Alfred W G, Fuhrer M J, Rossi C D
Department of Rehabilitation, Baylor College of Medicine, Houston, TX 77030.
Arch Phys Med Rehabil. 1987 Dec;68(12):854-7.
Vocational development of individual with spinal cord injury was studied from shortly after injury to two years after discharge from inpatient rehabilitation. Objectives included examining differences in the course of vocational development by level of functional independence, and predicting vocational outcomes two years after injury. Thirty-three spinal cord injury patients (17 quadriplegics, 16 paraplegics) were followed during the study. The Goldberg Scale of Vocational Development was used to measure changes in vocational development over time. The Barthel Index was used to measure level of functional independence. Results revealed that vocational development was markedly depressed during initial inpatient rehabilitation and for six months after injury. Gradual improvement occurred after six months, but two years after discharge the level of vocational development remained lower than that before injury. Changes in vocational development over time did not differ significantly by level of functional independence. Best predictors of successful vocational outcomes were educational attainment, educational plans made before injury, and origin of interests in work.
对脊髓损伤患者从受伤后不久到住院康复出院两年后的职业发展情况进行了研究。目标包括按功能独立水平检查职业发展过程中的差异，以及预测受伤两年后的职业结果。在研究期间对33名脊髓损伤患者（17名四肢瘫痪患者，16名截瘫患者）进行了跟踪。使用职业发展戈德堡量表来衡量职业发展随时间的变化。使用巴氏指数来衡量功能独立水平。结果显示，在最初的住院康复期间以及受伤后的六个月内，职业发展明显受到抑制。六个月后逐渐改善，但出院两年后职业发展水平仍低于受伤前。职业发展随时间的变化在功能独立水平上没有显著差异。成功职业结果的最佳预测因素是教育程度、受伤前制定的教育计划以及工作兴趣的来源。
