中国康复2025，Vol.40Issue(11)：699-704,6.DOI:10.3870/zgkf.2025.11.011
广州轻中型颅脑损伤患者复工影响因素及职业康复策略研究
Influencing factors of return-to-work and vocational rehabilitation strategies for patients with mild-to-moderate trau-matic brain injury in Guangzhou
摘要
Abstract
Objective:To investigate the influencing factors of return-to-work(RTW)in patients with mild-to-moderate traumatic brain injury(TBI)in Guangzhou,and the effects of vocational rehabilitation strategies on their work capacity recovery.Methods:A retrospective analysis was conducted on 87 patients with mild-to-moderate TBI treated in Vocational Rehabilitation Department of our hospital between 2020-2023.Data included clinical records,work capacity index,family/social support status,and vocational rehabilitation protocols.Meanwhile,we searched literature and qualitatively analyzed the results of the included studies.Results:The outcome of RTW was signifi-cantly correlated with the course of the disease and the injured side(P＜0.05),but not significantly correlated with age and gender.Physical function(such as Brunnstrom stages,the muscle strength and flexibility of upper and low-er extremities,etc.)had no significant effect on the outcome of RTW.Occupational classification,educational lev-el,and residual symptoms significantly affected the outcome of RTW(P＜0.05).Employer attitudes and the pa-tients' willingness to RTW significantly affected the outcome(P＜0.05,0.01),while family support had no signifi-cant impact;On-site job analysis/evaluation,job simulation training and community job placement had a significant impact on the outcome of RTW(P＜0.05,0.01),while the intervention of the patients' willingness to RTW had no significant impact.The qualitative description of the included literature showed that the most critical promoting fac-tors included:education level,family and social sup-port,occupational related interventions.The main ob-stacles were as follows:duration of rehabilitation,se-quelae such as headaches,psychological problems.Conclusion:The RTW outcome of patients with mild-to-moderate TBI is mainly affected by the course of the disease,injured side,occupation,educational level,residual symptoms,employer attitudes and the patients' willingness to RTW,while the age,gender,physical function and fam-ily support have little effect.Among the vocational rehabilitation strategies,on-site job analysis/evaluation,job simulation training and community job placement can improve the matching degree between the patients and the jobs,thus facilitate the patients to RTW.A multidisciplinary collaboration model(doctors,psychologists,voca-tional therapists,employers)combined with personalized plans developed based on the patient's social and cultural background can significantly improve the rate of RTW.关键词
轻中型颅脑损伤/职业康复/重返工作Key words
mild-to-moderate traumatic brain injury/vocational rehabilitation/return-to-work分类
临床医学引用本文复制引用
邱梓瑜,黄茹,何文珊,蔡东星,高潮铨,冯兰芳..广州轻中型颅脑损伤患者复工影响因素及职业康复策略研究[J].中国康复,2025,40(11):699-704,6.基金项目
广东省医学科学技术研究基金(B2024215) （B2024215）
