Norrefalk Jan-Rickard, Svensson Ola, Ekholm Jan, Borg Kristian
Department of Rehabilitation Medicine, Huddinge University Hospital and Division of Rehabilitation Medicine, Karolinska University Hospital, Stockholm, Sweden.
Int J Rehabil Res. 2005 Mar;28(1):9-16. doi: 10.1097/00004356-200503000-00002.
The objective of this study was to evaluate the outcome of a structured multidisciplinary rehabilitation programme regarding the return-to-work rate. Sixty-seven patients were enrolled in an 8-week, structured rehabilitation programme. The prediction of the return-to-work rate was evaluated before entering the programme. The patients' own perception of returning to work as well as their pain intensity were estimated on a visual analogue scale and their period of sick leave was also recorded. The multidisciplinary rehabilitation team made an impairment and disability evaluation and analysis (IDEA) to assess possible work ability. This evaluation was made during the first 3 weeks of the 8-week programme. The return-to-work rate was also evaluated by means of the modified somatic perception questionnaire (MSPQ) and the disability rating index (DRI) before entering the programme. The results were compared with the actual return-to-work rate 1 year after completing the programme. A comparison group of 14 patients who were rejected due to lack of space in the programme was used in this study. There was a positive, statistically significant correlation (P<0.01) between the evaluation of the multidisciplinary rehabilitation team and the actual outcome of the return-to-work rate 1 year after completing the programme. At the 1-year follow-up, 63% of the patients had returned to work or were in work-related activities. The results on MSPQ or DRI, the patients' own perception of returning to work, the pain intensity, age or the period of time out of work did not predict the return-to-work ability. This study has shown that 63% of the patients with long-term non-malignant pain were back to work or in work-related activities 1 year after completing the rehabilitation programme. The IDEA made by the rehabilitation team was crucial in predicting the return-to-work rate in this patient group. The MSPQ and DRI questionnaires, the patients' own prediction, pain intensity, age and time out of work had a low value for predicting the return-to-work rate following a structured multidisciplinary rehabilitation programme.
本研究的目的是评估一项结构化多学科康复计划在重返工作率方面的效果。67名患者参加了为期8周的结构化康复计划。在进入该计划之前对重返工作率进行了预测。通过视觉模拟量表评估患者自己对重返工作的认知以及他们的疼痛强度，同时记录他们的病假时长。多学科康复团队进行了损伤和残疾评估与分析（IDEA）以评估可能的工作能力。该评估在为期8周计划的前3周内进行。在进入该计划之前，还通过改良的躯体感知问卷（MSPQ）和残疾评定指数（DRI）对重返工作率进行了评估。将结果与完成该计划1年后的实际重返工作率进行比较。本研究使用了一个由14名因计划名额不足而被拒绝的患者组成的对照组。多学科康复团队的评估与完成该计划1年后重返工作率的实际结果之间存在正相关且具有统计学意义（P<0.01）。在1年的随访中，63%的患者已重返工作岗位或参与与工作相关的活动。MSPQ或DRI的结果、患者自己对重返工作的认知、疼痛强度、年龄或失业时长并不能预测重返工作的能力。本研究表明，63%患有长期非恶性疼痛的患者在完成康复计划1年后重返工作岗位或参与与工作相关的活动。康复团队进行的IDEA对于预测该患者群体的重返工作率至关重要。在结构化多学科康复计划之后进行预测时，MSPQ和DRI问卷、患者自己的预测、疼痛强度、年龄和失业时长的价值较低。
