Wolfenden Barbara, Grace Marty
Social Work Unit, Victoria University, Melbourne, Australia.
Int J Rehabil Res. 2009 Jun;32(2):93-7. doi: 10.1097/MRR.0b013e328325a358.
This review focuses on the experiences and rehabilitation needs of working age, higher functioning stroke survivors in relation to their 'return to work'. It grew out of the poststroke experience of one of the authors and her realization of the inadequacy of services to facilitate return to work and optimal recovery from stroke. The authors' aim is to present a practice-oriented review that can provide information for future practice and research. Returning to work and sustaining employment are considered key aspects of rehabilitation and recovery by younger stroke survivors. From a psychosocial perspective, successful return to work can enhance recovery and life satisfaction by consolidating self-esteem, confidence and social identity. However, even higher functioning stroke survivors with minimal or no obvious physical disability may experience workplace challenges relating to their neurological condition. Appropriate rehabilitation would include specific preparation for return to work, education within the workplace to facilitate return to work, participation by the stroke survivor in all aspects of the management of their return to work, and an ongoing role for a stroke educator/workplace advocate. In conclusion, further research is required in this area to support stroke survivors in returning to and maintaining employment to achieve their poststroke potential. Thirteen recommendations arising from the existing literature and the lived experience of one of the authors are presented at the end of the review.
本综述聚焦于工作年龄段、功能较高的中风幸存者在“重返工作岗位”方面的经历和康复需求。它源于其中一位作者的中风后经历，以及她意识到现有服务在促进中风幸存者重返工作岗位和实现最佳康复方面的不足。作者的目的是提供一篇以实践为导向的综述，为未来的实践和研究提供信息。重返工作岗位并维持就业被年轻中风幸存者视为康复和恢复的关键方面。从社会心理角度来看，成功重返工作岗位可以通过巩固自尊、自信和社会认同来促进康复和提高生活满意度。然而，即使是功能较高、几乎没有或没有明显身体残疾的中风幸存者，也可能会在工作场所面临与他们的神经状况相关的挑战。适当的康复措施应包括为重返工作岗位进行具体准备、在工作场所开展促进重返工作的教育、中风幸存者参与重返工作管理的各个方面，以及中风教育者/工作场所倡导者持续发挥作用。总之，这一领域需要进一步研究，以支持中风幸存者重返工作岗位并维持就业，从而发挥他们中风后的潜力。综述结尾处提出了基于现有文献和其中一位作者的亲身经历得出的13条建议。
