自我认知预测骨科创伤住院患者康复 2 年后重返工作岗位的情况。
Self perceptions as predictors for return to work 2 years after rehabilitation in orthopedic trauma inpatients.
机构信息
Département de l'appareil locomoteur, Clinique Romande de Réadaptation SUVA Care, Avenue Grand-Champsec 90, 1951, Sion, Switzerland.
出版信息
J Occup Rehabil. 2012 Dec;22(4):532-40. doi: 10.1007/s10926-012-9369-x.
Abstract
PURPOSE
This study aimed to identify self-perception variables which may predict return to work (RTW) in orthopedic trauma patients 2 years after rehabilitation.
METHODS
A prospective cohort investigated 1,207 orthopedic trauma inpatients, hospitalised in rehabilitation, clinics at admission, discharge, and 2 years after discharge. Information on potential predictors was obtained from self administered questionnaires. Multiple logistic regression models were applied.
RESULTS
In the final model, a higher likelihood of RTW was predicted by: better general health and lower pain at admission; health and pain improvements during hospitalisation; lower impact of event (IES-R) avoidance behaviour score; higher IES-R hyperarousal score, higher SF-36 mental score and low perceived severity of the injury.
CONCLUSION
RTW is not only predicted by perceived health, pain and severity of the accident at the beginning of a rehabilitation program, but also by the changes in pain and health perceptions observed during hospitalisation.
摘要
目的
本研究旨在确定在康复 2 年后，可能预测骨科创伤患者重返工作岗位（RTW）的自我感知变量。
方法
前瞻性队列研究调查了 1207 名骨科创伤住院患者，他们在康复、入院时的诊所、出院时和出院后 2 年进行住院治疗。从自我管理问卷中获取了潜在预测因素的信息。应用了多项逻辑回归模型。
结果
在最终模型中，RTW 的可能性更高，预测因素包括：入院时更好的一般健康状况和较低的疼痛程度；住院期间的健康和疼痛改善；较低的事件影响量表（IES-R）回避行为评分；较高的 IES-R 过度唤醒评分、较高的 SF-36 心理评分和较低的受伤严重程度感知。
结论
RTW 不仅由康复计划开始时的健康、疼痛和事故严重程度感知来预测，而且还由住院期间观察到的疼痛和健康感知变化来预测。
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