van der Kemp Jet, Kruithof Willeke J, Nijboer Tanja C W, van Bennekom Coen A M, van Heugten Caroline, Visser-Meily Johanna M A
a Department of Rehabilitation, Physical Therapy Science & Sports, Brain Centre Rudolf Magnus , University Medical Centre Utrecht , Utrecht , the Netherlands.
b De Hoogstraat Rehabilitation , Utrecht , the Netherlands.
Neuropsychol Rehabil. 2019 May;29(4):638-653. doi: 10.1080/09602011.2017.1313746. Epub 2017 Apr 26.
A large proportion of stroke patients are unable to return to work (RTW), although figures vary greatly. A total of 121 mild-to-moderate stroke patients, who had a paid job at the time of their stroke were included (a) to quantify RTW and work satisfaction one-year post-stroke (using the Utrecht Scale for Evaluation of Rehabilitation-Participation) and (b) to determine factors predicting RTW post-stroke, based on stroke-related, personal and neuropsychological variables. Half of the patients were not in work (28%) or were working less (22%) than pre-stroke. Ninety percent of those in fulltime employment post-stroke were satisfied with their occupational situation, against 36% of the unemployed participants. In regards to factors predicting RTW, global cognitive functioning (r = .19, Montreal Cognitive Assessment) and depressive symptoms (r = -.16, Hospital Anxiety and Depression Scale) at two months post-stroke onset were associated with return to work within one year. Only global cognitive functioning was an independent predictor of RTW (11.3% variance, p = .013). Although the explained variance was not that high, neuropsychological factors probably play a pivotal role in returning to work and should be taken into account during rehabilitation after mild and moderate stroke.
尽管数据差异很大，但很大一部分中风患者无法重返工作岗位（RTW）。共有121名轻度至中度中风患者被纳入研究，这些患者在中风时拥有带薪工作。研究目的包括：（a）量化中风后一年的重返工作岗位情况和工作满意度（使用乌得勒支康复参与评估量表）；（b）基于中风相关、个人和神经心理学变量，确定预测中风后重返工作岗位的因素。一半的患者没有工作（28%）或工作时间比中风前减少（22%）。中风后全职工作的患者中有90%对其职业状况感到满意，而失业参与者的这一比例为36%。关于预测重返工作岗位的因素，中风发作后两个月时的整体认知功能（r = 0.19，蒙特利尔认知评估量表）和抑郁症状（r = -0.16，医院焦虑抑郁量表）与一年内重返工作岗位相关。只有整体认知功能是重返工作岗位的独立预测因素（方差为11.3%，p = 0.013）。尽管解释变异度不高，但神经心理学因素可能在重返工作岗位中起关键作用，在轻度和中度中风后的康复过程中应予以考虑。
