Factors related to difficulties with employment in patients with multiple sclerosis: a review of 2002-2011 literature

被引：109

作者：

Schiavolin, Silvia ^{[1
]}

Leonardi, Matilde ^{[1
]}

Giovannetti, Ambra M. ^{[1
]}

Antozzi, Carlo ^{[2
]}

Brambilla, Laura ^{[2
]}

Confalonieri, Paolo ^{[2
]}

Mantegazza, Renato ^{[2
]}

Raggi, Alberto ^{[1
]}

机构：

[1] IRCCS Fdn, Dept Neurol Publ Hlth & Disabil Unit, Neurol Inst C Besta, I-20133 Milan, Italy

[2] IRCCS Fdn, Dept Neurol Neuromusclar Dis & Neuroimmunol 4, Neurol Inst C Besta, I-20133 Milan, Italy

来源：

INTERNATIONAL JOURNAL OF REHABILITATION RESEARCH | 2013年 / 36卷 / 02期

关键词：

cognitive impairments; employment; fatigue; mobility; multiple sclerosis; work; QUALITY-OF-LIFE; HEALTH-STATUS; PEOPLE; DISABILITY; PREDICTORS;

D O I：

10.1097/MRR.0b013e32835c79ea

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

We assess the knowledge available on the difficulties experienced by multiple sclerosis (MS) patients in work-related activities. A literature review was carried out using the keywords 'multiple sclerosis' and 'employment' or 'work' through PubMed and EMBASE. Papers reporting patient-derived data on difficulties at work as primary or secondary outcome measures and published in the period 2002-December 2011 were searched. A total of 26 papers were selected, for a total of 32 507 patients (mean age 46.2 years; 42.1% with relapsing-remitting MS). Most papers reported observational studies or cross-sectional surveys focused on health-related quality of life and MS costs. Symptoms more frequently addressed are fatigue, mobility and cognitive impairments. Limited research has been carried out on the working environment. We found a relatively small number of papers published in the last 10 years on the difficulties that patients with MS can experience at work, and this kind of information always appeared as a secondary outcome. In general, it is possible to affirm that MS has a strong impact on patients' employment status, as the mean unemployment rate was 59%. Research on factors promoting maintenance of remunerative employment is required. International Journal of Rehabilitation Research 36:105-111 (C) 2013 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.

引用

页码：105 / 111

页数：7

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