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[与工作相关的医学康复]

[Work-Related Medical Rehabilitation].

作者信息

Bethge M

机构信息

Institut für Sozialmedizin und Epidemiologie, Universität zu Lübeck.

出版信息

Rehabilitation (Stuttg). 2017 Feb;56(1):14-21. doi: 10.1055/s-0042-118579. Epub 2017 Feb 20.

Abstract

Work-related medical rehabilitation (WMR) is a strategy to improve work participation in patients with poor work ability. This review summarizes the state of knowledge on WMR. The prevalence of poor work ability and corresponding need for WMR is high (musculoskeletal disorders: 43%; mental disorders: 57%). The meta-analysis of randomized controlled trials in patients with musculoskeletal disorders shows better return to work outcomes after one year in favor of WMR patients than compared to patients participating in usual medical rehabilitation. The amount of work-related measures in rehabilitation was clearly increased during recent years. A direct involvement of the workplace and a closer cooperation with employers and occupational health physicians may further improve the outcomes of WMR.

摘要

与工作相关的医学康复(WMR)是一种提高工作能力差的患者工作参与度的策略。本综述总结了关于WMR的知识现状。工作能力差的患病率以及相应的WMR需求很高(肌肉骨骼疾病:43%;精神障碍:57%)。对肌肉骨骼疾病患者的随机对照试验进行的荟萃分析表明,与参与常规医学康复的患者相比,WMR患者在一年后恢复工作的结果更好。近年来,康复中与工作相关的措施数量明显增加。工作场所的直接参与以及与雇主和职业健康医生更密切的合作可能会进一步改善WMR的效果。

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