Ewa Wallin , Michael Hultström , Miklos Lipcsey , Robert Frithiof , Ing-Marie Larsson
{"title":"在重症监护室接受护理的 COVID-19 患者 12 个月后重返工作岗位和健康状况--一项前瞻性纵向研究。","authors":"Ewa Wallin , Michael Hultström , Miklos Lipcsey , Robert Frithiof , Ing-Marie Larsson","doi":"10.1016/j.iccn.2024.103806","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>Intensive care unit (ICU) stay for a serious illness has a long-term impact on patients’ physical and psychological well-being, affecting their ability to return to their everyday life. We aimed to investigate whether there are differences in health status between those who return to work and those who do not, and how demographic characteristics and illness severity impact patients’ ability to return to work 12 months after intensive care for COVID-19.</p></div><div><h3>Research methodology</h3><p>This was a prospective longitudinal cohort study. The participants were patients who had been in intensive care for COVID-19 and had worked before contracting COVID-19. Data on return to previous occupational status, demographic data, comorbidities, intensive care characteristics, and health status were collected at a 12-month follow-up visit.</p></div><div><h3>Setting</h3><p>General ICU at the Uppsala University Hospital in Sweden.</p></div><div><h3>Results</h3><p>Seventy-three participants were included in the study. Twelve months after discharge from the ICU, 77 % (n = 56) had returned to work. The participants who were unable to return to work reported more severe health symptoms. The (odds ratio [OR] for not returning to work was high for critical illness OR, 12.05; 95 % confidence interval [CI], 2.07–70.29, p = 0.006) and length of ICU stay (OR, 1.06; 95 % CI, 1.01–1.11, p = 0.01)</p></div><div><h3>Conclusion</h3><p>Two-thirds of the participants were able to return to work within 1 year after discharge from the ICU. The primary factors contributing to the failure to work were duration of the acute disease and presence of severe and persistent long-term symptoms.</p></div><div><h3>Implications for clinical practice</h3><p>Patients’ health status must be comprehensively assessed and their ability to return to work should be addressed in the rehabilitation process. Therefore, any complications faced by the patients must be identified and treated early to increase the possibility of their successful return to work.</p></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"85 ","pages":"Article 103806"},"PeriodicalIF":4.9000,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0964339724001915/pdfft?md5=ccec29dda56128638b48bfcfb64db5f1&pid=1-s2.0-S0964339724001915-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Returning to work and health status at 12 months among patients with COVID-19 cared for in intensive care—A prospective, longitudinal study\",\"authors\":\"Ewa Wallin , Michael Hultström , Miklos Lipcsey , Robert Frithiof , Ing-Marie Larsson\",\"doi\":\"10.1016/j.iccn.2024.103806\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>Intensive care unit (ICU) stay for a serious illness has a long-term impact on patients’ physical and psychological well-being, affecting their ability to return to their everyday life. We aimed to investigate whether there are differences in health status between those who return to work and those who do not, and how demographic characteristics and illness severity impact patients’ ability to return to work 12 months after intensive care for COVID-19.</p></div><div><h3>Research methodology</h3><p>This was a prospective longitudinal cohort study. The participants were patients who had been in intensive care for COVID-19 and had worked before contracting COVID-19. Data on return to previous occupational status, demographic data, comorbidities, intensive care characteristics, and health status were collected at a 12-month follow-up visit.</p></div><div><h3>Setting</h3><p>General ICU at the Uppsala University Hospital in Sweden.</p></div><div><h3>Results</h3><p>Seventy-three participants were included in the study. Twelve months after discharge from the ICU, 77 % (n = 56) had returned to work. The participants who were unable to return to work reported more severe health symptoms. The (odds ratio [OR] for not returning to work was high for critical illness OR, 12.05; 95 % confidence interval [CI], 2.07–70.29, p = 0.006) and length of ICU stay (OR, 1.06; 95 % CI, 1.01–1.11, p = 0.01)</p></div><div><h3>Conclusion</h3><p>Two-thirds of the participants were able to return to work within 1 year after discharge from the ICU. The primary factors contributing to the failure to work were duration of the acute disease and presence of severe and persistent long-term symptoms.</p></div><div><h3>Implications for clinical practice</h3><p>Patients’ health status must be comprehensively assessed and their ability to return to work should be addressed in the rehabilitation process. 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Returning to work and health status at 12 months among patients with COVID-19 cared for in intensive care—A prospective, longitudinal study
Objective
Intensive care unit (ICU) stay for a serious illness has a long-term impact on patients’ physical and psychological well-being, affecting their ability to return to their everyday life. We aimed to investigate whether there are differences in health status between those who return to work and those who do not, and how demographic characteristics and illness severity impact patients’ ability to return to work 12 months after intensive care for COVID-19.
Research methodology
This was a prospective longitudinal cohort study. The participants were patients who had been in intensive care for COVID-19 and had worked before contracting COVID-19. Data on return to previous occupational status, demographic data, comorbidities, intensive care characteristics, and health status were collected at a 12-month follow-up visit.
Setting
General ICU at the Uppsala University Hospital in Sweden.
Results
Seventy-three participants were included in the study. Twelve months after discharge from the ICU, 77 % (n = 56) had returned to work. The participants who were unable to return to work reported more severe health symptoms. The (odds ratio [OR] for not returning to work was high for critical illness OR, 12.05; 95 % confidence interval [CI], 2.07–70.29, p = 0.006) and length of ICU stay (OR, 1.06; 95 % CI, 1.01–1.11, p = 0.01)
Conclusion
Two-thirds of the participants were able to return to work within 1 year after discharge from the ICU. The primary factors contributing to the failure to work were duration of the acute disease and presence of severe and persistent long-term symptoms.
Implications for clinical practice
Patients’ health status must be comprehensively assessed and their ability to return to work should be addressed in the rehabilitation process. Therefore, any complications faced by the patients must be identified and treated early to increase the possibility of their successful return to work.
期刊介绍：
The aims of Intensive and Critical Care Nursing are to promote excellence of care of critically ill patients by specialist nurses and their professional colleagues; to provide an international and interdisciplinary forum for the publication, dissemination and exchange of research findings, experience and ideas; to develop and enhance the knowledge, skills, attitudes and creative thinking essential to good critical care nursing practice. The journal publishes reviews, updates and feature articles in addition to original papers and significant preliminary communications. Articles may deal with any part of practice including relevant clinical, research, educational, psychological and technological aspects.
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