Hwang Yu-Fang, Chen-Sea Mei-Jin, Chen Chung-Lin
Institute of Allied Health Sciences, Department of Occupational Therapy, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Tainan, Taiwan.
J Burn Care Res. 2009 Jul-Aug;30(4):661-7. doi: 10.1097/BCR.0b013e3181abfabf.
Occupational therapy aims to help patients resume their occupations. Therefore, we must know their work status after our intervention. We collected demographic and burn-related data from patient charts and analyzed it to determine the work status of former patients with burned hands and what influenced their returning to work. From 284 former patients with burns, we screened 159 with burned hands, 108 of whom were interviewed through the telephone about their work status. We used logistic regression analysis to analyze factors for having work, returning to work, the length of time required to return to work, and job modifications. We found that 1) having preburn employment increased the likelihood of having postburn employment; 2) being the primary wage earner in a family increased the likelihood of having work and of a return to work postburn; 3) a longer stay in the hospital, and burn injuries on both hands and trunk increased the time required to return to work; and 4) being older and having a smaller percentage of total body burn area decreased the likelihood of returning to a job modified because of a burn injury. Returning to work was affected not only by burn-related factors but also by general demographic and employment factors. We urge occupational therapy departments to include a return-to-work program in their routine services to improve the chances of patients with hand burns to return to work. We strongly recommend that a multicenter prospective study of hand-burn injuries should be performed.
职业治疗旨在帮助患者恢复其职业活动。因此，我们必须了解干预后他们的工作状况。我们从患者病历中收集了人口统计学和烧伤相关数据，并对其进行分析，以确定手部烧伤既往患者的工作状况以及影响他们重返工作岗位的因素。在284名烧伤既往患者中，我们筛选出159名手部烧伤患者，其中108名通过电话接受了关于其工作状况的访谈。我们使用逻辑回归分析来分析就业、重返工作岗位、重返工作岗位所需时间以及工作调整的相关因素。我们发现：1）烧伤前有工作增加了烧伤后就业的可能性；2）作为家庭主要收入者增加了烧伤后有工作和重返工作岗位的可能性；3）住院时间较长以及双手和躯干烧伤增加了重返工作岗位所需的时间；4）年龄较大且全身烧伤面积百分比较小降低了因烧伤而进行工作调整后重返工作岗位的可能性。重返工作岗位不仅受到烧伤相关因素的影响，还受到一般人口统计学和就业因素的影响。我们敦促职业治疗部门在其常规服务中纳入重返工作岗位计划，以提高手部烧伤患者重返工作岗位的机会。我们强烈建议对手部烧伤损伤进行多中心前瞻性研究。
