南阳医学高等专科学校第一附属医院骨一科病区
Published:2022,
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Zhang Sa, Duan Pengfei, Hu Bo. Analys is of the current situation of and influencing factors for the return-to-work of burn patients in the Nanyang area. [J]. Health Medicine Research and Practice 19(5):6-11(2022)
目的 探讨南阳地区烧伤患者重返工作现状及影响因素
为提高烧伤患者重返工作率提供参考。方法 采用便利抽样法
选取2019年3月—2020年12月在南阳市某医院住院治疗的113例成年烧伤患者为调查对象。随访6个月时
按照患者是否重返工作分为重返工作组与未重返工作组。采用一般资料调查表、重返工作准备度量表、一般自我效能感量表(GSES)、日常生活能力量表(ADL)、简易应对量表(SCSQ)对患者进行调查
以获取相关资料。采用多元线性回归分析影响烧伤患者重返工作的因素。结果 113例患者中未重返工作59例
已重返工作54例
重返工作率为47.8%。未重返工作调查对象中处于前意向阶段17人、意向阶段28人、行动准备-自我评估阶段10人、行动准备-行为阶段4人。多元线性回归分析结果显示:年龄、GSES评分、工作性质、家庭人均月收入、ADL评分、SCSQ中积极应对及消极应对评分为影响调查对象重返工作的因素(P<0.05)。影响因素可解释变异的66.10%(R=0.813
R2=0.661
F=36.230
P<0.05)。结论调查对象的重返工作准备度处于中低水平
虽然大多数未重返工作的调查对象已经开始考虑工作的事情
但相关行动还较弱
只有少数调查对象愿意为重返工作付诸准备或行动。医护人员应及时关注并评估烧伤患者的重返工作准备度情况
根据患者所处的准备度阶段及其影响因素
为患者提供专业的职业康复指导
鼓励其积极应对
从而最大化利用现有资源
提升患者重返工作准备度
实现职业康复。
Objective To explore the current situation and influencing factors of burn patients’ return-to-work in Nanyang area
and to provide reference for improving the return-to-work rate of burn patients.Methods Using the convenience sampling method
118 adult burn patients who were hospitalized in a hospital in Nanyang from March 2019 to December 2020 were selected as the survey subjects.At 6 months of follow-up
patients were divided into return-to-work and non-return-towork groups according to whether they returned to work or not.The General Information Questionnaire
Readiness for Return-to-Work Scale
General Self-Efficacy Scale(GSES)
Activities of Daily Living(ADL) scale
and Simple Coping Style Questionnaire(SCSQ) were used to survey the patients to obtain relevant information.Multiple linear regression was used to analyze the factors influencing burn patients’ return-to-work.Results Among the 113 patients
59 did not return to work and 54 patients did return to work
with a return-to-work rate of 47.8%.Among the non-return-to-work respondents
17 were in the pre-intention stage
28 in the intention stage
10 in the action preparation-self-assessment stage
and 4 in the action preparation-behavior stage.The results of multiple linear regression analysis showed that age
GSES score
type of employment
monthly per capita household income
ADL score
and positive coping and negative coping scores in SCSQ were the factors influencing the respondents to return to work(P<0.05).The influencing factors explained 66.10% of the variance(R=0.813
R2=0.661
F=36.230
P<0.05).Conclusion The return-to-work rate among the survey respondents was at a low to moderate level.While most of the non-returning respondents had started to think about work
the related actions were still weak
and only a few of them were willing to put into preparation or action for return to work.Medical and nursing staff should promptly pay attention to and assess the readiness of burn patients to return to work
provide professional vocational rehabilitation guidance to patients according to their readiness stage and its influencing factors
and encourage them to actively cope with the situation
so as to maximize the use of available resources
improve the readiness of patients to return to work
and achieve vocational rehabilitation.
烧伤重返工作准备度日常生活能力
Burn injuryReturn to work readinessActivities of daily living
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