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.
"},{"@language":"ja","@value":"【背景および目的】脳卒中患者の職場復帰に影響する因子について，両立支援コーディネーター支援事例を集積したデータベースを用いて検討した．【方法】2017年2月から2019年3月までに登録された脳疾患患者401例のうち，転帰不明と治療中と脳卒中以外を除外した337例を対象とした．データベースは患者・家族・経済・職場・医療・復職時状況の6因子69項目で構成され，各項目2～5段階評価を行う仕様とした．復職先の「元事業場の元職務」を復職と定義し，χ2検定にて各変数における「復職」と「非復職」とで差があるか単変量解析を行った．【結果】復職には業務遂行機能，心理的因子，自己管理，経済因子などが関与したが，性別や年齢の関与は認めなかった．復職率は67.7%と良好であった．【結論】復職支援には，機能改善と心理的支援が重要であり，就労を目指した継続的なリハビリテーションと相談支援体制の構築が望まれる．
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