Valtonen Kirsi, Karlsson Ann-Katrin, Alaranta Hannu, Viikari-Juntura Eira
Department of Rehabilitation Medicine, Sahlgrenska Academy at Göteborg University and Sahlgrenska University Hospital, Sweden.
J Rehabil Med. 2006 May;38(3):192-200. doi: 10.1080/16501970500522739.
To study injury-related and individual factors as predictors of work participation in persons with traumatic and congenital spinal cord injury.
Cross-sectional questionnaire study.
One hundred and eighty-two persons with traumatic spinal cord injury treated in the Spinal Injuries Unit in Sahlgrenska University Hospital, Göteborg, Sweden, and 48 persons with meningomyelocele admitted to the Young Adult Teams in Göteborg, Borås and Skövde, Sweden.
A structured questionnaire was sent by post. Main outcome variable was participation in work. Logistic regression modelling was used to study the associations between the potential predictors and work participation.
Employment rates were 47% in the traumatic spinal cord injury group and 38% in the meningomyelocele group. The presence of other somatic or mental disorder, and neuropathic pain decreased work participation among the men with traumatic spinal cord injury. Among persons with meningomyelocele, better ambulatory status and higher educational level increased work participation. In all groups higher independence in daily activities increased the probability of work participation. According to multivariable modelling carried out for the men with traumatic spinal cord injury, age over 55 years and the presence of mental disorder decreased work participation.
Our data show that work participation is affected by individual and injury-related factors. Of the latter, many can be affected by rehabilitation.
研究损伤相关因素和个体因素作为创伤性和先天性脊髓损伤患者工作参与度的预测指标。
横断面问卷调查研究。
瑞典哥德堡萨尔格伦斯卡大学医院脊髓损伤科收治的182例创伤性脊髓损伤患者，以及瑞典哥德堡、博拉斯和舍夫德的青年成人团队收治的48例脊髓脊膜膨出患者。
通过邮寄方式发放结构化问卷。主要结局变量是工作参与情况。采用逻辑回归模型研究潜在预测指标与工作参与之间的关联。
创伤性脊髓损伤组的就业率为47%，脊髓脊膜膨出组为38%。其他躯体或精神障碍以及神经性疼痛的存在降低了创伤性脊髓损伤男性患者的工作参与度。在脊髓脊膜膨出患者中，较好的步行能力和较高的教育水平增加了工作参与度。在所有组中，日常活动中更高的独立性增加了工作参与的可能性。对创伤性脊髓损伤男性患者进行的多变量建模显示，55岁以上的年龄和精神障碍的存在降低了工作参与度。
我们的数据表明，工作参与受到个体因素和损伤相关因素的影响。在后者中，许多因素可通过康复治疗得到改善。
