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患有肌肉骨骼疾病的医院员工的跨学科康复治疗

Interdisciplinary rehabilitation of hospital employees with musculoskeletal disorders.

作者信息

Nordström-Björverud G, Moritz U

机构信息

Department of Rehabilitation Medicine, Lund University Hospital, Sweden.

出版信息

Scand J Rehabil Med. 1998 Mar;30(1):31-7. doi: 10.1080/003655098444291.

DOI:10.1080/003655098444291
PMID:9526752
Abstract

At Lund University Hospital a cooperation project started in 1989 between the Rehabilitation Clinic and the Occupational Health Service Unit for the rehabilitation of 34 hospital employees with musculoskeletal problems and a median sick-listing time of 6 months, treated as day-patients by an interdisciplinary team. Evaluation instruments used were the Nottingham Health Profile (NHP), Pain Drawing, Visual Analogue Scale for pain, and the Disability Rating Index (DRI). The most prominent immediate effect was a significant increase of perceived energy and significant improvement of the total score of health-related quality of life (NHP). After 12 months, 25 out of 34 (74%) subjects had returned to work. The reference group used consisted of 57 subjects referred earlier from the Occupational Health Service Unit to the Personnel Department, for vocational rehabilitation. The groups were followed by 2-4 years using questionnaires concerning working conditions and current health status. There was a significant difference (p = 0.038) in return to work: intervention group 77%, reference group 58%.

摘要

1989年,隆德大学医院的康复诊所与职业健康服务部门启动了一个合作项目,旨在对34名患有肌肉骨骼问题、平均病假时长为6个月的医院员工进行康复治疗,这些员工作为日间病人接受跨学科团队的治疗。所使用的评估工具包括诺丁汉健康量表(NHP)、疼痛图、疼痛视觉模拟量表以及残疾评定指数(DRI)。最显著的即时效果是感知能量显著增加,与健康相关的生活质量总分(NHP)显著改善。12个月后,34名受试者中有25名(74%)重返工作岗位。所使用的参照组由57名先前从职业健康服务部门转介至人事部门进行职业康复的受试者组成。通过有关工作条件和当前健康状况的问卷对这些组进行了2至4年的跟踪。在重返工作方面存在显著差异(p = 0.038):干预组为77%,参照组为58%。

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