TY - JOUR AU - Brehon, Katelyn AU - Niemeläinen, Riikka AU - Hall, Mark AU - Bostick, Geoff P AU - Brown, Cary A AU - Wieler, Marguerite AU - Gross, Douglas P PY - 2022 DA - 2022/9/14 TI -长期COVID职业康复后重返工作:描述性的队列研究乔- JMIR Rehabil协助工艺SP - e39883六世- 9 - 3 KW -补偿和纠正千瓦postacute COVID-19综合症KW -长COVID KW - COVID-19 KW -康复KW -高额KW -健康结果KW -职业卫生KW - patient-reported结果KW -焦虑症AB -背景:新出现的证据表明,在全球范围内,30%至50%的人感染COVID-19经验长COVID (LC)症状。在LC患者中，这些症状对返回工作(RTW)造成了很大的挑战。为了针对LC后遗症量身定制康复方案并帮助改善RTW的结果，还需要对LC康复方案的结果进行更多的研究。目的:本研究描述参加LC职业康复计划的工人的特点和结果。方法:采用队列研究。描述性变量包括人口统计学和职业因素以及患者报告的预后指标(PROMs，即疲劳严重程度量表[FSS]、新冠后功能量表[PCFS]、36项简短健康调查[SF-36]、疼痛残疾指数[PDI]、疼痛视觉模拟量表[VAS]、9项患者健康问卷[PHQ-9]、7项广泛性焦虑障碍问卷[GAD-7]，以及精神障碍诊断和统计手册第五版[DSM-5]创伤后应激障碍[PTSD]核对表[PCL-5])。主要结局变量为出院时RTW状态。计算描述性统计。 Logistic regression examined predictors of RTW. Results: The sample consisted of 81 workers. Most workers were female (n=52, 64%) and from health-related occupations (n=43, 53%). Only 43 (53%) individuals returned to work at program discharge, with 40 (93%) of these returning to modified duties. Although there were statistically significant improvements on the pain VAS (mean 11.1, SD 25.6, t31=2.5, P=.02), the PDI (mean 9.4, SD 12.5, t32=4.3, P<.001), the FSS (mean 3.9, SD 8.7, t38=2.8, P=.01), the SF-36 PCS (mean 4.8, SD 8.7, t38=–3.5, P=.001), the PHQ-9 (mean 3.7, SD 4.0, t31=5.2, P<.001), and the GAD-7 (mean 1.8, SD 4.4, t22=1.8, P=.03), there were no significant improvements in the PCFS, the overall mental component score (MCS) of the SF-36, or on the PCL-5. The availability of modified duties (odds ratio [OR] 3.38, 95% CI 1.26-9.10) and shorter time between infection and admission for rehabilitation (OR 0.99, 95% CI 0.99-1.00) predicted RTW even when controlling for age and gender. Conclusions: Workers undergoing LC rehabilitation reported significant but modest improvements on a variety of PROMs, but only 43 (53%) returned to work. Outcomes would likely improve with increased availability of modified duties and timelier rehabilitation. Additional research is needed, including larger observational cohorts as well as randomized controlled trials to evaluate the effectiveness of LC rehabilitation. SN - 2369-2529 UR - https://rehab.www.mybigtv.com/2022/3/e39883 UR - https://doi.org/10.2196/39883 UR - http://www.ncbi.nlm.nih.gov/pubmed/36094442 DO - 10.2196/39883 ID - info:doi/10.2196/39883 ER -