PDF(Pubmed)
Abstract：
Purpose: The present study aimed to uncover the impact of long COVID on the working situations of Japanese patients. Methods: Changes in the working situations of the patients who visited our long COVID clinic were evaluated from medical records for the aspects of physical status, quality of life (QOL), and mental conditions. Results: Of 846 long COVID patients who visited our clinic from February 2021 to December 2023, 545 employed patients aged between 18 and 65 years were included in this study. A total of 295 patients (54.1%) with long COVID (median age: 43 years, female: 55.6%) experienced changes in their working status. Those patients included 220 patients (40.4%) who took a leave of absence, 53 patients (9.7%) who retired, and 22 patients (4%) with reduced working hours. Most of the patients (93.2%) with changes in working conditions had mild disease severity in the acute phase of COVID-19. The majority of those patients with mild disease severity (58.8%) were infected in the Omicron-variant phase and included 65.3% of the female patients. The major symptoms in long COVID patients who had changes in their working situations were fatigue, insomnia, headache, and dyspnea. Scores indicating fatigue and QOL were worsened in long COVID patients who had changes in their working situations. In addition, 63.7% of the long COVID patients with changes in their working situations had decreases in their incomes. Conclusions: Changes in the working situation of long COVID patients who were employed had a negative impact on the maintenance of their QOL.
摘要：
目的：本研究旨在揭示长期COVID对日本患者工作状况的影响。方法:从体检记录方面评价我院长期COVID门诊就诊患者工作情况的变化,生活质量（QOL），和精神状况。结果：在2021年2月至2023年12月到我们诊所就诊的846例长型COVID患者中，545例年龄在18至65岁之间的就业患者被纳入本研究。共有295例（54.1%）患有长型COVID（中位年龄：43岁，女性：55.6%）经历了工作状态的变化。这些患者包括220例（40.4%）请假的患者，53名患者（9.7%）退休，22名患者（4%）工作时间减少。大多数工作条件发生变化的患者（93.2%）在COVID-19急性期疾病严重程度较轻。大多数疾病严重程度较轻的患者（58.8％）在Omicron变异期感染，包括65.3％的女性患者。长期COVID患者的主要症状是工作情况发生变化的疲劳，失眠,头痛,和呼吸困难。长期COVID患者工作情况发生变化，疲劳和生活质量评分恶化。此外,63.7%的长期COVID患者工作情况发生变化，收入下降。结论：长期工作的COVID患者工作状况的变化对其生活质量的维持有负面影响。
