工作场所支持创伤性脑损伤后重返工作岗位的兴趣：一项回顾性研究。

Interest of workplace support for returning to work after a traumatic brain injury: a retrospective study.

机构信息

Équipe EPSP laboratoire TIMC (UMR 5525), UFR de médecine, université Joseph-Fourier Grenoble, Domaine de la Merci, 38700 La Tronche, France; Department of occupational health and medicine, public health department, Grenoble university hospital, BP 217, 38043 Grenoble cedex9, France.

出版信息

Ann Phys Rehabil Med. 2013 Dec;56(9-10):652-62. doi: 10.1016/j.rehab.2013.10.001. Epub 2013 Oct 17.

DOI:10.1016/j.rehab.2013.10.001

PMID:24201023

Abstract

OBJECTIVE

To analyse usefulness of the SPASE programme, a coordinated facility programme to assist traumatic brain injury (TBI) persons in returning to work and retaining their job in the ordinary work environment.

DESIGN

A retrospective study including 100 subjects aged over 18 who had suffered traumatic brain injury (GOS 1 or 2). The criterion for return to work (RTW) success was the ability to return to the job he/she had before the accident or to a new professional activity.

RESULTS

Factors associated with RTW success were at short-term (2-3 years): the presence of significant workplace support OR=15.1 [3.7-61.7], the presence of physical disabilities OR=0.32 [0.12-0.87] or serious traumatic brain injury OR=0.22 [0.07-0.66]. At medium-term (over 3 years) these factors were: significant workplace support OR=3.9 [1.3-11.3] and presence of mental illness OR=0.15 [0.03-0.7].

CONCLUSION

This study suggests that a case coordination vocational programme may facilitate the return and maintain to work of TBI persons. It reveals that the workplace support is a key factor for job retention in the medium-term.

摘要

目的

分析 SPASE 计划的实用性，该计划是一个协调的设施计划，旨在帮助创伤性脑损伤（TBI）患者重返工作岗位并在普通工作环境中保留工作。

设计

一项回顾性研究，共纳入 100 名年龄在 18 岁以上、患有创伤性脑损伤（GOS 1 或 2）的受试者。重返工作岗位（RTW）成功的标准是能够返回事故前的工作岗位或从事新的职业活动。

结果

与 RTW 成功相关的因素在短期（2-3 年）内为：存在显著的工作场所支持 OR=15.1 [3.7-61.7]、存在身体残疾 OR=0.32 [0.12-0.87] 或严重创伤性脑损伤 OR=0.22 [0.07-0.66]。在中期（3 年以上），这些因素为：显著的工作场所支持 OR=3.9 [1.3-11.3] 和存在精神疾病 OR=0.15 [0.03-0.7]。