returning to paid employment after stroke the psychosocial outcomes in stroke (poise) cohort study卒中后回到有偿就业的心理结果中风(镇静)队列研究.pdfVIP

Returning to Paid Employment after Stroke: The Psychosocial Outcomes In StrokE (POISE) Cohort Study 1 2 3 4 Maree L. Hackett *, Nick Glozier , Stephen Jan , Richard Lindley 1 Neurological and Mental Health Division, The George Institute for Global Health, The University of Sydney, Sydney, New South Wales, Australia, 2 Psychological Medicine, Brain and Mind Research Institute, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia, 3 The George Institute for Global Health, The University of Sydney, Sydney, New South Wales, Australia, 4 Neurological and Mental Health Division, The George Institute for Global Health, The University of Sydney, Sydney, New South Wales, Australia Abstract Objectives: To determine which early modifiable factors are associated with younger stroke survivors’ ability to return to paid work in a cohort study with 12-months of follow-up conducted in 20 stroke units in the Stroke Services NSW clinical network. Participants: Were aged .17 and ,65 years, recent (within 28 days) stroke, able to speak English sufficiently to respond to study questions, and able to provide written informed consent. Participants with language or cognitive impairment were eligible to participate if their proxy provided consent and completed assessments on the participants’ behalf. The main outcome measure was return to paid work during the 12 months following stroke. Results: Of 441 consented participants (average age 52 years, 68% male, 83% with ischemic stroke), 218 were in paid full- time and 53 in paid part-time work immediately before their stroke, of whom 202 (75%) returned to paid part- or full-time work within 12 months. Being male, female without a prior activity restricting illness, younger, independent in activities of