日本中风后重返工作岗位的影响因素。
Factors influencing return to work after stroke in Japan.
作者信息
Saeki S, Ogata H, Okubo T, Takahashi K, Hoshuyama T
机构信息
Department of Rehabilitation Medicine, University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan.
出版信息
Stroke. 1993 Aug;24(8):1182-5. doi: 10.1161/01.str.24.8.1182.
BACKGROUND AND PURPOSE
Few studies have identified factors that predict return to work after stroke in Japan. Our aim in this study was to determine the predictors of return to work after stroke in Japan.
METHODS
We performed a retrospective cohort study on the association between patients' characteristics at admission and return to work in 230 first-stroke patients, adjusting for potential confounding factors. The patients were all aged younger than 65 years and were working, students, or housewives at the time of their stroke. Return to work was evaluated by a follow-up questionnaire. Data were analyzed using forward logistic regression analysis to compute odds ratios of return to work.
RESULTS
The adjusted odds ratios (and 95% confidence intervals) for patients with normal muscle strength vs severe muscle weakness, without apraxia vs with apraxia, and with white-collar vs blue-collar occupation were 4.50 (1.04 to 19.42), 4.87 (1.28 to 18.54), and 3.33 (1.34 to 8.30), respectively.
CONCLUSIONS
Significant predictors of return to work after stroke were no muscle weakness, absence of apraxia, and white-collar occupation.
背景与目的
在日本，很少有研究确定中风后恢复工作的预测因素。本研究的目的是确定日本中风后恢复工作的预测因素。
方法
我们对230例首次中风患者入院时的特征与恢复工作之间的关联进行了一项回顾性队列研究，并对潜在的混杂因素进行了调整。这些患者年龄均小于65岁，中风时为在职人员、学生或家庭主妇。通过随访问卷评估恢复工作情况。使用向前逻辑回归分析对数据进行分析，以计算恢复工作的比值比。
结果
肌力正常与严重肌无力、无失用症与有失用症、白领职业与蓝领职业患者的调整后比值比（及95%置信区间）分别为4.50（1.04至19.42）、4.87（1.28至18.54）和3.33（1.34至8.30）。
结论
中风后恢复工作的显著预测因素是无肌无力、无失用症和白领职业。
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