[Integrated occupational work capacity evaluation in medical rehabilitation--experiences and prospects exemplified by psychosomatic rehabilitation].
[Integrated occupational work capacity evaluation in medical rehabilitation--experiences and prospects exemplified by psychosomatic rehabilitation].
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医疗康复中综合职业工作能力评价——以心身康复为例的经验与展望
DOI：
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发表时间：
1998
期刊：
影响因子：
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通讯作者：
F. Bleichner
中科院分区：
文献类型：
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作者：
M. Beutel;E. Kayser;A. Vorndran;A. Farley;F. Bleichner
身心康复往往是在发生持久的工作残疾、失业和养恤金申请时开始的。在回顾了职业压力和重返社会预测因素的相关性后，我们提出了心身康复中综合工作硬化计划的模型。64例患者的结果说明的情况下插图。特别是当长期的工作残疾和失业削弱了病人的能力感和忍耐力时，工作硬化促进了重返工作岗位、现实的自我评价和职业重新定位。社会和医疗评估以及职业康复措施的协调得到改善。执行工作强化方案需要提供各种（无报酬）工作机会、监督员和社会工作者对工作业绩的独立评估、心理支持以及与康复服务机构的密切合作。
Psychosomatic rehabilitation is often initiated when lasting work disability, loss of job, and pension application have occurred. After a review of the relevance of vocational strains and of predictors for reintegration, we present a model of an integrated work hardening programme in Psychosomatic Rehabilitation. Results for 64 patients are illustrated by case vignettes. Especially when lasting work disability and unemployment have undermined the patients' sense of competence and endurance, work hardening promotes return to work, realistic self-appraisal and vocational reorientation. The social and medical assessment and the coordination of vocational rehabilitation measures are improved. The implementation of a work hardening programme requires the provision of a variety of (unpaid) work opportunities, independent assessment of work performance by supervisors and social worker, psychological support and close cooperation with rehabilitation services.