Stroke survivors' long-term participation in paid employment.

Autor: van Meijeren-Pont W; Basalt Rehabilitation, Leiden/The Hague, The Netherlands.; Department of Orthopaedics, Rehabilitation, and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands., van Velzen JM; Department of Research and Development, Heliomare Rehabilitation Center, Wijk aan Zee, The Netherlands.; Amsterdam UMC, University of Amsterdam, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands., Volker G; Basalt Rehabilitation, Leiden/The Hague, The Netherlands., Arwert HJ; Basalt Rehabilitation, Leiden/The Hague, The Netherlands.; Department of Rehabilitation Medicine, Haaglanden Medical Center, The Hague, The Netherlands., Meesters JJL; Basalt Rehabilitation, Leiden/The Hague, The Netherlands.; Department of Orthopaedics, Rehabilitation, and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands.; Kenniscentrum Health Innovation, Haagse Hogeschool, The Hague, The Netherlands., de Kloet AJ; Basalt Rehabilitation, Leiden/The Hague, The Netherlands., van Bennekom CAM; Department of Research and Development, Heliomare Rehabilitation Center, Wijk aan Zee, The Netherlands.; Amsterdam UMC, University of Amsterdam, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands., Vliet Vlieland TPM; Basalt Rehabilitation, Leiden/The Hague, The Netherlands.; Department of Orthopaedics, Rehabilitation, and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands., Tamminga SJ; Basalt Rehabilitation, Leiden/The Hague, The Netherlands.; Department of Orthopaedics, Rehabilitation, and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands., Oosterveer DM; Basalt Rehabilitation, Leiden/The Hague, The Netherlands.
Jazyk: angličtina
Zdroj: Work (Reading, Mass.) [Work] 2024; Vol. 77 (3), pp. 839-850.
DOI: 10.3233/WOR-230037
Abstrakt: Background: Knowledge on long-term participation is scarce for patients with paid employment at the time of stroke.
Objective: Describe the characteristics and the course of participation (paid employment and overall participation) in patients who did and did not remain in paid employment.
Methods: Patients with paid employment at the time of stroke completed questions on work up to 30 months after starting rehabilitation, and the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-P, Frequency, Restrictions and Satisfaction scales) up to 24 months. Baseline characteristics of patients with and without paid employment at 30 months were compared using Fisher's Exact Tests and Mann-Whitney U Tests. USER-P scores over time were analysed using Linear Mixed Models.
Results: Of the 170 included patients (median age 54.2 interquartile range 11.2 years; 40% women) 50.6% reported paid employment at 30 months. Those returning to work reported at baseline more working hours, better quality of life and communication, were more often self-employed and in an office job. The USER-P scores did not change statistically significantly over time.
Conclusion: About half of the stroke patients remained in paid employment. Optimizing interventions for returning to work and achieving meaningful participation outside of employment seem desirable.
Databáze: MEDLINE
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