在住院康复中与返回工作结果相关的因素 - 一个系统的范围审查
Psychology, health & medicine
|October 12, 2023
概括
这次审查确定了48个因素,影响在肌肉骨,心理和瘤疾病的住院康复后恢复工作. 健康素养和抑郁症预防干预措施有望改善工作成果.
科学领域:
- 康复医学 康复医学 康复医学
- 职业健康 职业健康 职业健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 住院康复是德国的一种常见策略,旨在改善各种健康状况的患者的返回工作 (RTW) 结果.
- 识别与成功的RTW相关的因素对于有效地定制康复疗法至关重要.
研究的目的:
- 在接受住院康复的肌肉骨,心理和瘤疾病患者中系统地确定与RTW结果相关的因素.
- 为制定更有针对性和有效的康复计划提供信息.
主要方法:
- 进行了系统范围审查,搜索Embase,Medline,PsycInfo和AMED,直到2023年5月.
- 包括的研究是对患有瘤,肌肉骨或心理疾病的劳动年龄人群住院康复的定量调查,报告RTW因素.
- 用叙事综合分析数据,包括18项中等质量的研究.
主要成果:
- 确定了广泛的RTW参数,包括就业状态,工作能力,病假,退休状态和康复后就业时间.
- 确定了48个与RTW结果相关的心理,健康和工作相关的因素.
- 只有一个随机对照试验表明,抑郁症预防干预对工作能力有显著影响;"健康素养"是另一个潜在的可修改因素.
结论:
- 许多因素影响RTW在不同健康状况下住院康复后的结果.
- 健康素养和抑郁症预防干预措施是康复计划中的潜在可修改的目标.
- 建议进一步研究逐步重返工作和工作场所的干预措施,以及住院康复,以优化RTW.
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