Current status of returning to work and its influencing factors among young and middle-aged patients with stroke
CHEN Qiu-lei1, GUO Ya-fen1, ZHOU Jian-wei2
1. School of Medicine, Hunan Normal University, Changsha, Hunan 410000, China; 2. Yueyang Hospital of Hunan Normal University, Yueyang, Hunan 414000, China
Abstract：Objective To explore the current status and influencing factors of returning to work among young and middle-aged patients with stroke. Methods By means of a general information questionnaire, Readiness for Return-To-Work Scale, the Brief Illness Perception Questionnaire, General Self-Efficacy Scale and Social Support Rating Scale, a questionnaire survey was conducted on all young and middle-aged patients diagnosed with stroke in two grade-Atertiaryhospitals and two community health service centers in a region of Hunan Province from September 2019 to October 2020. Binary Logistic regression analysis was performed to identify the influencing factors of returning to work. Results A total of 191 young and middle-aged stroke patients were investigated, and the rate of returning to work was 46.6%. The disease perception was negatively correlated with returning to work, with a correlation coefficient of -0.326. The higher the patients' disease perception, the lower the probability of returning to work. Logistic regression analysis displayed that the return-to-work rate was significantly higher in males than in females, significantly higher in patients with high monthly income than in ones with low monthly income, higher in patients without functional impairment, and the highest in the age group of 30-39 years. These differences were statistically significant (all P<0.05). Conclusion The return-to-work rate of the young and middle-aged patients with stroke needs to be improved.For patients choosing whether or not to return to workis the result of multiple factors such as physical function, economic status, anddisease perception. When conducting health education and vocational rehabilitation interventions, medical staff should consider various influencing factors and implement comprehensive strategies so as to increase the return-to-work rate of the patients.
陈秋蕾, 郭亚芬, 周建伟. 中青年卒中患者重返工作现状及影响因素的调查研究[J]. 实用预防医学, 2021, 28(6): 699-702.
CHEN Qiu-lei, GUO Ya-fen, ZHOU Jian-wei. Current status of returning to work and its influencing factors among young and middle-aged patients with stroke. , 2021, 28(6): 699-702.
[1] 王陇德,刘建民,杨弋,等.我国脑卒中防治仍面临巨大挑战—《中国脑卒中防治报告2018》概要[J].中国循环杂志,2019,34(2):105-119. [2] 张薇,范宇威,高静,等.脑卒中流行病学调查相关文献复习[J].中国临床神经科学,2014,22(6):699-703. [3] 陈美芬, 王苏英, 冯小红.不同年龄和性别脑卒中高危人群的危险因素调查分析[J].实用预防医学, 2020, 27(4):451-454. [4] Franche RL, Corbière M, Lee H,et al.The Readiness for Return-To-Work (RRTW) scale: development and validation of a self-report staging scale in lost-time claimants with musculoskeletal disorders[J].J Occup Rehabil, 2007, 17(3):450-472. [5] 曹慧丽.重返工作准备度量表的汉化及在乳腺癌患者中的初步应用[D]. 郑州:郑州大学, 2018. [6] Weitzel MH, Waller PR.Predictive factors for health-promotive behaviors in White, Hispanic, and Black blue-collar workers[J].Fam Community Health, 1990, 13(1):23-34. [7] 梅雅琪, 李惠萍, 杨娅娟.中文版疾病感知问卷简化版在女性乳腺癌患者中的信效度检验[J].护理学报, 2015, 22(24):11-14. [8] Schwarzer R, Born A, Iwawaki S,et al.The assessment of optimistic self-beliefs: comparison of the Chinese, Indonesian, Japanese, and Korean versions of the general self-efficacy scale[J].Psychologia, 1997, 40(1):1-13. [9] 肖水源.《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志, 1994, 4(2):98-100. [10] Bonner B, Pillai R, Sarma PS,et al. Factors predictive of return to work after stroke in patients with mildmoderate disability in India[J]. Eur J Neurol, 2016, 23(3):548-553. [11] Wang YC, Kapellusch J, Garg A.Important factors influencing the return to work after stroke[J].Work, 2014, 47(4):553-559. [12] 葛莹.肝硬化患者重返工作准备度现状调查及影响因素研究[D].济南:山东大学, 2020. [13] Paradise MB,Naismith SL,Davenport TA,et al.The impact of gender on early ill-health retirement in people with heart disease and depression[J].Aust N Z J Psychiatry, 2012, 46(3):249-256. [14] 王会笑, 杨明莹, 吴光柳.国外脑卒中患者重返工作岗位现状及其影响因素研究进展[J].职业与健康, 2018, 34(20):2869-2873. [15] 王娟. 类风湿关节炎患者疾病认知与生存质量相关性研究[D]. 西安:中国人民解放军空军军医大学, 2018.
2021, Vol. 28 
