Oslo University Hospital Ullevål, Oslo and Institute of Clinical Sciences, University of Oslo, Oslo, Norway.
J Rehabil Med. 2023 Jul 24;55:jrm4569. doi: 10.2340/jrm.v55.4569.
To compare a structuralized sick-leave programme with usual care sick-leave management in patients after an acute myocardial infarction. We hypothesize that a structured sick-leave programme will yield a faster return to work without negatively affecting quality of life.
Patients admitted to Oslo University Hospital due to an acute myocardial infarction were included in the study. Patients were randomized into an intervention group or a conventional care group. Patients randomized to the intervention group were provided with a standard programme with full-time sick leave for 2 weeks after discharge and then encouraged to return to work. The sick leave of the conventional group was mainly managed by their general practitioner.
A total of 143 patients were included in the study. The conventional care group had a mean of 20.4 days absent from work, while that of the intervention group was significantly lower, with a mean of 17.2 days (p < 0.001) absent. There was no significant change in quality of life between the groups.
These findings strengthen the case for structuralized follow-up of patients with acute myocardial infarction, as this will have positive economic consequences for the patient and society as a whole, without making quality of life worse. Further investigation, with a larger study population, is warranted to determine the extent of health benefits conferred by early return to work.
比较结构性病假方案与急性心肌梗死后常规病假管理对患者的影响。我们假设结构性病假方案可加快患者重返工作岗位的速度，且不会对生活质量产生负面影响。
本研究纳入了因急性心肌梗死而入住奥斯陆大学医院的患者。患者被随机分为干预组或常规护理组。随机分至干预组的患者将接受为期 2 周的全时病假标准方案，然后鼓励其重返工作岗位。常规组的病假主要由他们的全科医生管理。
共有 143 例患者纳入研究。常规护理组平均缺勤 20.4 天，而干预组的缺勤明显减少，平均缺勤 17.2 天（p < 0.001）。两组的生活质量均无显著变化。
这些发现为急性心肌梗死患者进行结构性随访提供了有力依据，因为这将对患者和整个社会产生积极的经济影响，而不会使生活质量恶化。需要进一步进行更大规模的研究，以确定早期重返工作岗位带来的健康益处程度。
