O'Brien Allyson N, Wolf Timothy J
Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO 63108, USA.
Work. 2010;36(4):441-7. doi: 10.3233/WOR-2010-1047.
To assess the work outcomes of individuals who have a mild to moderate stroke.
Individuals who (1) experienced a mild to moderate stroke as determined by the National Institutes of Health Stroke Scale (NIHSS) scores (range 0-16); (2) were working full time prior to their stroke; and (3) were between the ages of 30-65.
Participants were contacted and provided verbal consent to complete the Occupational Outcome Questionnaire (OOQ) over the telephone at 6 months post-stroke to determine their work outcomes.
Of the 98 participants recruited for this study, 37% (n = 36) never returned to work following stroke. Of the 63% (n = 62) who did return to work, 90% (n = 56) returned immediately to their previous jobs at their previous level. Of those returning to work, 56% (n = 35) of individuals reported performing at 75% of their ability or less. Further, the majority of all participants reported chronic symptoms from their strokes.
The current assumption in the literature is that individuals experiencing mild to moderate strokes are returning to work even in the absence of work rehabilitation services. The assumptions of previous literature can be disputed with the results of the current study.
评估轻度至中度中风患者的工作成果。
符合以下条件的个体:(1)根据美国国立卫生研究院卒中量表(NIHSS)评分(范围为0 - 16)确定为轻度至中度中风;(2)中风前为全职工作;(3)年龄在30 - 65岁之间。
联系参与者并获得其口头同意,在中风后6个月通过电话完成职业成果问卷(OOQ),以确定他们的工作成果。
在本研究招募的98名参与者中,37%(n = 36)中风后从未重返工作岗位。在63%(n = 62)重返工作岗位的参与者中,90%(n = 56)立即回到了之前相同水平的工作岗位。在重返工作岗位的人中,56%(n = 35)的个体报告工作能力仅为正常水平的75%或更低。此外,所有参与者中的大多数都报告有中风后的慢性症状。
文献中的当前假设是,即使没有工作康复服务,轻度至中度中风患者也能重返工作岗位。本研究结果对先前文献的假设提出了质疑。