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多模式康复1年后疼痛、生活干扰、健康相关生活质量与全时病假之间的多变量相关性,重点关注性别和年龄。

Multivariate correlations between pain, life interference, health-related quality of life and full-time sick leave 1 year after multimodal rehabilitation, focus on gender and age.

作者信息

Spinord Linda, Kassberg Ann-Charlotte, Stålnacke Britt-Marie, Stenberg Gunilla

机构信息

Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.

Department of Development and Research, Region Norrbotten, Luleå, Sweden.

出版信息

Scand J Occup Ther. 2022 Nov;29(8):645-659. doi: 10.1080/11038128.2021.1903990. Epub 2021 Mar 30.

Abstract

BACKGROUND

Chronic pain is a major and complex health condition associated with reduced work performance. A multimodal rehabilitation programme (MMRP) is a common intervention for chronic pain conditions, the goal being for the person to maintain or return to work.

AIM

To investigate the multivariate relationships between health-related quality of life, life interference, pain, physiological factors before MMRP and full-time sick leave 1 year after MMRP.

MATERIAL AND METHODS

Data were collected from the Swedish Quality Registry for Pain Rehabilitation. The study included 284 participants. Separate analyses were performed for women, men and three age groups.

RESULTS

There were correlations between sick leave, physical functioning, pain duration, health-related quality of life, and self-assessed importance of work before MMRP and sick leave 1 year after MMRP. The patterns of factors associated with full-time sick leave varied for women, men and age groups.

CONCLUSIONS

These findings indicate that full-time sick leave for patients with chronic pain is affected by a number of interacting factors. Occupational therapy interventions aiming to develop activity skills in relation to work roles and enable patients to develop skills required to manage the physical, psychological and social demands to return to work or maintain work could be valuable to increase the possibility of attaining a sustainable work situation.

摘要

背景

慢性疼痛是一种主要且复杂的健康状况,与工作表现下降相关。多模式康复计划(MMRP)是慢性疼痛状况的常见干预措施,目标是让患者维持工作或重返工作岗位。

目的

研究多模式康复计划(MMRP)前与健康相关的生活质量、生活干扰、疼痛、生理因素与MMRP后1年全时病假之间的多变量关系。

材料与方法

数据来自瑞典疼痛康复质量登记处。该研究纳入了284名参与者。对女性、男性和三个年龄组进行了单独分析。

结果

MMRP前的病假、身体功能、疼痛持续时间、与健康相关的生活质量以及自我评估的工作重要性与MMRP后1年的病假之间存在相关性。与全时病假相关的因素模式因女性、男性和年龄组而异。

结论

这些发现表明,慢性疼痛患者的全时病假受多种相互作用因素的影响。旨在培养与工作角色相关的活动技能并使患者能够培养应对身体、心理和社会需求以重返工作或维持工作所需技能的职业治疗干预措施,对于增加实现可持续工作状况的可能性可能具有重要价值。

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