Department of Orthopedics, Affiliated People's Hospital of Ningbo University，Ningbo, zhejiang, China.
J Orthop Surg Res. 2024 Aug 24;19(1):504. doi: 10.1186/s13018-024-04988-2.
To analyze the situation and influencing factors of patients returning to work after spinal surgery, and to provide reference for clinical intervention measures of patients returning to work after spinal surgery.
A computer search was conducted in Chinese and English database on the situation and influencing factors of patients returning to work after spinal surgery from the establishment of the database to February 2023. Meta-analysis was performed using RevMan 5.3 and StataMP 17.0 software.
A total of 10 literatures were included, involving 11,548 subjects. Meta-analysis results showed that 58% of patients returned to work after spinal surgery [95%CI (0.47-0.69)]. Gender [OR = 2.41, 95%CI (1.58-3.37)], age [OR = 1.32, 95%CI (1.03-1.51)], job nature [OR = 5.94, 95%CI (3.54-9.62)], education level [OR = 0.23, 95%CI (0.06-0.48)], fear of disease progression [OR = 0.82, 95%CI (0.84-0.95)], and social support [OR = 1.21, 95%CI (1.12-1.37)] were the influencing factors for patients returning to work after spinal surgery.
The rate of patients returning to work after spinal surgery is low, and is affected by many factors. Medical personnel should pay comprehensive attention to the above high-risk groups and give timely intervention and support.
分析脊柱手术后患者重返工作岗位的情况及影响因素，为脊柱手术后患者重返工作岗位的临床干预措施提供参考。
计算机检索建库至 2023 年 2 月国内外数据库中关于脊柱手术后患者重返工作岗位的情况及影响因素的文献，采用 RevMan 5.3 和 StataMP 17.0 软件进行 Meta 分析。
共纳入 10 篇文献，涉及 11548 例患者。Meta 分析结果显示，脊柱手术后有 58%的患者重返工作岗位[95%CI（0.470.69）]。性别[OR=2.41，95%CI（1.583.37）]、年龄[OR=1.32，95%CI（1.031.51）]、职业性质[OR=5.94，95%CI（3.549.62）]、文化程度[OR=0.23，95%CI（0.060.48）]、对疾病进展的恐惧[OR=0.82，95%CI（0.840.95）]、社会支持[OR=1.21，95%CI（1.12~1.37）]是影响脊柱手术后患者重返工作岗位的因素。
脊柱手术后患者重返工作岗位的比例较低，受多种因素影响。医务人员应全面关注上述高危人群，及时给予干预和支持。
