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首页> 外文期刊>Occupational and environmental medicine >Effects of multidisciplinary inpatient rehabilitation for chronic back or neck pain: a register-linkage study of sickness absences and analgesic purchases in an occupational cohort.
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Effects of multidisciplinary inpatient rehabilitation for chronic back or neck pain: a register-linkage study of sickness absences and analgesic purchases in an occupational cohort.

机译：多学科住院患者对慢性腰背或颈部疼痛的康复效果：一项职业人群中因病缺席和购买止痛药的登记链接研究。

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OBJECTIVE: To determine the effects of multidisciplinary in-patient rehabilitation for chronic back or neck pain on sickness absences and analgesic purchases. DESIGN: A prospective observational study. SETTING: 10 towns in Finland. PARTICIPANTS: 34 838 local government employees, including 418 participants in rehabilitation for chronic back pain and 195 participants in rehabilitation for chronic neck pain between 1994 and 2002. MAIN OUTCOME MEASURES: The annual rates of short (1-3 days), long (>3 days), and very long (>21 days) sickness absences and the defined daily doses (DDD) of prescribed analgesics. RESULTS: The rate of very long (>21 days) sickness absence among the chronic back pain rehabilitees was 3.03-fold (95% CI 2.55 to 3.60) compared to the non-rehabilitees in the year before rehabilitation. This ratio declined to 1.88 (95% CI 1.65 to 2.37) three years after rehabilitation. No further decline in the rate of very long sickness absence was observed in the subsequent years. For chronic neck pain rehabilitees, no evidence of the effectiveness of rehabilitation on sickness absence was found. In relation to consumption of analgesics, the mean rate of DDDs declined among the back and neck pain rehabilitees after rehabilitation compared to the non-rehabilitees. CONCLUSIONS: Multidisciplinary in-patient rehabilitation for chronic back pain may decrease the risk of very long sickness absence for three years. In relation to rehabilitation for chronic neck pain, no changes in sickness absences were found.
机译：目的：确定针对慢性背痛或颈痛的多学科住院病人康复对疾病缺席和止痛药购买的影响。设计：一项前瞻性观察研究。地点：芬兰的10个城镇。参与者：1994年至2002年之间，共有34 838名地方政府雇员，包括418名慢性腰痛康复者和195名慢性颈痛康复者。主要观察指标：短期（1-3天），长期（> 3天），以及很长一段时间（> 21天）的疾病缺席和规定的止痛药的规定每日剂量（DDD）。结果：与康复前一年的非康复者相比，慢性背痛康复者中非常长（> 21天）的疾病缺席率是非康复者的3.03倍（95％CI为2.55至3.60）。康复三年后，该比率下降至1.88（95％CI为1.65至2.37）。在随后的几年中，没有发现长期无病的发生率进一步下降。对于慢性颈痛康复者，没有发现康复对缺席疾病有效的证据。关于止痛药的消费，康复后的背部和颈部疼痛康复者中的DDDs的平均比率较非康复者有所下降。结论：针对慢性背痛的多学科住院康复可以降低三年中长期没有病的风险。关于慢性颈痛的康复，未发现疾病缺乏的变化。

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