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首页> 外文期刊>Quality of life research: An international journal of quality of life aspects of treatment, care and rehabilitation >A prospective examination of the impact of a supported employment program and employment on health-related quality of life, handicap, and disability among Veterans with SCI
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A prospective examination of the impact of a supported employment program and employment on health-related quality of life, handicap, and disability among Veterans with SCI

机译：前瞻性研究支持的就业计划和就业对患有SCI的退伍军人与健康相关的生活质量，残障和残疾的影响

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Purposes: To investigate impact of participation in a supported employment program and impact of employment itself on health-related quality of life (HRQOL), disability, and handicap among Veterans with spinal cord injury (SCI). Methods: We used a prospective, randomized, controlled, multi-site trial of supported employment (SE) versus treatment as usual (TAU) for vocational issues. Subjects were 157 Veterans with SCI who received either SE or TAU for vocational issues. Outcomes were examined in terms of type of vocational treatment received and whether competitive employment was obtained. Outcomes investigated were HRQOL as measured by the Veterans RAND 36-item health survey (VR-36), handicap as measured by the Craig Handicap Assessment and Reporting Technique (CHART), and disability as measured by the functional independence measure (FIM). Subjects were assessed at baseline and at 3, 6, 9, and 12 months. Results: There were no significant differences between Veterans who participated in SE compared to those who received TAU in study measures. Participants obtaining competitive employment demonstrated significantly higher scores on the Social Integration, Mobility, and Occupation dimensions of the CHART. There were no observed differences in VR-36 scores or FIM scores for those obtaining competitive employment. Conclusion(s): This study suggests that employment has a positive effect on an individual's ability to participate in social relationships, move about their home and community, and spend time in productive and usual roles. Inability to detect differences across other domains of handicap or any changes in HRQOL may have been due to several factors including level and intensity of employment, insufficient follow-up period, or measurement limitations.
机译：目的：调查参与受支持的就业计划的影响以及就业本身对脊髓损伤（SCI）退伍军人的健康相关生活质量（HRQOL），残疾和残障的影响。方法：我们对职业问题采用了支持性就业（SE）与常规治疗（TAU）的前瞻性，随机，对照，多地点试验。受试者为157名SCI退伍军人，他们因职业问题而获得SE或TAU。根据获得的职业待遇类型以及是否获得了竞争性就业来检查结果。所调查的结果包括通过退伍军人RAND 36个项目的健康调查（VR-36）进行的HRQOL，通过Craig残障评估和报告技术（CHART）进行的残障评估以及通过功能独立性度量（FIM）进行的残障评估。在基线以及3、6、9和12个月时对受试者进行评估。结果：参加SE的退伍军人与接受TAU的退伍军人在研究措施上没有显着差异。获得竞争性就业的参与者在CHART的社会融合，流动性和职业方面表现出明显更高的分数。对于那些获得竞争性就业的人，VR-36分数或FIM分数没有观察到差异。结论：这项研究表明就业对个人参与社会关系，在家庭和社区中移动以及将时间花在生产性和日常工作上的能力产生积极影响。无法检测其他障碍领域之间的差异或HRQOL的任何变化可能是由于以下几个因素引起的，包括就业水平和强度，随访时间不足或测量限制。

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