervals (CI), adjusted age gender. Results Forty-six included, mean 47.7 (SD 9.7), time since 36 months 11.4); 18 (39 %) RTW. After adjusting gender shorter length was (OR 0.87; CI 0.77–0.99). Of status, lower HADS depression score (0.76; 0.63–0.92), less avoidant coping style (1.99; 0.80–5.00), better scores FAI (1.13; 1.03–1.25), component summary SF36 (1.07; 1.01–1.13), EQ5D (349; 3.33–36687) CSI (0.68; 0.50–0.92) chance Conclusions A minority stroke; duration initial favorable work outcome. The significant association activities, aspects underlines need develop effective interventions supporting

参考文章(38)
J Saunders, W Cullen, S M F Higgins, C S O'Gorman, A P Macken, C Dunne, Research confuses me: what is the difference between case-control and cohort studies in quantitative research? Irish Medical Journal. ,vol. 106, pp. 4- 6 ,(2013)
Ying-Chih Wang, Jay Kapellusch, Arun Garg, Important factors influencing the return to work after stroke. Work-a Journal of Prevention Assessment & Rehabilitation. ,vol. 47, pp. 553- 559 ,(2014) , 10.3233/WOR-131627
G. Kwakkel, B. J. Kollen, Predicting Activities after Stroke: What is Clinically Relevant?: International Journal of Stroke. ,vol. 8, pp. 25- 32 ,(2013) , 10.1111/J.1747-4949.2012.00967.X
G. Andersen, D. Christensen, M. Kirkevold, S. P. Johnsen, Post-stroke fatigue and return to work: a 2-year follow-up. Acta Neurologica Scandinavica. ,vol. 125, pp. 248- 253 ,(2012) , 10.1111/J.1600-0404.2011.01557.X
Hirofumi Nakayama, Henrik Stig Jørgensen, Hans Otto Raaschou, Tom Skyhøj Olsen, Recovery of upper extremity function in stroke patients: The Copenhagen stroke study Archives of Physical Medicine and Rehabilitation. ,vol. 75, pp. 394- 398 ,(1994) , 10.1016/0003-9993(94)90161-9
S Saeki, T Toyonaga, Determinants of early return to work after first stroke in Japan. Journal of Rehabilitation Medicine. ,vol. 42, pp. 254- 258 ,(2010) , 10.2340/16501977-0503
Reg Morris, The Psychology of Stroke in Young Adults: The Roles of Service Provision and Return to Work Stroke Research and Treatment. ,vol. 2011, pp. 534812- 534812 ,(2011) , 10.4061/2011/534812
Monika Vestling, Bertil Tufvesson, Susanne Iwarsson, Indicators for return to work after stroke and the importance of work for subjective well-being and life satisfaction. Journal of Rehabilitation Medicine. ,vol. 35, pp. 127- 131 ,(2003) , 10.1080/16501970310010475
Harald Hannerz, Linnea Ferm, Otto M. Poulsen, Betina Holbæk Pedersen, Lars L. Andersen, Enterprise size and return to work after stroke. Journal of Occupational Rehabilitation. ,vol. 22, pp. 456- 461 ,(2012) , 10.1007/S10926-012-9367-Z