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针对患有与压力相关疾病的女性,在ReDO™干预3至4年后的轻微长期影响:关注病假率、日常工作和幸福感。

Minor long-term effects 3-4 years after the ReDO™ intervention for women with stress-related disorders: A focus on sick leave rate, everyday occupations and well-being.

作者信息

Eklund Mona

机构信息

Department of Health Sciences, Mental Health, Activity and Participation, Lund University, Box 157 SE 221 00 Lund, Sweden. Tel.: +46 46 222 1957; E-mail:

出版信息

Work. 2017;58(4):527-536. doi: 10.3233/WOR-172639.

Abstract

BACKGROUND

The Redesigning Daily Occupations (ReDO™) work rehabilitation method has been found effective, compared with care as usual (CAU), for women with stress-related disorders.

OBJECTIVE

To conduct a long-term follow-up of former ReDO™ and CAU participants with respect to sick leave, well-being and everyday occupations 3-4 years after completed work rehabilitation.

METHODS

Forty-two women in each group participated. An index day was decided to estimate sick-leave rate, retrieved from register data. Fifty-five women also participated in a telephone interview addressing well-being, everyday occupations and life events.

RESULTS

Both groups had reduced their sick-leave rate further, but no difference between the groups was established. The ReDO™ women perceived a better balance in the work domain of everyday occupations, whereas the CAU group reported more over-occupation. No differences were found on well-being. The groups had experienced similar important life events, affecting the women's work and private lives. Previous stress and anxiety predicted sick leave at the long-term follow-up.

CONCLUSIONS

Although the ReDO™ intervention had speeded up return to work in the immediate follow-up perspective, the CAU had caught up in the longer term. Still, the ReDO™ women exhibited better balance in the work domain.

摘要

背景

与常规护理(CAU)相比,重新设计日常活动(ReDO™)工作康复方法已被证明对患有压力相关障碍的女性有效。

目的

对完成工作康复3至4年后的前ReDO™参与者和CAU参与者进行病假、幸福感和日常活动方面的长期随访。

方法

每组42名女性参与。确定一个索引日以从登记数据中获取病假率。55名女性还参与了关于幸福感、日常活动和生活事件的电话访谈。

结果

两组的病假率都进一步降低,但两组之间未发现差异。ReDO™组的女性认为日常活动的工作领域有更好的平衡,而CAU组报告工作过度的情况更多。在幸福感方面未发现差异。两组经历了类似的重要生活事件,这些事件影响了女性的工作和私人生活。既往的压力和焦虑在长期随访中可预测病假情况。

结论

尽管从即时随访的角度来看,ReDO™干预加快了重返工作的速度,但从长期来看,CAU组已迎头赶上。不过,ReDO™组的女性在工作领域表现出更好的平衡。

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