Rehabilitation最新文献

{"title":"[Occupational Stress of Long Covid Rehabilitants and Return to Work After Pneumological Rehabilitation].","authors":"Mercedes Rutsch, Ruth Deck","doi":"10.1055/a-2105-5810","DOIUrl":"10.1055/a-2105-5810","url":null,"abstract":"<p><strong>Background: </strong>The Long Covid syndrome, a condition that is induced by SARS-CoV-2, affects patients in their social and professional life due to persistent symptoms and functional deficits. Medical rehabilitation aims to reduce participation incapacity and restore the ability to work. So far, it is not known what happens to the occupational situation of people affected by Long Covid after pneumological rehabilitation.</p><p><strong>Methods: </strong>The overall study is designed as a multicentric and prospective observational study with a mixed-method design. Covid-19 rehabilitation patients undergoing pneumological rehabilitation aged between 18 and 65 years were recruited. The questionnaire data of persons that were employed at baseline were evaluated. The written survey took place at the beginning and at end of rehabilitation and, additionally, after six months. The data collected included terms such as return to work, occupational stress and changes, subjective prognosis of gainful employment (SPE scale) and occupational performance and working ability (WAI).</p><p><strong>Results: </strong>The sample comprised N=173 participants (68.2% female) and the average age was 52.5 years. 85.5% of the rehabilitation patients were fit for work six months after rehabilitation and returned to a job. Absenteeism, subjectively perceived performance, and work ability improved statistically significantly over time (p<0.01). The risk of early retirement still existed six months after rehabilitation in 41.3% of the study participants. The participation limitations were statistically significantly reduced during the follow-up with a medium effect size (ES=0.60, p<0.01). In the logistic regression, the WAI proved to be a significantly protective predictor of return to work, while cognitive corona symptoms and high levels of cognitive fatigue proved to be risk factors.</p><p><strong>Conclusion: </strong>The majority of rehabilitation patients are gainfully employed six months after pneumological rehabilitation, although persistent symptoms and a reduced ability to work are also reported even after rehabilitation. In the rehabilitation of employed persons, work-related elements, for example clarification of work-related questions and preparation for occupational demands (e. g. concentration, stress, physical demands), could support a sustained return to work.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":"369-378"},"PeriodicalIF":0.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10381604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Post COVID care needs rehabilitation].","authors":"Matthias Bethge","doi":"10.1055/a-2201-9371","DOIUrl":"10.1055/a-2201-9371","url":null,"abstract":"","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":"62 6","pages":"327-329"},"PeriodicalIF":0.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138500181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Pneumological Rehabilitation in Patients with Long Covid - Health Changes at the End of the Inpatient Rehabilitation Measure].","authors":"Mercedes Rutsch, Jördis Frommhold, Heike Buhr-Schinner, Thomas Gross, Per Otto Schüller, Ruth Deck","doi":"10.1055/a-1964-7401","DOIUrl":"10.1055/a-1964-7401","url":null,"abstract":"<p><strong>Background: </strong>Some people suffering from Covid-19 can be affected by persistent symptoms and long-term consequences of the disease (Long Covid) beyond their acute phase. Consequently, this can lead to restrictions in participation. Therefore, the focus is on medical rehabilitation in which Long Covid is treated as a new challenge.</p><p><strong>Methods: </strong>A prospective, exploratory observational study will be conducted. The written survey of Long Covid rehabilitants takes place at the beginning and end of the pneumological rehabilitation. The aim of the study is to describe the rehabilitation contents and goals, the subjective burdens, the social and occupational participation as well as the health-related changes. Among other factors, disease-specific symptoms, quality of life, participation, psychological impairments, fatigue, and performance were recorded.</p><p><strong>Results: </strong>Long Covid rehabilitants (N=221) participate in the written survey. At the end of rehabilitation, the questionnaire survey indicated significant improvements in almost all outcome parameters with a large effect (p<0.01; ES between 0.76 (anxiety) and 1.30 (fatigue)). All corona symptoms, such as breathlessness on exertion, fatigue or lack of strength improved significantly at the end of rehabilitation. Moreover, the rehabilitants most frequently name the improvement of their health (92%), the increase of their performance (92%) and the improvement of the respiratory muscle strength (78%) as rehabilitation goals. In fact, these goals are achieved by 60 to 70%, significantly fewer rehabilitation patients reach the restoration of their ability to work (32%) or a better ability to concentrate (17%). Respiratory physiotherapy, endurance training and medical training therapy are described as most helpful. At the end of rehabilitation, 76% rated their rehabilitation success as good to excellent based on a single question.</p><p><strong>Conclusion: </strong>The first data of the study reveal that Long Covid rehabilitants are exposed to substantial burdens. Through medical rehabilitation, the patients experience medical and social support and experience significant improvements in all recorded health-related outcomes.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":"359-368"},"PeriodicalIF":0.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9105376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Assessment of Long COVID in Medical Rehabilitation].","authors":"Stefan Schüring, Teresia Widera","doi":"10.1055/a-2186-5422","DOIUrl":"10.1055/a-2186-5422","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the study was to provide an insight into the care situation of long COVID patients in inpatient medical rehabilitation facilities in Germany.</p><p><strong>Methods: </strong>For this purpose, a standardized online survey was conducted among 1,080 inpatient medical rehabilitation facilities in Germany.</p><p><strong>Results: </strong>A total of 338 cases were available for the analysis. Of these, 173 (51%) reported treating long COVID. The cumulative total number of rehabilitants with long COVID treated in the facilities up to the time of the survey was 11,948. The results showed that rehabilitation facilities were mostly prepared for the care of patients with Long COVID. Lack of capacity was reported especially by those rehabilitation facilities that treated rehabilitants with long COVID in pneumology departments. Furthermore, capacity bottlenecks were related to the total number of patients with long COVID in the rehabilitation facility (\"proportion of rehabilitants with long COVID to all rehabilitants in the department\"). Heterogeneity was found in the treatment concept for long COVID and the allocation of patients to a specific department.</p><p><strong>Conclusion: </strong>The results of the long COVID inventory underline the importance of medical rehabilitation in the treatment of the long-term health and participation-related consequences of COVID-19.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":"62 6","pages":"331-338"},"PeriodicalIF":0.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138500180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neuer Jahresbericht der Antidiskriminierungsstelle","authors":"","doi":"10.1055/a-2154-5247","DOIUrl":"https://doi.org/10.1055/a-2154-5247","url":null,"abstract":"Die Unabhängige Bundesbeauftragte für Antidiskriminierung, Ferda Ataman, hat Ende Juni 2023 den Jahresbericht 2022 der Antidiskriminierungsstelle (ADS) vorgestellt. Im Berichtsjahr suchten mit 8.827 Anfragen so viele Menschen Rat bei der Stelle wie nie zuvor, nochmals um 14 % mehr als im Vorjahr. Etwa drei Viertel der Anfragen betrafen ein durch das Allgemeine Gleichbehandlungsgesetz (AGG) geschütztes Diskriminierungsmerkmal – Alter, Behinderung, Geschlecht, sexuelle Identität, Religion und Weltanschauung sowie rassistische und antisemitische Diskriminierungen. Nicht dazu gehören Fälle mit Bezug zur Staatsangehörigkeit, zum sozialen Status oder der Vereinbarkeit von Familie und Beruf. Am häufigsten – in 43 % aller Fälle – wurde eine Benachteiligung aus rassistischen Gründen gemeldet. Es folgten Benachteiligungen aufgrund einer Behinderung (27 %) und wegen des Geschlechts (21 %). Diskriminierungen werden auch nach Situationen unterschieden, in denen sie auftreten. Die meisten Diskriminierungen wurden dem Bericht zufolge für die Lebensbereiche Arbeitsmarkt und Alltagsgeschäfte (Güter und Dienstleistungen) gemeldet. Mit mehr als 1.300 Anfragen folgten an dritter Stelle Diskriminierungen durch staatliche Stellen (z. B. Behörden, Polizei, Justiz). Dieser Lebensbereich ist allerdings durch das AGG nicht vor Diskriminierung geschützt.","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135811480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Liebe Leserinnen, liebe Leser,","authors":"Matthias Schmidt-Ohlemann","doi":"10.1055/a-2153-3031","DOIUrl":"https://doi.org/10.1055/a-2153-3031","url":null,"abstract":"die Meldungen zur Klimakatastrophe und den anscheinend noch unzureichenden Bewältigungsversuchen sind gerade aktuell nicht zu übersehen. Menschen sind davon mehr oder weniger beeindruckt, oft genervt, vielfach verunsichert und besorgt. Auch die Akteure im Gesundheitswesen und in der Rehabilitation sind mit den Folgen des Klimawandels konfrontiert, als Thema in der Behandlung z. B. von Erkrankungen durch Hitze, aber auch der Prävention. Sie sehen sich außerdem aufgefordert, zur Bewältigung des Klimawandels Beiträge zu leisten, u. a. durch Strategien für Nachhaltigkeit innerhalb des Systems der Rehabilitation und als Bürger:innen der Zivilgesellschaft.","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135811237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Berufliche Ersteingliederung zunehmend erfolgreich","authors":"","doi":"10.1055/a-2154-5125","DOIUrl":"https://doi.org/10.1055/a-2154-5125","url":null,"abstract":"Immer mehr junge Menschen mit Behinderungen, die im Rahmen der beruflichen Rehabilitation eine Ausbildung absolviert haben, finden anschließend auf dem allgemeinen Arbeitsmarkt eine Anstellung. Von denjenigen, die im Jahr 2020 eine geförderte berufliche Ausbildung beendeten, waren 6 Monate danach 47 % sozialversicherungspflichtig beschäftigt; 2014 waren es noch 30 %. Fast verfünffacht hat sich mit einem Anteil von 19 % aber auch die Zahl der Fälle, in denen ein Reha-Verfahren durch Rücknahme des Reha-Antrags beendet wurde. Zu diesem Ergebnis kommt das Institut für Arbeitsmarkt- und Berufsforschung (IAB) in seinem Kurzbericht 11-2023 „Ersteingliederung in der beruflichen Rehabilitation“. Das Institut untersuchte insbesondere, welchen schulischen/beruflichen Status die jungen Menschen vor Antritt der Rehabilitation hatten, welche Reha-Maßnahmen sie besuchten und ob sie sich anschließend auf dem Arbeitsmarkt etablieren konnten. Als Grundlage dienten administrative Daten der Bundesagentur für Arbeit (BA).","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135811238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Reduction in Earning Capacity (MdE) Statutory Accident Insurance].","authors":"Michael Wich,&nbsp;Dirk Scholtysik,&nbsp;Paul Alfred Grützner,&nbsp;Reinhard Hoffmann","doi":"10.1055/a-2145-4359","DOIUrl":"10.1055/a-2145-4359","url":null,"abstract":"<p><p>Changes in the employment market and improvements in the current prosthetic treatment have encouraged German Statutory Health Insurance e. V. (DGUV) to re-examine the standard values for reduced earning capacity after work related accidents. The new standard values for reduced earning capacity came into force on 01.11.2019. The present article summarises the consensus paper of the group of independent experts.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":"62 5","pages":"308-318"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[From the Placement Paradigm to Sustainable Support of Companies in the Integration of People with High-Functioning Autism - Results of an Employer Survey].","authors":"Katrin Reich,&nbsp;Matthias Dalferth","doi":"10.1055/a-1998-6630","DOIUrl":"10.1055/a-1998-6630","url":null,"abstract":"<p><p>As part of the AUT-1A project, 123 employers were surveyed by questionnaires about their experiences with the employment of autistic employees. The aim was to identify the factors that promote and hinder employment. The study indicates that the vocational qualification in vocational training centers (BBW) has a positive effect on sustainable employment of people with autism spectrum diagnosis (ASD), but the support for companies is not sufficient yet. Also, a lack of education regarding autism-friendly environmental design as well as a lack of education about the diagnosis autism of the direct colleagues could be worked out.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":"289-298"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9283341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Opportunities and Challenges of Digitalization in Rehabilitation: Results of a Survey of Rehabilitation Facilities].","authors":"Anna Scharf,&nbsp;Sonja Haug,&nbsp;Markus Ritthaler,&nbsp;Georgios Raptis","doi":"10.1055/a-2123-1566","DOIUrl":"10.1055/a-2123-1566","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to measure the status of digitalization and the opportunities and challenges for rehabilitation facilities connected to telematics infrastructure.</p><p><strong>Methods: </strong>A partially standardized online survey of all providers of rehabilitation facilities in Bavaria (n=33) was carried out. The questionnaire with 36 questions included a scale based on the Electronic Medical Record Adoption Model (EMRAM).</p><p><strong>Results: </strong>The level of digitization was reported as level 0 in 70% of the rehabilitation facilities (level model to 7). The transmission of patient-related data (incoming and outgoing) is often analogue, whereas the processing within the facility is already predominantly digital in many cases. When connecting to the telematics infrastructure, installation, training of staff and adaptation of work organization required quite a bit of effort.</p><p><strong>Conclusion: </strong>Changes in the legal-financial situation in Germany open up new opportunities for increased digitalization of rehabilitation facilities. Hurdles are related to IT security requirements, staff training, and the low level of digitalization in hospitals, among doctors, and patients, which make digital data transmission difficult.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":"299-307"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4d/56/10-1055-a-2123-1566.PMC10581779.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10053741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}