Chen Yuanyuan, Yang Hongyan, Chen Yanqin, Wei Hui, Lan Meijuan
Nursing Department, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Medicine (Baltimore). 2024 Dec 13;103(50):e40466. doi: 10.1097/MD.0000000000040466.
This study aims to explore the relationship between perceived limb heaviness and return to work (RTW) among ischemic stroke patients. We retrospectively reviewed the data of consecutive participants recruited in the CIRCLE study. Perceived limb heaviness was gathered from self-reported by 1-year follow-up. The chi-square test and logistic regression analysis were used to analyze the independent risk factors of RTW. A total of 209 participants completed the study. The participants were predominately 81.3% male, with a mean age of 51.24 ± 9.09 years. In total, 79 participants (37.8%) had returned to work 12 months after the stroke, 36 (17.2%) felt limb heaviness, and 67.9% had a son or 2 sons. The participants who had not RTW were on contemplation status, and those who had RTW were on proactive maintenance status. Logistic regression analysis showed that participants with 2 sons were independently associated with an increased chance of RTW (P = .016, odds ratio [OR] = 3.990). Participants who had perceived limb heaviness were independently associated with a low rate of RTW compared with no perceived limb heaviness (P = .009, OR = 0.235). This research finds that participants experiencing limb heaviness might lower the rate of RTW after 12 months. The other interesting finding is that participants with 2 sons might have a higher rate of RTW.
本研究旨在探讨缺血性中风患者感知到的肢体沉重感与重返工作岗位（RTW）之间的关系。我们回顾性分析了在CIRCLE研究中连续招募的参与者的数据。通过1年随访的自我报告收集感知到的肢体沉重感。采用卡方检验和逻辑回归分析来分析RTW的独立危险因素。共有209名参与者完成了研究。参与者中男性占81.3%，平均年龄为51.24±9.09岁。总共有79名参与者（37.8%）在中风后12个月重返工作岗位，36名（17.2%）感到肢体沉重，67.9%有一个儿子或两个儿子。未重返工作岗位的参与者处于考虑状态，而已经重返工作岗位的参与者处于积极维持状态。逻辑回归分析表明，有两个儿子的参与者与重返工作岗位的几率增加独立相关（P = 0.016，比值比[OR] = 3.990）。与未感知到肢体沉重感的参与者相比，感知到肢体沉重感的参与者与较低的重返工作岗位率独立相关（P = 0.009，OR = 0.235）。本研究发现，经历肢体沉重感的参与者可能会降低12个月后的重返工作岗位率。另一个有趣的发现是，有两个儿子的参与者可能有更高的重返工作岗位率。
