Department of Clinical Sciences, Division of Rehabilitation Medicine, Karolinska Institutet, Stockholm, Sweden;
J Multidiscip Healthc. 2010 Aug 26;3:155-9. doi: 10.2147/JMDH.S11004.
To evaluate the effect of a 1-2 week multiprofessional team assessment, without a real rehabilitation effort, 60 patients suffering from long-standing pain and on long-lasting time on sick leave were studied. A questionnaire concerning their daily activities, quality of life, pain intensity, sick-leave level, and their work state was filled out by all patients before starting the assessment and at a 1-year follow-up. The results from the assessment period and the multiprofessional team decision of the patient's working ability were compared with the actual working rate after 1 year. The follow-up showed a significant reduction of sick leave and a higher level of activity (P < 0.001). One year after the initial evaluation, 40% showed a reduction in sickness benefit level and 12% resumed full-time work. However, the team evaluation of the patient's work ability did not correlate to predict the actual outcome. The patient's pain intensity, life satisfaction, gender, age, ethnic background, and time absent from work before the start of the evaluation showed no correlation to reduction on time on sickness benefit level. These parameters could not be used as predictors in this study.
为了评估为期 1-2 周的多专业团队评估的效果,而不进行实际的康复治疗,我们研究了 60 名长期疼痛且长期请病假的患者。所有患者在开始评估前和 1 年随访时填写了一份关于他们日常活动、生活质量、疼痛强度、病假水平和工作状态的问卷。将评估期间的结果和多专业团队对患者工作能力的评估与 1 年后的实际工作率进行了比较。随访显示,病假时间显著减少,活动水平提高(P < 0.001)。在初始评估后的 1 年内,40%的患者减少了病假津贴水平,12%的患者恢复了全职工作。然而,团队对患者工作能力的评估并不能预测实际结果。患者的疼痛强度、生活满意度、性别、年龄、种族背景和开始评估前的缺勤时间与病假津贴水平的减少无关。这些参数在本研究中不能作为预测因素。