Department of Medical Rehabilitation (Physiotherapy), University of Maiduguri, Maiduguri, Borno State, Nigeria.
Disabil Rehabil. 2013 Mar;35(6):455-9. doi: 10.3109/09638288.2012.697251. Epub 2012 Jul 4.
Employment, an important aspect of life, could be adversely affected by a disabling condition like stroke. This study explores the frequency and determinants of return to work (RTW) among Nigerian stroke survivors.
One-hundred and one stroke patients attending Physiotherapy clinics at seven teaching and specialist hospital centers in north-eastern Nigeria participated in the study. Socio-demographic, clinical and RTW data were obtained from participants while the modified Rankin Scale was used to assess functional ability. Chi-square statistics and multivariable logistic regression analysis was used to identify the determinants of RTW among the participants.
About half of the participants (55%) had returned to work. Absence of disability [Odds Ratio (OR) = 57.7; 95% CI = 12.0-276.8) and mild disability (OR = 15.1; 95% CI = 3.9-58.3) were the significant determinants of RTW, while post-stroke duration of a year or less was associated with lower chance of returning to work (OR = 0.2; 95% CI = 0.0-0.8).
The prominence of functional independence among the determinants of RTW implies that rehabilitation efforts and support programmes to optimize functional ability, especially within the first year after stroke, will greatly enhance RTW among Nigerian stroke survivors.
就业是生活的一个重要方面，但像中风这样的致残状况可能会对其产生不利影响。本研究探讨了尼日利亚中风幸存者重返工作岗位（RTW）的频率和决定因素。
101 名中风患者参加了尼日利亚东北部 7 家教学和专科医院的物理治疗诊所，参与了这项研究。从参与者那里获得了社会人口统计学、临床和 RTW 数据，同时使用改良 Rankin 量表评估了他们的功能能力。使用卡方检验和多变量逻辑回归分析来确定参与者 RTW 的决定因素。
约一半的参与者（55%）已经重返工作岗位。无残疾（优势比[OR] = 57.7；95%置信区间[CI] = 12.0-276.8）和轻度残疾（OR = 15.1；95% CI = 3.9-58.3）是 RTW 的显著决定因素，而中风后 1 年或更短时间与重返工作岗位的机会较低有关（OR = 0.2；95% CI = 0.0-0.8）。
RTW 的决定因素中突出了功能独立性，这意味着优化功能能力的康复努力和支持计划，特别是在中风后的头一年，将极大地促进尼日利亚中风幸存者的 RTW。
