Division of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, Lund, Sweden.
BMC Public Health. 2010 Jun 2;10:301. doi: 10.1186/1471-2458-10-301.
In the present study the effect of a workplace-oriented intervention for persons on long-term sick leave for clinical burnout, aimed at facilitating return to work (RTW) by job-person match through patient-supervisor communication, was evaluated. We hypothesised that the intervention group would show a more successful RTW than a control group.
In a prospective controlled study, subjects were identified by the regional social insurance office 2-6 months after the first day on sick leave. The intervention group (n = 74) was compared to a control group who had declined participation, being matched by length of sick leave (n = 74). The RTW was followed up, using sick-listing register data, until 1.5 years after the time of intervention.
There was a linear increase of RTW in the intervention group during the 1.5-year follow-up period, and 89% of subjects had returned to work to some extent at the end of the follow-up period. The increase in RTW in the control group came to a halt after six months, and only 73% had returned to work to some extent at the end of the 1.5-year follow-up.
We conclude that the present study demonstrated an improvement of long-term RTW after a workplace-oriented intervention for patients on long-term sick leave due to burnout.
Current Controlled Trials NCT01039168.
在本研究中，评估了一项针对因临床倦怠而长期请病假人员的以工作场所为导向的干预措施的效果，该干预措施旨在通过患者-主管沟通促进工作与人员匹配，从而实现重返工作岗位（RTW）。我们假设干预组的 RTW 成功率将高于对照组。
在一项前瞻性对照研究中，通过区域社会保险办公室在首次请病假后 2-6 个月确定研究对象。干预组（n=74）与拒绝参与的对照组（n=74）进行比较，对照组是通过病假时间长短进行匹配的。使用病假登记数据对 RTW 进行随访，随访时间为干预后 1.5 年。
在 1.5 年的随访期间，干预组的 RTW 呈线性增加，随访结束时有 89%的研究对象在某种程度上重返工作岗位。对照组的 RTW 增加在六个月后停止，随访结束时有 73%的研究对象在某种程度上重返工作岗位。
我们得出结论，本研究表明，对于因倦怠而长期请病假的患者，以工作场所为导向的干预措施可改善长期 RTW。
当前对照试验 NCT01039168。
