頭部外傷病人重還工作率及其相關因素之研究

The Rate and Factors of Return-to-Work in Head-Injured Patients Following Hospitalization

陳建立(Chien-Li Chen) ； 洪純隆(Shen-Long Howng)

《The Kaohsiung Journal of Medical Sciences》 10卷6期 (1994/06) Pp. 308-315

https://doi.org/10.6452/KJMS.199406.0308

摘要

重還工作通常被用來衡量疾病是否痊癒的指標之一。本研究以受傷前正從事各類經濟活動且居住在高雄市之勞動人口中，於81年間因頭部外傷，入住高雄醫學院附設醫院的病人為對象。出院後半年，利用結構式問卷訪視病人是否已重還工作崗位；並嘗試探討影響重還工作相關因素。
符合本研究定義並完成訪視之個案計有85位，受傷後六個月有69位（81%）重還工作，依Glasgow Coma Scale將頭部外傷嚴重度分為輕度、中度、嚴重等三類，其重還工作分別有51位（佔輕度病人86 %）、11位（佔中度病人79%）、7位（佔嚴重病人58%）。影響重還工作相關的因素，分為受傷前、治療中、出院被等三個不同階段，用危險對比值檢定（odds ratio），並計算95%信賴區間，再以對數迴歸（logistic regression）分析調整。本研究發現：受傷前的家庭從事經濟生產人口數、治療時的住院日數、出院後身體是否殘障，與頭部外傷病人重還工作有關。瞭解重還工作相關的因素，有助於醫療復建（包括職能、心理、社會等）的早期介入，幫助罹病者早日回到生產行列，以減少罹病的生產力損失與社會負擔。

並列摘要

Return-to-work is often used as a measure of overall recovery from injury or illness. This study focuses on the labor force population who inhabit in Kaohsiung City, and were hospitalized into Chung Ho Memorial Hospital Kaohsiung Medical College in 1992.
The patients were contacted for an interview at least six months post-discharge. In addition to the rate of return-to-work by severity, factors were examined for their influence on return-to-work.
Of those 85 eligible individuals, the rate of return-to-work was 81.2%. According to the Glasgow Coma Scale, the head injury severity was classified as mild, moderate and severe. The rate of return-to-work by severity were 86.4%, 78.6%, and 58.3%, respectively.
Factors influencing return-to-work were divided into pre-injury, hospitalization, and post-discharge period. According to the study, the three influencing factors that correlated with post-injury employment status were number of productive members in family, length of stay, and physical handicap.

並列關鍵字

Head Injury ； Return-to-work