Sjöström Rita, Asplund Ragnar, Alricsson Marie
Strömsund Health Centre, Jämtland County Council, Strömsund, Sweden.
Work. 2013;45(2):175-82. doi: 10.3233/WOR-121551.
The aim of this study was to perform a 5-year follow-up of a 7-week multidisciplinary rehabilitation program focusing on pain, physical disability, anxiety and depression as well as stress and sick leave and to compare the results from the baseline, a 2-year follow-up and this 5-year follow-up.
Out of 60 participants of the original rehabilitation program 54 were followed-up after 5 years.
The rehabilitation program was individually adapted and consisted of physical activity in several forms as well as theoretical and practical education. At baseline (start of study) and 2 and 5 years after completion of the rehabilitation program all participants were evaluated in terms of sick leave, pain rating (Visual Analogue Scale), the Disability Rating Index, Hospital Anxiety and Depression Scale, and Stress Test.
Between the start of the program and the 5-year follow-up pain rating (P< 0.017) and the rate of full-time sick leave (P< 0.0005) decreased. Physical disability, anxiety, depression and stress were maintained from the 2-year follow-up until the 5-year follow-up.
The rehabilitation program seemed to have had an effect on the participant's ability to manage with symptoms long after the end of the rehabilitation program. Most participants had returned to work, and reported less pain. The improvements made in physical disability and mental health prior to the 2-year follow-up were maintained at the 5-year follow-up occasion.
本研究旨在对一项为期7周的多学科康复计划进行5年随访，该计划聚焦于疼痛、身体残疾、焦虑和抑郁以及压力和病假情况，并比较基线、2年随访和此次5年随访的结果。
原康复计划的60名参与者中，54名在5年后接受了随访。
康复计划是根据个体情况量身定制的，包括多种形式的体育活动以及理论和实践教育。在基线（研究开始时）以及康复计划完成后的2年和5年，所有参与者均接受病假、疼痛评分（视觉模拟量表）、残疾评定指数、医院焦虑抑郁量表和压力测试方面的评估。
从计划开始到5年随访期间，疼痛评分（P<0.017）和全时病假率（P<0.0005）均有所下降。从2年随访到5年随访期间，身体残疾、焦虑、抑郁和压力状况保持稳定。
康复计划似乎对参与者在康复计划结束很久之后应对症状的能力产生了影响。大多数参与者已重返工作岗位，并报告疼痛减轻。在2年随访之前身体残疾和心理健康方面取得的改善在5年随访时得以维持。
