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慢性腰痛患者康复中的临床与社会因素

Clinical and social factors in rehabilitation of patients with chronic low back pain.

作者信息

Sandström J

出版信息

Scand J Rehabil Med. 1986;18(1):35-43.

PMID:2940678
Abstract

Physical signs, medical history and social factors were analyzed and evaluated in 52 patients (17 women and 35 men) with chronic low back pain, in order to determine if any factors were predictive for return to work after rehabilitation. Factors discriminating between the working and sick-disabled groups were: Sex (only men returned to full time work), Duration of sick-leave (the older half of the study population exhibited a negative correlation between time on sick-leave and frequency of return to work), Reported need for analgesics (the working group reported less need of analgesics), Pain in the cervical and dorsal areas of the spine as well as in the lumbar region (less frequent in the working group), The patients' attitude to his own ADL-capacity (those who returned to full-time work were more positive), After work fatigue (less frequent in the working group).

摘要

对52例慢性下腰痛患者(17名女性和35名男性)的体征、病史和社会因素进行了分析和评估,以确定是否有任何因素可预测康复后能否重返工作岗位。区分在职组和病残组的因素有:性别(只有男性恢复了全职工作)、病假时长(研究人群中年龄较大的一半显示病假时间与重返工作频率呈负相关)、报告的镇痛药需求(在职组报告的镇痛药需求较少)、脊柱颈段和背段以及腰段疼痛(在职组中频率较低)、患者对自身日常生活活动能力的态度(恢复全职工作的人态度更积极)、工作后疲劳(在职组中频率较低)。

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引用本文的文献

1
Expectations for Return to Work Predict Return to Work in Workers with Low Back Pain: An Individual Participant Data (IPD) Meta-Analysis.期待重返工作岗位可预测腰痛患者重返工作岗位:一项个体参与者数据(IPD)荟萃分析。
J Occup Rehabil. 2022 Dec;32(4):575-590. doi: 10.1007/s10926-022-10027-w. Epub 2022 Feb 12.
2
Clinical examination findings as prognostic factors in low back pain: a systematic review of the literature.临床检查结果作为腰痛的预后因素:文献系统评价
Chiropr Man Therap. 2015 Mar 23;23:13. doi: 10.1186/s12998-015-0054-y. eCollection 2015.
3
Prediction of return to work by rehabilitation professionals.
康复专业人员对重返工作岗位的预测。
J Occup Rehabil. 1991 Dec;1(4):271-80. doi: 10.1007/BF01073692.
4
Predictive model to determine cost/benefit of early detection and intervention in occupational low back pain.预测模型,用于确定职业性下腰痛早期检测和干预的成本效益。
J Occup Rehabil. 1991 Jun;1(2):113-31. doi: 10.1007/BF01073382.
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Prediction of sickness absence in patients with chronic low back pain: a systematic review.慢性下腰痛患者病假缺勤的预测:一项系统评价
J Occup Rehabil. 2006 Sep;16(3):439-67. doi: 10.1007/s10926-006-9021-8.
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The differential effects of employment status on chronic pain and healthy comparison groups.就业状况对慢性疼痛组和健康对照组的不同影响。
Int J Behav Med. 1996;3(4):354-69. doi: 10.1207/s15327558ijbm0304_5.