Examining return-to-work status of stroke patients using a database of the health and employment support coordinator

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  • Toyota Akihiro
    Research Center for the Promotion of Health and Employment Support, Chugoku Rosai Hospital
  • Saeki Satoru
    Department of Rehabilitation Medicine, University of Occupational and Environmental Health
  • Kitani Hiroshi
    Graduate School of Business Administration, Prefectural University of Hiroshima
  • Yaeda Jun
    Master’s and Doctoral Programs in Rehabilitation Sciences, Graduate School of Comprehensive Human Sciences, University of Tsukuba
  • Ohtsuka Aya
    Faculty of Nursing, Hiroshima Bunka Gakuen University
  • Tatemichi Masayuki
    Department of Preventive Medicine, Tokai University School of Medicine

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  • 両立支援コーディネーター介入による脳卒中患者の復職状況　～復職支援データベースによる検討～

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<p>Background and Purpose: This study aimed to examine the factors affecting the promotion or inhibition of return to work among stroke patients using a database of cases managed by the health and employment support coordinator. Methods: We analyzed 337 stroke patients out of 401 patients registered in the database between February 2017 and March 2019, excluding 64 cases of unknown outcomes, ongoing treatment, and non-stroke. The database consisted of 69 items belonging to six factors: patients, family, economy, workplace, medical care, and return to work, and each item was evaluated on a 2 to 5 scale. A univariate analysis was performed by the χ2 test to see if there was a difference between “return to work” and “non-return to work” for each variable. Results: The results revealed that the possibility of returning to work was influenced by physical functions, higher brain function, desire to return to work, self-management skills, and income; however, no significant effects of gender and age were found. The rate of return to work (67.7%) was considerably high. Conclusion: Functional improvement and psychological support are important for reinstatement support, and continuous rehabilitation and consultation support system construction are desired.</p>

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