Matérne Marie, Strandberg Thomas, Lundqvist Lars-Olov
a University Health Care Research Center, Region Örebro County , Örebro , Sweden.
c The Swedish Institute for Disability Research , Örebro University , Örebro , Sweden.
Brain Inj. 2018;32(13-14):1731-1739. doi: 10.1080/02699052.2018.1517224. Epub 2018 Oct 8.
This study investigated changes in quality of life (QoL) in relation to return to work among patients with acquired brain injury (ABI).
The sample consisted of 1487 patients with ABI (63% men) aged 18-66 years (mean age 52) from the WebRehab Sweden national quality register database. Only patients who worked at least 50% at admission to hospital and were on full sick leave at discharge from hospital were included. QoL was measured by the EuroQol EQ-5D questionnaire.
Patients who returned to work perceived a larger improvement in QoL from discharge to follow-up one year after injury compared to patients who had not returned to work. This difference remained after adjustment for other factors associated with improved QoL, such as having a university education, increased Extended Glasgow Outcome Scale scores and getting one's driving licence reinstated.
Return to work is an important factor for change in QoL among patients with ABI, even after adjusting for other factors related to QoL. This is consistent with the hypothesis that having employment is meaningful, increases self-esteem and fosters participation in society. Thus, helping patients with ABI return to work has a positive influence on QoL.
本研究调查了获得性脑损伤（ABI）患者与重返工作岗位相关的生活质量（QoL）变化。
样本包括来自瑞典WebRehab国家质量登记数据库的1487例年龄在18 - 66岁（平均年龄52岁）的ABI患者（63%为男性）。仅纳入入院时至少工作50%且出院时全休病假的患者。生活质量通过欧洲五维度健康量表（EuroQol EQ - 5D）问卷进行测量。
与未重返工作岗位的患者相比，重返工作岗位的患者在受伤后出院至随访一年期间生活质量有更大改善。在对与生活质量改善相关的其他因素进行调整后，这种差异仍然存在，这些因素包括拥有大学学历、格拉斯哥预后量表扩展评分增加以及恢复驾照。
即使在对与生活质量相关的其他因素进行调整后，重返工作岗位仍是ABI患者生活质量变化的一个重要因素。这与就业有意义、能增强自尊并促进社会参与的假设一致。因此，帮助ABI患者重返工作岗位对生活质量有积极影响。
