影響中風病人重返工作之因素

Factors Influencing Return to Work Post-Stroke

謝清麟(Ching-Lin Hsieh) ； 李孟峰(Edmund Lee)

《職能治療學會雜誌》 14卷1期 (1996/03) Pp. 27-34

https://doi.org/10.6594/JTOTA.1996.14(1).03

摘要

國外有些研究探討影響中風病人返回工作之因素，結論卻不一致。國內對於此方面之研究仍付諸闕如，本研究因此致力於探討影響台灣中風病人返回工作之因素。
本研究調查對象為年齡低於65歲且中風前有工作之病人。病人之個人資料與病情資料由回溯中風病人之病歷取得，再由電話調查中風病人返回工作之情況。最後蒐集到208份有效樣本。資料分析先以Cramer's V檢定病人基本資料及病情檢查資料與返回工作與否之關聯性，再以逐步算式回歸分析找出預測病人返回工作之重要因數。
結果得知：54.3%之有效受訪病人重返工作。肌力、雇用單位、住院天數及語言障礙等為最佳預測中風病人返回工作之變項，而依這些變項所建立之回歸模式預測病人返回工作之正確率達77.6%。未來之研究可致力於尋找其他可能影響中風病人返回工作之因素，以建立較佳之預測模式。

關鍵字

腦血管病變 ； 復健 ； 工作

並列摘要

Although several studies have investigated factors influencing return to work following stroke, the results were inconclusive. In Taiwan, little research has been conducted into the use of prognostic factors based on patient characteristics as predictors of return to work after stroke. This study aims to determine such predictors.
A retrospective cohort study was conducted to investigate the associations between patient characteristics at admission and return to work in 208 stroke patients. The subjects were less than 65 years old when interviewed and were employed prior to the onset of stroke. Sociodemographic, diagnostic, and functional factors recorded at the time of admission were retrospectively retrieved from the chart of each patient and used for prediction of return to work Data on work status were collected by follow-up telephone interviews. Cramer's V test and step wise logistic regression were used to determine the predictors of return to work.
At follow-up, 54.3% of the subjects had returned to work. Significant predictors of return to work after stroke were: absence of muscle weakness, absence of speech disorder, being employed by the government and shorter length of stay in hospital. A logistic regression model was constructed using these predictors. Nearly 78% of the subjects were correctly classified. Future studies of other relevant factors are needed to refine the predictive model.

並列關鍵字

cerebrovascular disorders ； rehabilitation ； work