(中德康復(fù)技術(shù)培訓(xùn)課件)2506康復(fù)技術(shù)培訓(xùn) 職業(yè)康復(fù)

ChristophKorallusInnovationinVocationalRehabilitation

職業(yè)康復(fù)中的創(chuàng)新byHanoverMedicalSchoolDepartmentofRehabilitationMedicineInnovationinVocationalRehabContentsJobRehabVW/Post復(fù)工康復(fù)Need-basedrehabilitation基礎(chǔ)康復(fù)需求FitforWorkandLife適應(yīng)工作及生活Hanovermedicalschoolshealthmanagementprogram漢諾威醫(yī)學(xué)院健康管理項(xiàng)目

JobFit適崗（對(duì)工作的崗位的適應(yīng)及回歸）1weekintensivevocationalrehabilitation1周集中職業(yè)康復(fù)Occupationalphysicians’perspectiveProjectsofPRMDepartment:康復(fù)科項(xiàng)目ContentsJobRehabVW/Post復(fù)工康復(fù)OBackground?Standard“medicalRehabilitationisinmanycasesnotsufficienttoachievereturn-towork.標(biāo)準(zhǔn)-醫(yī)療康復(fù)很多情況下不足以實(shí)現(xiàn)回歸工作的目的Problems:Rehabilitationprogramsarenotadaptedtotheactualworkplace,thepatientshouldreturnto.康復(fù)內(nèi)容與實(shí)際將回歸的工作不能對(duì)接Occupationalphysicianisnotinvolvedinrehabilitationprocess

操作醫(yī)師在康復(fù)進(jìn)程中墨守成規(guī)Ideasforsolution:解決方法OccupationalRehabilitationmeasures開展職業(yè)康復(fù)措施Need-basedRehabilitation1-6weeks,inpatient/oupatient基礎(chǔ)康復(fù)Providingworkplaceinformationtotherehab向康復(fù)中心提供工作場(chǎng)所信息Providingrehabinformationtothecompany/physicians向公司/醫(yī)生提供康復(fù)信息內(nèi)容PerformingFCEandadaptingtrainingontheresults在前基礎(chǔ)上提供對(duì)接訓(xùn)練DoingonedayofRehabATthecompany公司內(nèi)一日康復(fù)訓(xùn)練Background?Standard“medicalRChallenges挑戰(zhàn)MuskuloskeletalPaintendstochronification,whennottreatedappropriatelyandearly.若治療不適當(dāng)或未盡早，肌肉骨骼疼痛會(huì)轉(zhuǎn)變成慢性損傷Formerhealthyworkersgetaneffectivetreatment,whenworkabilityisheavilyaffected.當(dāng)工作能力受到嚴(yán)重影響時(shí)，工作者應(yīng)得到有效治療Germanhealthinsurancesystemiscomplicatedanddifferentagenciescanbeinchargeforfundingarehabmeasure.德國(guó)健康保險(xiǎn)系統(tǒng)可以完美覆蓋，并且不同機(jī)構(gòu)對(duì)康復(fù)措所需費(fèi)用負(fù)責(zé)Challenges挑戰(zhàn)MuskuloskeletalPEmployeewithcomplaintsInformationofemployeesCompany

HealthinsurancePensioninsurancePrevention

Level1

1weekRehabilitation

Level2-outpatient

3weeksRehabilitationLevel2-inpatient

3weeksWorkplaceinformationShortdischargereportEmployeewithcomplaintsInformationofemployeesCompany

HealthinsurancePensioninsurancePrevention

Level1

1weekRehabilitation

Level2-outpatient

3weeksRehabilitationLevel2-inpatient

3weeksWorkplaceinformationShortdischargereportEmployeewithcomplaintsInformationofemployeesCompany

HealthinsurancePensioninsurancePrevention

Level1

1weekRehabilitation

Level2-outpatient

3weeksRehabilitationLevel2-inpatient

3weeksWorkplaceinformationShortdischargereportOccupationalphysicianRehabilitationphysicianEmployeewithcomplaintsInformationofemployeesCompany

HealthinsurancePensioninsurancePrevention

Level1

1weekRehabilitation

Level2-outpatient

3weeksRehabilitationLevel2-inpatient

3weeksWorkplaceinformationShortdischargereportOccupationalphysicianRehabilitationphysicianEmployeewithcomplaintsInformationofemployeesCompany

HealthinsurancePensioninsurancePrevention

Level1

1weekRehabilitation

Level2-outpatient

3weeksRehabilitationLevel2-inpatient

3weeksWorkplaceinformationShortdischargereportOccupationalphysician專職醫(yī)師Rehabilitationphysician康復(fù)醫(yī)師Employeewithcomplaints被投訴雇員Informationofemployees雇員信息Company公司Healthinsurance健康保險(xiǎn)Pensioninsurance養(yǎng)老保險(xiǎn)Prevention預(yù)防

Level1

1weekRehabilitation

Level2-outpatient

3weeksRehabilitationLevel2-inpatient

3weeksWorkplaceinformation工作地信息Shortdischargereport短期執(zhí)行報(bào)告EmployeewithcomplaintsInformDifferenceindaysArithmeticmean[Median]BeginofJobRehabEndofJobRehab7,4[0] 0,5[0] RehabilitationRehabilitationphysicians'perspectiveIntroducingemployeeFeedbackfromfundingagencyTransmissionofworkplaceinformationReceiptof

shortdischargereportVocationalintegration-0,5[0]12,0[6]1,4[1]0,3[0]RehabilitationRecommendationofJobRehabDifferenceindaysArithmeticmean[Median]BeginofJobRehabEndofJobRehab7,4[0] 0,5[0] RehabilitationRehabilitationphysicians'perspectiveIntroducingemployeeFeedbackfromfundingagencyTransmissionofworkplaceinformationReceiptof

shortdischargereportVocationalintegration-0,5[0]12,0[6]1,4[1]0,3[0]RehabilitationRecommendationofJobRehabDifferenceindaysArithmeticmean[Median]BeginofJobRehabEndofJobRehab7,4[0] 0,5[0] RehabilitationRehabilitationphysicians'perspectiveIntroducingemployeeFeedbackfromfundingagencyTransmissionofworkplaceinformationReceiptof

shortdischargereportVocationalintegration-0,5[0]12,0[6]1,4[1]0,3[0]RehabilitationRecommendationofJobRehabDifferenceindaysArithmeticmean[Median]BeginofJobRehab開始復(fù)工康復(fù)EndofJobRehab復(fù)工康復(fù)結(jié)束7,4[0] 0,5[0] RehabilitationRehabilitationphysicians‘perspective康復(fù)醫(yī)師前景

IntroducingEmployee介紹雇員Feedbackfromfundingagency經(jīng)費(fèi)機(jī)構(gòu)反饋Transmissionofworkplaceinformation傳遞工作地點(diǎn)信息Receiptof

shortdischargeReport短期執(zhí)行報(bào)告回執(zhí)VocationalIntegration工作整合-0,5[0]12,0[6]1,4[1]0,3[0]RehabilitationRecommendationofJobRehab推薦復(fù)工康復(fù)DifferenceindaysArithmeticmean[Median]BeginofJobRehabEndofJobRehab7,4[0] 0,5[0] RehabilitationRehabilitationphysicians'perspectiveIntroducingemployeeFeedbackfromfundingagencyTransmissionofworkplaceinformationReceiptof

shortdischargereportVocationalintegration-0,5[0]12,0[6]1,4[1]0,3[0]RehabilitationRecommendationofJobRehabReceiptofworkplaceInformation工作地點(diǎn)信息回執(zhí)Occupationalphysicians’perspectiveOccupationalphysicians’perspective專職醫(yī)師前景DifferenceindaysBeginofJobPrimaryoutcome–PainDisability主要結(jié)果-疼痛致殘7家庭娛樂(lè)社會(huì)活動(dòng)雇傭性生活自我護(hù)理日常生活活動(dòng)Primaryoutcome–PainDisabil8IndirectcostsJobRehabpre-post間接花費(fèi)復(fù)工康復(fù)前后IGCG8IndirectcostsJobRehabpre-pFitforWorkandLife

適應(yīng)工作生活Governmentsrecommendationforcorporatehealthprograms政府推薦企業(yè)健康項(xiàng)目ProjectforoccupationalhealthmanagementbyHanovermedicalSchool.漢諾威醫(yī)學(xué)院專職健康管理項(xiàng)目AsestablishedinJobRehabneed-basedhealthsupportingoffers.將為復(fù)工康復(fù)所需的基礎(chǔ)健康提供支持作為既定方針Easyaccesstowheatherpreventiveorrehabilitativmeasures便捷的連接預(yù)防與康復(fù)措施FitforWorkandLife

適應(yīng)工作生活Measuresforworkplacehealthpromotiongainimportance工作地點(diǎn)推進(jìn)健康的重要措施Particularstrainsinanuniversityhospital大學(xué)醫(yī)院內(nèi)的特殊菌株Developmentandimplementationof?FitforWorkandLife“(FWaL)atHannoverMedicalSchool(HMS)inorderto:改進(jìn)并執(zhí)行適應(yīng)工作生活以達(dá)到如下目的： -restore,恢復(fù) -improve,改善 -orpreserve或者維持 theemployees‘workability.雇員的工作能力...asestablishedinJobRehabneed-basedhealthsupportingoffers.作為復(fù)工康復(fù)基礎(chǔ)健康支持的既定方針FitforWorkandLife

適應(yīng)工作生活

Measuresforworkplacehealth11Payer:PublicHealthInsurance,PensionFundsPayer:HMSRegistration&QuestionnairePhysicianRehabilitativemeasuresPreventivemeasuresDiagnostic&TherapyEmployeesofHMSAftercompletionAccordingtoindicationvoluntarilySportsmedicinetreatmentPhysicaltrainingJobFit

(1week+mTT)JobRehabIIa+s(3Weeks)JobRehabIII(Casemanagement)AccordingtoindicationAftercompletioncontinuationIfindicatedStress-managementtraining/smokingcessationAccordingtoindicationEvaluationBoardofadvisors顧問(wèn)委員會(huì)預(yù)防措施康復(fù)措施11Payer:PublicHealthInsuranMethods方法AccompanyingevaluationofFWaL附帶評(píng)估“適應(yīng)生活工作”Dataassessedbyquestionnairebeforeandattheendoftheinterventionaswellasthree,sixand12monthsafterbeginningtheintervention

在執(zhí)行開始前、后、開始后三、六、十二個(gè)月分別進(jìn)行調(diào)查問(wèn)卷評(píng)估數(shù)據(jù)Primaryoutcomes:WorkAbilityIndex(WAI),durationofsickleave主要結(jié)果-工作能力指數(shù)，病假時(shí)間Secondaryoutcomes:QualityofLife(SF-36)

第二結(jié)果-生活質(zhì)量12Methods方法AccompanyingevaluatSamplecharacteristics樣本特征nMean(SD)or%Age,mean(SD)年齡20745.7(8.7)Gender:female,%性別20760.4%Workability(WAI),mean(SD)工作能力20036.1(7.2)Verylow/lowworkability(WAI),%極差/差工作能力百分比20048.0%Sickleave(previousthreemonths):yes,%病假（前三個(gè)月）20641.3%Durationofsickleave(weeks),mean(SD)病假周數(shù)804.3(4.1)Assignedintervention:preventivemeasures,%進(jìn)行干預(yù)：預(yù)防措施20774.4%13Samplecharacteristics樣本特征nMPrimaryOutcomes主要結(jié)果14預(yù)防康復(fù)預(yù)防康復(fù)PrimaryOutcomes主要結(jié)果14預(yù)防康復(fù)預(yù)防康Results結(jié)果FWaLstartedinJuly2013適應(yīng)工作生活項(xiàng)目開始于2013.7550employeesregisteredforparticipation550人注冊(cè)參與207participatedinthesurveythreemonthsafterbeginningtheintervention207人于干預(yù)開始后3個(gè)月參與調(diào)查Assignmenttointerventionsneeds-based進(jìn)行對(duì)基于需求的干預(yù)Ourideaofhealthmanagementhaseffectsonsickleaveandworkabilityevenwithinpreventiveinterventions我們關(guān)于健康管理的創(chuàng)意對(duì)病假和可操作性甚至對(duì)預(yù)防性干預(yù)產(chǎn)生有效影響Firstanalysisshows,thatitscost-effective!前期分析表明-此法經(jīng)濟(jì)有效15Results結(jié)果FWaLstartedinJulyJobFit–1weekintensiverehabilitation–

適崗-一周集中康復(fù)BackgroundDevelopingarehabmeasurethatis:改進(jìn)康復(fù)方法L：startingveryearlyintheprocessofadisease在疾病超早期開始costefficient經(jīng)濟(jì)有效adaptedtotheworkplace調(diào)整至工作地點(diǎn)long-termfollow-up(f.etraining,physiotherapy)長(zhǎng)期隨訪Givingfeedbacktooccupationalphysician給專職醫(yī)師反饋Makingrecommendationsforergonomicworkplaceadjustment(f.e.heightadjustabledesk,computermouse)

給出符合人體工程學(xué)工作地點(diǎn)調(diào)整的建議16JobFit–1weekintensiverehaSchedule時(shí)間表17Diagnostics診斷Ergonomicanalysis人體工程學(xué)分析FCE履職能力評(píng)估Trainingroutine常規(guī)訓(xùn)練Psychologicalscreening

心理篩查Massage按摩Chiropractic椎骨療法Stressreductiontraininig

減壓練習(xí)ProgressiveMuscleRelaxation逐步肌肉放松Sauna桑拿Aqua

水療2xTeam-Sessions團(tuán)隊(duì)會(huì)議Schedule時(shí)間表17Diagnostics診斷Functionalcapacityevaluation(FCE)

履職能力評(píng)估18Lifting RepetitiverotationwhilesittingStandingbentforwardFunctionalcapacityevaluationJobFitTrainingadaptedtoworkplaceactivities

工作適應(yīng)性訓(xùn)練轉(zhuǎn)換至工作場(chǎng)所活動(dòng)JobFitTrainingadaptedtowor20JobFit–our?Bestseller“適崗康復(fù)--我們的“最佳員工”

UsedinpilotprojectJobRehabfor:運(yùn)用復(fù)工康復(fù)項(xiàng)目試點(diǎn)：GermanPostalServices德國(guó)郵政Volkswagen大眾公司Follow-upprojectJobRehabMHH跟進(jìn)項(xiàng)目—復(fù)工康復(fù)MHHHanovermedicalschoolFitforworkandlife–Hannovermedicalschoolhealtmanagementprogram適應(yīng)工作生活-漢諾威醫(yī)學(xué)院健康管理項(xiàng)目SoldtoothergermancompaniesTüV(carmechanics)üstra(publictraffic)Etc.20JobFit–our?Bestseller“UseDiscussionFurtherimprovementsforcooperationbetweenRehabandoccupationalphysiciannecessaryLong-termfollow-upintrainingmeasures,Motivation/EducationHowtoimplementICFinneed-basedallocationSofarimplementationstudies,RCTsaremissingWhataboutChina?WhoispayingforRehabilitation?HowtoapplyforRehab?Howlongistheapprovalprocess?Therapeuticnetworkforfollow-upmeasures?21DiscussionFurtherimprovements22Contact:Briest.juliane@mh-hannover.deThankyouforyourattention!22Contact:Briest.juliane@mh-hChristophKorallusInnovationinVocationalRehabilitation

職業(yè)康復(fù)中的創(chuàng)新byHanoverMedicalSchoolDepartmentofRehabilitationMedicineInnovationinVocationalRehabContentsJobRehabVW/Post復(fù)工康復(fù)Need-basedrehabilitation基礎(chǔ)康復(fù)需求FitforWorkandLife適應(yīng)工作及生活Hanovermedicalschoolshealthmanagementprogram漢諾威醫(yī)學(xué)院健康管理項(xiàng)目

JobFit適崗（對(duì)工作的崗位的適應(yīng)及回歸）1weekintensivevocationalrehabilitation1周集中職業(yè)康復(fù)Occupationalphysicians’perspectiveProjectsofPRMDepartment:康復(fù)科項(xiàng)目ContentsJobRehabVW/Post復(fù)工康復(fù)OBackground?Standard“medicalRehabilitationisinmanycasesnotsufficienttoachievereturn-towork.標(biāo)準(zhǔn)-醫(yī)療康復(fù)很多情況下不足以實(shí)現(xiàn)回歸工作的目的Problems:Rehabilitationprogramsarenotadaptedtotheactualworkplace,thepatientshouldreturnto.康復(fù)內(nèi)容與實(shí)際將回歸的工作不能對(duì)接Occupationalphysicianisnotinvolvedinrehabilitationprocess

操作醫(yī)師在康復(fù)進(jìn)程中墨守成規(guī)Ideasforsolution:解決方法OccupationalRehabilitationmeasures開展職業(yè)康復(fù)措施Need-basedRehabilitation1-6weeks,inpatient/oupatient基礎(chǔ)康復(fù)Providingworkplaceinformationtotherehab向康復(fù)中心提供工作場(chǎng)所信息Providingrehabinformationtothecompany/physicians向公司/醫(yī)生提供康復(fù)信息內(nèi)容PerformingFCEandadaptingtrainingontheresults在前基礎(chǔ)上提供對(duì)接訓(xùn)練DoingonedayofRehabATthecompany公司內(nèi)一日康復(fù)訓(xùn)練Background?Standard“medicalRChallenges挑戰(zhàn)MuskuloskeletalPaintendstochronification,whennottreatedappropriatelyandearly.若治療不適當(dāng)或未盡早，肌肉骨骼疼痛會(huì)轉(zhuǎn)變成慢性損傷Formerhealthyworkersgetaneffectivetreatment,whenworkabilityisheavilyaffected.當(dāng)工作能力受到嚴(yán)重影響時(shí)，工作者應(yīng)得到有效治療Germanhealthinsurancesystemiscomplicatedanddifferentagenciescanbeinchargeforfundingarehabmeasure.德國(guó)健康保險(xiǎn)系統(tǒng)可以完美覆蓋，并且不同機(jī)構(gòu)對(duì)康復(fù)措所需費(fèi)用負(fù)責(zé)Challenges挑戰(zhàn)MuskuloskeletalPEmployeewithcomplaintsInformationofemployeesCompany

HealthinsurancePensioninsurancePrevention

Level1

1weekRehabilitation

Level2-outpatient

3weeksRehabilitationLevel2-inpatient

3weeksWorkplaceinformationShortdischargereportEmployeewithcomplaintsInformationofemployeesCompany

HealthinsurancePensioninsurancePrevention

Level1

1weekRehabilitation

Level2-outpatient

3weeksRehabilitationLevel2-inpatient

3weeksWorkplaceinformationShortdischargereportEmployeewithcomplaintsInformationofemployeesCompany

HealthinsurancePensioninsurancePrevention

Level1

1weekRehabilitation

Level2-outpatient

3weeksRehabilitationLevel2-inpatient

3weeksWorkplaceinformationShortdischargereportOccupationalphysicianRehabilitationphysicianEmployeewithcomplaintsInformationofemployeesCompany

HealthinsurancePensioninsurancePrevention

Level1

1weekRehabilitation

Level2-outpatient

3weeksRehabilitationLevel2-inpatient

3weeksWorkplaceinformationShortdischargereportOccupationalphysicianRehabilitationphysicianEmployeewithcomplaintsInformationofemployeesCompany

HealthinsurancePensioninsurancePrevention

Level1

1weekRehabilitation

Level2-outpatient

3weeksRehabilitationLevel2-inpatient

3weeksWorkplaceinformationShortdischargereportOccupationalphysician專職醫(yī)師Rehabilitationphysician康復(fù)醫(yī)師Employeewithcomplaints被投訴雇員Informationofemployees雇員信息Company公司Healthinsurance健康保險(xiǎn)Pensioninsurance養(yǎng)老保險(xiǎn)Prevention預(yù)防

Level1

1weekRehabilitation

Level2-outpatient

3weeksRehabilitationLevel2-inpatient

3weeksWorkplaceinformation工作地信息Shortdischargereport短期執(zhí)行報(bào)告EmployeewithcomplaintsInformDifferenceindaysArithmeticmean[Median]BeginofJobRehabEndofJobRehab7,4[0] 0,5[0] RehabilitationRehabilitationphysicians'perspectiveIntroducingemployeeFeedbackfromfundingagencyTransmissionofworkplaceinformationReceiptof

shortdischargereportVocationalintegration-0,5[0]12,0[6]1,4[1]0,3[0]RehabilitationRecommendationofJobRehabDifferenceindaysArithmeticmean[Median]BeginofJobRehabEndofJobRehab7,4[0] 0,5[0] RehabilitationRehabilitationphysicians'perspectiveIntroducingemployeeFeedbackfromfundingagencyTransmissionofworkplaceinformationReceiptof

shortdischargereportVocationalintegration-0,5[0]12,0[6]1,4[1]0,3[0]RehabilitationRecommendationofJobRehabDifferenceindaysArithmeticmean[Median]BeginofJobRehabEndofJobRehab7,4[0] 0,5[0] RehabilitationRehabilitationphysicians'perspectiveIntroducingemployeeFeedbackfromfundingagencyTransmissionofworkplaceinformationReceiptof

shortdischargereportVocationalintegration-0,5[0]12,0[6]1,4[1]0,3[0]RehabilitationRecommendationofJobRehabDifferenceindaysArithmeticmean[Median]BeginofJobRehab開始復(fù)工康復(fù)EndofJobRehab復(fù)工康復(fù)結(jié)束7,4[0] 0,5[0] RehabilitationRehabilitationphysicians‘perspective康復(fù)醫(yī)師前景

IntroducingEmployee介紹雇員Feedbackfromfundingagency經(jīng)費(fèi)機(jī)構(gòu)反饋Transmissionofworkplaceinformation傳遞工作地點(diǎn)信息Receiptof

shortdischargeReport短期執(zhí)行報(bào)告回執(zhí)VocationalIntegration工作整合-0,5[0]12,0[6]1,4[1]0,3[0]RehabilitationRecommendationofJobRehab推薦復(fù)工康復(fù)DifferenceindaysArithmeticmean[Median]BeginofJobRehabEndofJobRehab7,4[0] 0,5[0] RehabilitationRehabilitationphysicians'perspectiveIntroducingemployeeFeedbackfromfundingagencyTransmissionofworkplaceinformationReceiptof

shortdischargereportVocationalintegration-0,5[0]12,0[6]1,4[1]0,3[0]RehabilitationRecommendationofJobRehabReceiptofworkplaceInformation工作地點(diǎn)信息回執(zhí)Occupationalphysicians’perspectiveOccupationalphysicians’perspective專職醫(yī)師前景DifferenceindaysBeginofJobPrimaryoutcome–PainDisability主要結(jié)果-疼痛致殘29家庭娛樂(lè)社會(huì)活動(dòng)雇傭性生活自我護(hù)理日常生活活動(dòng)Primaryoutcome–PainDisabil30IndirectcostsJobRehabpre-post間接花費(fèi)復(fù)工康復(fù)前后IGCG8IndirectcostsJobRehabpre-pFitforWorkandLife

適應(yīng)工作生活Governmentsrecommendationforcorporatehealthprograms政府推薦企業(yè)健康項(xiàng)目ProjectforoccupationalhealthmanagementbyHanovermedicalSchool.漢諾威醫(yī)學(xué)院專職健康管理項(xiàng)目AsestablishedinJobRehabneed-basedhealthsupportingoffers.將為復(fù)工康復(fù)所需的基礎(chǔ)健康提供支持作為既定方針Easyaccesstowheatherpreventiveorrehabilitativmeasures便捷的連接預(yù)防與康復(fù)措施FitforWorkandLife

適應(yīng)工作生活Measuresforworkplacehealthpromotiongainimportance工作地點(diǎn)推進(jìn)健康的重要措施Particularstrainsinanuniversityhospital大學(xué)醫(yī)院內(nèi)的特殊菌株Developmentandimplementationof?FitforWorkandLife“(FWaL)atHannoverMedicalSchool(HMS)inorderto:改進(jìn)并執(zhí)行適應(yīng)工作生活以達(dá)到如下目的： -restore,恢復(fù) -improve,改善 -orpreserve或者維持 theemployees‘workability.雇員的工作能力...asestablishedinJobRehabneed-basedhealthsupportingoffers.作為復(fù)工康復(fù)基礎(chǔ)健康支持的既定方針FitforWorkandLife

適應(yīng)工作生活

Measuresforworkplacehealth33Payer:PublicHealthInsurance,PensionFundsPayer:HMSRegistration&QuestionnairePhysicianRehabilitativemeasuresPreventivemeasuresDiagnostic&TherapyEmployeesofHMSAftercompletionAccordingtoindicationvoluntarilySportsmedicinetreatmentPhysicaltrainingJobFit

(1week+mTT)JobRehabIIa+s(3Weeks)JobRehabIII(Casemanagement)AccordingtoindicationAftercompletioncontinuationIfindicatedStress-managementtraining/smokingcessationAccordingtoindicationEvaluationBoardofadvisors顧問(wèn)委員會(huì)預(yù)防措施康復(fù)措施11Payer:PublicHealthInsuranMethods方法AccompanyingevaluationofFWaL附帶評(píng)估“適應(yīng)生活工作”Dataassessedbyquestionnairebeforeandattheendoftheinterventionaswellasthree,sixand12monthsafterbeginningtheintervention

在執(zhí)行開始前、后、開始后三、六、十二個(gè)月分別進(jìn)行調(diào)查問(wèn)卷評(píng)估數(shù)據(jù)Primaryoutcomes:WorkAbilityIndex(WAI),durationofsickleave主要結(jié)果-工作能力指數(shù)，病假時(shí)間Secondaryoutcomes:QualityofLife(SF-36)

第二結(jié)果-生活質(zhì)量34Methods方法AccompanyingevaluatSamplecharacteristics樣本特征nMean(SD)or%Age,mean(SD)年齡20745.7(8.7)Gender:female,%性別20760.4%Workability(WAI),mean(SD)工作能力20036.1(7.2)Verylow/lowworkability(WAI),%極差/差工作能力百分比20048.0%Sickleave(previousthreemonths):yes,%病假（前三個(gè)月）20641.3%Durationofsickleave(weeks),mean(SD)病假周數(shù)804.3(4.1)Assignedintervention:preventivemeasures,%進(jìn)行干預(yù)：預(yù)防措施20774.4%35Samplecharacteristics樣本特征nMPrimaryOutcomes主要結(jié)果36預(yù)防康復(fù)預(yù)防康復(fù)PrimaryOutcomes主要結(jié)果14預(yù)防康復(fù)預(yù)防康Results結(jié)果FWaLstartedinJuly2013適應(yīng)工作生活項(xiàng)目開始于2013.7550employeesregisteredforparticipation550人注冊(cè)參與207participatedinthesurveythreemonthsafterbeginningtheintervention207人于干預(yù)開始后3個(gè)月參與調(diào)查Assignmenttointerventionsneeds-based進(jìn)行對(duì)基于需求的干預(yù)Ourideaofhealthmanagementhaseffectsonsickleavean