Mohamad Nizar Bin Zainal, MS, is Research Associate, Saw Swee Hock School of Public Health, National University of Singapore, Singapore.
Pauline Koh Pei Wen, BPT, is Senior Physiotherapist, Adult and Elderly Services, SPD, Singapore.
Am J Occup Ther. 2020 Nov/Dec;74(6):7406205040p1-7406205040p9. doi: 10.5014/ajot.2020.041376.
Return to work after stroke is an important rehabilitation outcome. Vocational rehabilitation may support people with stroke to return to work.
To report the return-to-work rate of people with stroke who completed a local community-based vocational rehabilitation program and to describe the program's impact on their community reintegration.
Retrospective database study.
Community-based voluntary welfare organization.
Fifty-eight men and women ages 21 to 55 yr, formally diagnosed with stroke, with no significant cognitive impairment, and fit to undergo rehabilitation.
A pilot community-based interdisciplinary vocational rehabilitation program implemented between 2014 and 2017. The program included physical rehabilitation, psychosocial support, employment support, and caregiver support services.
Return-to-work rate and community reintegration as measured by the Community Integration Questionnaire (CIQ).
Fifty participants completed the program. Their median age was 44 yr, and most were male (n = 37; 74%). Forty-four participants (88%) returned to work after completing the program. Statistically significant differences (p < .001) were found between their CIQ scores at program enrollment and at completion.
The program appeared to benefit people with stroke in their return-to-work process. Future studies are recommended to determine the effectiveness of such programs and identify features contributing to their success. Potential implications for occupational therapy practice are that vocational rehabilitation interventions can be initiated earlier, comprehensive return-to-work programs can better address the unique needs of people with stroke, and interdisciplinary evaluations are needed to assess suitability for return to work.
One of occupational therapy's unique goals is to facilitate performance and participation in valued activities such as work. Occupational therapists can play a pivotal role across the continuum of care to support their clients to explore and achieve their vocational goals after stroke.
脑卒中后重返工作岗位是一项重要的康复成果。职业康复可以帮助脑卒中患者重返工作岗位。
报告参加当地社区为基础的职业康复计划的脑卒中患者的重返工作率，并描述该计划对其重返社区的影响。
回顾性数据库研究。
社区为基础的志愿福利组织。
58 名年龄在 21 至 55 岁之间的男性和女性，经正式诊断为脑卒中，无明显认知障碍，且适合接受康复治疗。
2014 年至 2017 年实施的一项试点社区为基础的跨学科职业康复计划。该计划包括身体康复、心理社会支持、就业支持和照顾者支持服务。
重返工作率和社区融入程度，用社区融入问卷（CIQ）来衡量。
50 名参与者完成了该计划。他们的中位年龄为 44 岁，大多数为男性（n = 37；74%）。完成计划后，44 名参与者（88%）重返工作岗位。在参加计划时和完成时，他们的 CIQ 得分存在显著差异（p <.001）。
该计划似乎对脑卒中患者的重返工作过程有益。建议进行未来的研究，以确定此类计划的有效性，并确定促成其成功的因素。这对职业治疗实践的潜在影响是，职业康复干预措施可以更早开始，全面的重返工作计划可以更好地满足脑卒中患者的独特需求，需要进行跨学科评估以确定重返工作的适宜性。
职业治疗的独特目标之一是促进有价值的活动（如工作）的表现和参与。职业治疗师可以在整个护理连续体中发挥关键作用，以支持他们的客户探索和实现他们的职业目标，在脑卒中后。
