The University of Nottingham, Queens Medical Centre, , NG7 2UH Nottingham, United Kingdom.
J Rehabil Med. 2020 Apr 22;52(4):jrm00048. doi: 10.2340/16501977-2647.
Stroke is the greatest cause of disability in adults. A quarter of strokes affect people of working age, yet under half return to work after stroke. There has been little investigation into what constitutes "return to work" following stroke. The aim of this study is to describe the work metrics of stroke survivor participants in a feasibility randomized controlled trial of an early stroke-specific vocational rehabilitation intervention.
Retrospective analysis of trial data. Metrics on work status, working hours, workplace accommodations and costs were extracted from trial outcomes gathered by postal questionnaire at 3, 6, and 12 months' post-randomization for 46 stroke participants in a feasibility randomized controlled trial. Participants were randomized to receive vocational rehabilitation (intervention) or usual care (control).
Two-thirds (n = 29; 63%) of participants returned to work at some point in the 12 months following stroke. Participants took a mean of 90 days to return to work. Most returned to the same role with an existing employer. Only one-third of participants who were employed full-time at stroke onset were working full-time at 12 months post-stroke. Most participants experienced a reduction in pre-stroke earnings. Workplace accommodations were more common among intervention group participants. More intervention participants than control participants reported satisfaction with work at both 6 and 12 months post-randomization. Conclusion: This study illustrates the heterogeneous nature of return to work and the dramatic impact of stroke on work status, working hours and income. Longitudinal research should explore the socioeconomic legacy of stroke and include clear definitions of work and accurate measures of working hours and income from all sources.
中风是成年人残疾的最大原因。四分之一的中风影响到处于工作年龄的人，但只有不到一半的人在中风后能够重返工作岗位。对于中风后“重返工作”的具体构成，几乎没有进行过研究。本研究的目的是描述一项早期中风特定职业康复干预的可行性随机对照试验中风幸存者参与者的工作指标。
回顾性分析试验数据。从通过邮寄问卷在随机分组后 3、6 和 12 个月收集的试验结果中提取工作状态、工作时间、工作场所适应和成本的指标，共有 46 名中风参与者参加了一项可行性随机对照试验。参与者被随机分配接受职业康复（干预）或常规护理（对照组）。
三分之二（n=29；63%）的参与者在中风后 12 个月内的某个时间重返工作岗位。参与者平均需要 90 天才能重返工作岗位。大多数人回到了与以前雇主相同的角色。在中风发作时全职工作的参与者中，只有三分之一在中风后 12 个月全职工作。大多数参与者的前期收入减少。工作场所适应措施在干预组参与者中更为常见。与对照组相比，更多的干预参与者在随机分组后 6 个月和 12 个月报告对工作感到满意。结论：本研究说明了重返工作的异质性以及中风对工作状态、工作时间和收入的巨大影响。纵向研究应探讨中风的社会经济后遗症，并包括对工作的明确定义以及所有来源的工作时间和收入的准确衡量。
