轻度伤残职业康复者生活质量状况及其与不同层次复工结局的关联OA
Quality of life among vocational rehabilitation patients with mild work-related disability and its association with return-to-work outcomes
目的 探讨综合职业康复对轻度工伤致残者生活质量及复工结局的影响. 方法 本研究为纵向观察性研究.选择2023年6月至2024年12月在广东省工伤康复医院进行综合职业康复的工伤职工作为研究对象,调查入院时和出院时的中文版简明健康状况调查简表(SF-36)评分,并在其出院后1年内进行随访,登记复工情况,比较不同复工结局(原岗位复工/新岗位复工/未复工)人群SF-36各维度得分的差异及其与复工结局的关联特征,识别不同层次复工结局的独立影响因素. 结果 综合职业康复干预能改善工伤职工生理功能(PF)、生理职能(RP)、情感职能(RE)(P<0.05).出院时,原岗位复工组PF、RP、躯体疼痛(BP)、总体健康(GH)、活力(VT)、社会功能(SF)、精神健康(MH)维度得分,新岗位复工组PF、BP、GH、SF维度得分均优于未复工组(P<0.05).以未复工为参照,多分类Logistic回归显示,原岗位复工组复工的不利因素有低学历(大专以下)、现场安置服务、损失工作日增加、低就业意愿(考虑前、考虑阶段),有利因素是积极的健康变化(HT)评价;新岗位复工组复工的不利因素有低就业意愿(考虑前阶段)、损失工作日增加,有利因素是现场安置服务、积极的HT评价. 结论 综合职业康复能提升工伤职工的生活质量,良好的生活质量状态对工伤职工复工结局存在正向积极作用,HT、学历、工作安置方式、损失工作日、就业意愿是不同层次复工结局的独立影响因素.
Objective To explore the impact of comprehensive vocational rehabilitation on quality of life and return-to-work out-comes for individuals with mild work-related disability. Methods A longitudinal observational study was conducted.A total of 343 work-injured employees receiving compre-hensive vocational rehabilitation intervention in Guangdong Work Injury Rehabilitation Hospital from June,2023 to December,2024 were selected.The 36-item Short Form Health Survey(SF-36)was adopted to assess their health-related quality of life at admission and discharge.All subjects were followed up within one year after dis-charge to collect their return-to-work status.The differences in each dimension score of SF-36 among patients with different return-to-work outcomes(return to original post,transfer to new post and non-return to work)were compared,and the independent influencing factors of return-to-work outcomes were identified. Results Comprehensive vocational rehabilitation intervention significantly improved the scores of physical functioning(PF),role-physical(RP)and role-emotional(RE)among work-injured employees(P<0.05).At discharge,com-pared with patients who failed to return to work,patients returning to original post obtained significantly higher scores in PF,RP,bodily pain(BP),general health(GH),vitality(VT),social functioning(SF)and mental health(MH),patients transferred to new post achieved significantly higher scores in PF,BP,GH and SF(P<0.05).Tak-ing non-return-to-work status as the reference category,the multinomial logistic regression model showed the ad-verse factors for return to original post included low educational attainment(college diploma or below),on-site placement service,increased lost workdays and low employment intention(pre-contemplation and contemplation stages);the protective factor was positive evaluation of health transition(HT);for patients transferred to new posts,adverse factors were low employment intention(pre-contemplation stage)and increased lost workdays,while protective factors covered on-site placement service and positive HT evaluation. Conclusion Comprehensive vocational rehabilitation can improve the quality of life for injured workers.Better quality of life is positively associated with return-to-work outcomes.HT,education level,job placement mode,lost work-days and employment willingness are independent factors impacting return-to-work outcomes.
周慧玲;曾嘉彦;陈冰
广东省工伤康复医院,广东 广州市 510000广东省工伤康复医院,广东 广州市 510000广东省工伤康复医院,广东 广州市 510000
医药卫生
轻度伤残工伤职工职业康复复工结局中文版简明健康状况调查简表健康变化损失工作日
mild work-related disabilityinjured workersvocational rehabilitationreturn-to-work outcomesthe 36-item Short Form Health Surveyhealth changeslost workdays
《中国康复理论与实践》 2026 (9)
1078-1086,9
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