■描述重症急性胰腺炎患者出院后6个月内恢复工作的情况,探索人口的影响,临床,以及重返工作岗位的社会心理因素。
■前瞻性6个月随访研究。
■贵州省三甲医院.成人重症急性胰腺炎(18-60岁),在入学前有一份工作,在重症监护病房≥24小时,包括在内。
■要研究返回工作和影响因素一,3个月和6个月的重症急性胰腺炎患者出院。使用了几个测量,包括一般健康问卷(人口统计,疾病相关,工作相关和健康行为数据),准备返回工作量表和医院焦虑和抑郁量表。
■我们的研究纳入了43例重症急性胰腺炎患者,平均年龄41.53岁。29名(67.44%)病人在6个月内重返工作岗位,14名患者没有重返工作岗位。复工准备状况量表:14例未复工的重症急性胰腺炎患者主要处于预想维度,为行动自我评价维度做好准备,均为5例(35.71%),29名重返工作岗位的患者处于主动维持阶段。研究表明,SAP患者重返工作岗位的独立危险因素是慢性病(OR,0.095;95%CI[0.011-0.822];p=0.008),脓毒症(OR,0.071;95%CI[0.015-0.339];p=0.009),教育水平低(或,2.905;95%CI[0.969-8.710];p<0.001),以及6个月时的焦虑和抑郁(OR,1.418;95%CI[0.996-2.019];p=0.004)。
■总而言之,重症急性胰腺炎患者的恢复工作需要改善。慢性疾病,脓毒症,受教育程度低、6个月时焦虑抑郁程度较高是导致其无法重返工作岗位的重要因素。
UNASSIGNED: To describe the return to work of patients with severe acute pancreatitis within 6 months after discharge, and to explore the influence of demographic, clinical, and psychosocial factors on their return to work.
UNASSIGNED: Prospective 6 months follow-up study.
UNASSIGNED: A third class hospital in Guizhou Province. Adult of severe acute pancreatitis(18-60years), with a job before admission, in the intensive care unit ≥ 24 h, were included.
UNASSIGNED: To study return to work and influencing factors one, three and six months severe acute pancreatitis patients discharge. several measurements were used, including General Health Questionnaire (Demographic, disease-related, job-related and health behavior data), Readiness for Return-To-Work Scale and the Hospital Anxiety and Depression Scale.
UNASSIGNED: Forty-three severe acute pancreatitis patients were included in our study, with mean age 41.53 years. Twenty-nine (67.44%) patients returned to work within 6 months, and fourteen patients did not return to work. The status of Readiness for Return-To-Work Scale: fourteen severe acute pancreatitis patients who did not return to work were mainly in the precontemplation dimension and prepared for action-self-evaluative dimension both 5 cases (35.71%), and the 29 patients who had returned to work were in the Proactive maintenance stage. The study showed that the independent risk factors for returning to work in SAP patients were chronic disease (OR, 0.095; 95% CI [0.011-0.822]; p=0.008), sepsis (OR, 0.071; 95% CI [0.015-0.339]; p=0.009), low education level (OR, 2.905; 95% CI [0.969-8.710]; p<0.001), and anxiety and depression at 6 months (OR, 1.418; 95% CI [0.996-2.019]; p=0.004).
UNASSIGNED: In conclusion, the return to work of patients with severe acute pancreatitis needs to be improved. Chronic diseases, sepsis, low level of education and higher degree of anxiety and depression at 6 months were important factors leading to their failure to return to work.