Krause James S
Department of Rahabilitation Sciences, Medical University of South Carolina, College of Health Professions, Charleston, SC 29425, USA.
Arch Phys Med Rehabil. 2003 Sep;84(9):1282-9. doi: 10.1016/s0003-9993(03)00265-x.
To identify factors related to the length of time between spinal cord injury (SCI) onset and return to work among 259 participants with SCI, all of whom have worked at some point since SCI onset.
All data were cross-sectional and collected by survey methodology.
A midwestern university hospital and private hospital in the same metropolitan area.
Participants were identified from outpatient records of 2 participating hospitals. They met 4 exclusion and inclusion criteria: (1) traumatic SCI; (2) 18 years of age or older; (3) a minimum of 2 years postinjury; and (4) had been employed at some time since SCI. The 259 participants' average age was 46.4 years at the time of the study, with an average of 23.5 years having passed since SCI onset.
Not applicable.
Years from injury onset to beginning first postinjury job, years to the first full-time postinjury job, and the Life Situation Questionnaire.
Participants averaged 4.8 years from the time of SCI onset to their first postinjury job and 6.3 years until their first full-time postinjury job. However, these figures varied greatly depending on whether the individual returned to the preinjury job, was working as a professional at the time of injury, had a noncervical injury, and the amount of education by the time of injury.
There are 2 general tracks to employment after SCI-a fast track where people return to their preinjury job or preinjury profession and a slower track that is generally associated with needs for further reeducation and training. Working to return the individual to the preinjury job or to a position related to their preinjury occupation may substantially shorten the interval to return to work. In cases where this is not possible, counselors must work with individuals to understand the timeline of return to work and identify realistic educational goals that fit both the individual's interest pattern and postinjury abilities.
在259名脊髓损伤（SCI）参与者中确定与脊髓损伤发病至恢复工作的时间长度相关的因素，所有参与者自脊髓损伤发病后都曾在某个时间工作过。
所有数据均为横断面数据，通过调查方法收集。
同一大都市地区的一家中西部大学医院和一家私立医院。
从2家参与研究的医院的门诊记录中确定参与者。他们符合4条排除和纳入标准：（1）创伤性脊髓损伤；（2）18岁及以上；（3）受伤后至少2年；（4）自脊髓损伤后曾在某个时间就业。259名参与者在研究时的平均年龄为46.4岁，自脊髓损伤发病后平均已过去23.5年。
不适用。
从损伤发病到开始伤后第一份工作的年数、到伤后第一份全职工作的年数以及生活状况问卷。
参与者从脊髓损伤发病到伤后第一份工作的平均时间为4.8年，到伤后第一份全职工作的平均时间为6.3年。然而，这些数字因个体是否回到伤前工作、受伤时是否从事专业工作、是否为非颈部损伤以及受伤时的教育程度而有很大差异。
脊髓损伤后有两条一般的就业途径——一条快速途径，即人们回到伤前工作或伤前职业；另一条较慢的途径，通常与进一步再教育和培训的需求相关。努力让个体回到伤前工作或与伤前职业相关的岗位可能会大幅缩短恢复工作的间隔时间。在无法做到这一点的情况下，咨询人员必须与个体合作，了解恢复工作的时间线，并确定符合个体兴趣模式和伤后能力的现实教育目标。
