Sjöström Rita, Alricsson Marie, Asplund Ragnar
Strömsund Health Centre, Jämtland County Council, Strömsund, Sweden.
Disabil Rehabil. 2008;30(9):649-55. doi: 10.1080/09638280701400599.
The aim of this study was to evaluate the 2-year outcome of a multidisciplinary rehabilitation programme for working-age people, regarding sick leave and mental health.
The test persons consisted of 40 women and 20 men (mean age 46.8 +/- SD 7.9) with musculoskeletal disorders, mainly neck and back pain. The rehabilitation programme was individually adapted and consisted of physical activity in several forms, relaxation, theoretical and practical education and individual guidance. Before, during and after the programme all participants were evaluated with the Global Self-Efficacy Index, Hospital Anxiety and Depression Scale, and stress test.
At the 2-year follow-up full-time sick leave had decreased by 37% (p < 0.0001) in the women, and by 25% (p < 0.05) in the men. Both women and men showed an increased quality of life (QoL) and decreased anxiety, depression and self-experienced stress at the 2-year follow-up compared with the start of the rehabilitation programme.
The most important conclusion was that the effects of the rehabilitation programme persisted for up to 2 years. At 2 years the majority of the participants were still physically active, their QoL was increased, and most participants had returned to work.
本研究旨在评估针对劳动年龄人群的多学科康复计划在病假和心理健康方面的两年效果。
测试对象包括40名女性和20名男性（平均年龄46.8±标准差7.9），患有肌肉骨骼疾病，主要是颈部和背部疼痛。康复计划是个性化定制的，包括多种形式的体育活动、放松、理论和实践教育以及个人指导。在康复计划实施前、期间和之后，所有参与者都接受了全球自我效能感指数、医院焦虑和抑郁量表以及压力测试的评估。
在两年随访时，女性的全时病假减少了37%（p<0.0001），男性减少了25%（p<0.05）。与康复计划开始时相比，在两年随访时，男性和女性的生活质量（QoL）均有所提高，焦虑、抑郁和自我感受到的压力均有所降低。
最重要的结论是康复计划的效果持续了长达两年。在两年时，大多数参与者仍保持身体活跃，他们的生活质量有所提高，并且大多数参与者已重返工作岗位。
