时间回归工作咨询:对时间到第一次咨询对回归工作的影响进行观察研究
Thomas B van Rossum1,2, Robin N Kok3,4, Karen Nieuwenhuijsen4,5
1Mensely B.V., Zwarte Woud 10, 3524 SJ, Utrecht, The Netherlands. th.van.rossum@mensely.nl.
Journal of occupational rehabilitation
|October 8, 2025
概括
早些时候开始返回工作 (RTW) 咨询与更快的员工恢复有关. 然而,当在第一周开始时,益处是最显著的,特别是适应障碍.
科学领域:
- 职业健康 职业健康 职业健康 职业健康
- 精神病学是一个精神病学.
- 康复医学是康复的医学.
背景情况:
- 返回工作 (RTW) 咨询对于患有常见精神障碍 (CMD) 的员工至关重要.
- 荷兰的指导方针要求在病假两周内与职业医生联系,但经验支持有限.
- 这项研究调查了早期RTW咨询与恢复速度之间的关联.
研究的目的:
- 确定在病假两周内开始RTW咨询是否与更快的RTW有关.
- 评估是否存在剂量反应关系,即早期干预导致更好的结果.
主要方法:
- 一项观察性研究比较了12169名在病名单上的员工,在两周内被一个OP看到了,与以后相比.
- 考克斯的比例危险分析被用来评估RTW时间.
- 通过对对比,对第1至第6周的每周影响进行了检查.
主要成果:
- 早期的RTW咨询与显著更快的RTW相关 (HR:0.89).
- 观察到剂量反应效应,较早的几周显示出更大的益处 (例如,第1周与第6周相比,HR:0.82).
- 小组分析显示,这些福利主要是针对适应障碍的员工.
结论:
- 早些时候开始RTW咨询提供了适度的好处,可以更快地返回工作.
- 最显著的优势在于非常早期的干预 (第1周).
- 2至5周之间的差异在统计学上并不显著,这表明需要重新评估严格的两周截止日期.
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