Beissner K L, Saunders R L, McManis B G
Ithaca College, NY 14850, USA.
Phys Ther. 1996 Nov;76(11):1188-201. doi: 10.1093/ptj/76.11.1188.
The purpose of this study was to identify factors that predict successful work hardening outcomes. Two measures of success were used: return to work and case closure (ie, resolution of medical treatment issues).
Persons with spine-related injuries who completed a work hardening program were the subjects. One hundred fifteen subjects participated in a 3-month follow-up survey, and 111 subjects participated in a 12-month follow-up survey.
Data were collected on subject characteristics, treatment history, job factors, program payer, and program factors. Subjects were contacted by telephone at 3 and 12 months after program completion to determine work status. Logit analysis was used to identify predictors of successful versus unsuccessful outcomes.
Three months after program completion, 68% of the subjects had returned to work and 86% had successful case closure. Twelve months after program completion, 77% of the subjects had returned to work and 90% had successful case closure. The more treatment subjects received prior to entering the program, the less likely they were to be working or achieving case closure following treatment. Subjects' work status and initial time off of work were factors predicting early return to work, but not 12 months after program completion. Subjects who were working with an attorney were less likely to achieve case closure than those who were not working with an attorney. Subjects who were satisfied with the program were more likely to have achieved case closure or return to work than those who were not satisfied with the program.
Several factors have been identified that predict successful work hardening outcomes. This information can be used to identify clients who are unlikely to benefit from work hardening.
本研究旨在确定能够预测工作强化治疗成功结果的因素。采用了两种成功衡量标准：重返工作岗位和病例结案（即医疗问题得到解决）。
完成工作强化治疗项目的脊柱相关损伤患者为研究对象。115名研究对象参与了为期3个月的随访调查，111名研究对象参与了为期12个月的随访调查。
收集了有关研究对象特征、治疗史、工作因素、项目付费方和项目因素的数据。在项目完成后的3个月和12个月通过电话联系研究对象以确定其工作状态。采用逻辑回归分析来确定成功与不成功结果的预测因素。
项目完成3个月后，68%的研究对象重返工作岗位，86%的病例成功结案。项目完成12个月后，77%的研究对象重返工作岗位，90%的病例成功结案。在进入项目之前接受治疗越多的研究对象，在治疗后工作或实现病例结案的可能性就越小。研究对象的工作状态和最初的停工时间是预测早期重返工作岗位的因素，但不是项目完成12个月后的预测因素。与律师合作的研究对象比未与律师合作的研究对象更难实现病例结案。对项目满意的研究对象比不满意的研究对象更有可能实现病例结案或重返工作岗位。
已确定了几个能够预测工作强化治疗成功结果的因素。这些信息可用于识别不太可能从工作强化治疗中受益的客户。
