Department of Neuroscience Psychiatry, Uppsala University, SE-751 85 Uppsala, Sweden.
Burns. 2011 Nov;37(7):1117-24. doi: 10.1016/j.burns.2011.05.019. Epub 2011 Jun 24.
Return to work (RTW) is one of the most important objectives to strive for in burn rehabilitation. Most individuals do return to work after burn but there is a subgroup that does not. Prospective long-time follow-up studies focusing on RTW after burn are scarce. Consecutive adult burn patients employed before injury (n=58) were included in the present study during hospitalization and subsequently followed up for 12 months. In addition, a structured interview was performed at 2-7 years after burn. At that time; mean 4.5 years (SD 2.0) after burn; 67% of the participants had returned to their work. Predictive variables for time to RTW were length of stay (LOS) at the burn center and fulfilling criteria for Any personality disorder. No RTW was predicted by LOS and having Any anxiety disorder or Any substance use disorder prior to the burn. The non-working group reported lower generic (EQ-5D) and burn-specific (BSHS-B) HRQoL than the working group at every time point. Identification of risk factors associated with difficulties in RTW is required in order to execute individualized vocational rehabilitation.
重返工作岗位 (RTW) 是烧伤康复中最重要的目标之一。大多数烧伤患者在康复后会重返工作岗位，但有一部分人无法重返工作岗位。目前针对烧伤后 RTW 的前瞻性长期随访研究很少。本研究在住院期间纳入了 58 名受伤前有工作的成年烧伤患者，并对其进行了 12 个月的随访。此外，在烧伤后 2-7 年进行了一项结构化访谈。当时，烧伤后平均 4.5 年（SD 2.0），67%的参与者已经重返工作岗位。预测 RTW 时间的变量是烧伤中心的住院时间 (LOS) 和是否符合任何人格障碍的标准。在烧伤前没有任何焦虑障碍或任何物质使用障碍的情况下，LOS 并不能预测 RTW。在每个时间点，非工作组报告的通用 (EQ-5D) 和烧伤特异性 (BSHS-B) HRQoL 均低于工作组。为了执行个性化的职业康复，需要确定与 RTW 困难相关的风险因素。
