Workplace rehabilitation and supportive work conditions of importance for increased work ability and RTW - a prospective study of women on long-term sick leave in Sweden
研究瑞典长期病假女性发现，工作场所康复结合支持性条件（如工作影响力、自由度、满意度）能显著提高工作能力和返岗率，对康复管理者和雇主有参考价值。
<h3>Objectives</h3> The aim of the study was to investigate association between work ability and return to work (RTW) with special focus on workplace rehabilitation in combination with supportive conditions at work. <h3>Methods</h3> Questionnaire data from a cohort of women (n=324) working within Human Service Organization, on long-term sick leave (>60 days) were used (baseline, 6 months and 12 months). To investigate the importance of interactive conditions of workplace rehabilitation and supportive conditions on the effect of work ability and RTW, one-way analysis of variance (ANOVA) was used. <h3>Results</h3> Work ability index increased significantly more at 12 month in the group that had workplace rehabilitation and supportive conditions such as influence at work (diff=7, 95% CI (2 to 12)), degree of freedom at work (diff=5, 95% CI (0 to 10) and work satisfaction (diff=9, 95% CI (4 to 15)), than the group that had workplace rehabilitation and no supportive conditions. Results were similar for single-item on work ability, additionally significant for increased work ability index among the group that had workplace rehabilitation and possibilities for development at work (diff=2, 95% CI (0 to 5). Working degree increased significantly more at 12 month in the group that had workplace rehabilitation and supportive conditions such as sense of feeling welcomed (diff=24, 95% CI (2 to 46), influence (diff=24, 95% CI (3 to 44), and satisfaction at work (diff=28, 95% CI (4 to 52), compared to workplace rehabilitation and no supportive conditions. <h3>Conclusions</h3> The results in this study suggest the importance of integrating workplace rehabilitation with supportive conditions at work to increase work ability and improve the RTW process for women being on long term sick leave.