EPIUnit - Institute of Public Health, University of Porto (ISPUP), Rua das Taipas nº 135, Porto, 4050-600, Portugal.
Gaia / Espinho Local Health Unit, Vila Nova de Gaia, Porto, Portugal.
Qual Life Res. 2024 Dec;33(12):3259-3273. doi: 10.1007/s11136-024-03797-8. Epub 2024 Oct 9.
To assess the association between professional reintegration and mental health, quality of life (QoL) and community reintegration of stroke survivors.
Using a cross-sectional study design, a structured questionnaire was administered to previously working stroke survivors, 18-24 months post-stroke. Data on sociodemographic characteristics, professional reintegration (prevalence of return to work (RTW), period of RTW, job placement, function at work, reintegration support, association of stroke with work and number of working hours), mental health (Hospital Anxiety and Depression Questionnaire), QoL (Stroke Specific Quality of Life Scale) and community integration (Community Integration Questionnaire) were reported by 553 stroke survivors.
Twenty months after stroke, 313 (56.6%; 95%CI 52.4-60.8) stroke survivors had return to work. RTW was positively associated with both global and sub-domains scores of Community Integration Questionnaire (CIQ) (global CIQ β = 3.50; 95%CI 3.30-3.79) and with depressive symptomatology (β = 0.63; 95%CI 0.20-1.46) measured by the Hospital Anxiety and Depression Scale. No significant differences were found regarding QoL, according to RTW status. For those who RTW, no significant associations were found between any of the professional reintegration determinants assessed and mental health, QoL and community integration scores.
RTW seems to be associated to better community integration after stroke, but appears to be negatively associated to stroke survivor's mental health, namely considering depression symptoms. Future studies should explore the barriers to stroke survivors' RTW and the challenges and strategies used to overcome them, to allow the development of professional reintegration policies.
评估职业再融入与脑卒中幸存者心理健康、生活质量（QoL）和社区融入之间的关系。
采用横断面研究设计，对发病后 18-24 个月的有工作经历的脑卒中幸存者进行问卷调查。报告了社会人口统计学特征、职业再融入（重返工作岗位的患病率（RTW）、RTW 时间、工作安置、工作中的功能、再融入支持、脑卒中与工作的关联以及工作时间）、心理健康（医院焦虑抑郁量表）、生活质量（脑卒中特异性生活质量量表）和社区融入（社区融入问卷）。
发病后 20 个月，313 名（56.6%；95%CI 52.4-60.8）脑卒中幸存者重返工作岗位。RTW 与社区融入问卷（CIQ）的整体和各亚领域得分呈正相关（CIQ 整体得分 β=3.50；95%CI 3.30-3.79），与医院焦虑抑郁量表（HADS）测量的抑郁症状呈正相关（β=0.63；95%CI 0.20-1.46）。根据 RTW 状态，生活质量无显著差异。对于重返工作岗位的患者，评估的职业再融入决定因素与心理健康、生活质量和社区融入评分之间没有显著关联。
RTW 似乎与脑卒中后更好的社区融入有关，但似乎与脑卒中幸存者的心理健康呈负相关，尤其是考虑到抑郁症状。未来的研究应探讨脑卒中幸存者 RTW 的障碍以及克服这些障碍的挑战和策略，以制定职业再融入政策。
