What employees with rheumatoid arthritis, diabetes mellitus and hearing loss need to cope at work
What employees with rheumatoid arthritis, diabetes mellitus and hearing loss need to cope at work
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DOI：
10.5271/sjweh.715
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发表时间：
2003-04-01
影响因子：
6.3
通讯作者：
van Dijk, FJH
中科院分区：
文献类型：
--
作者：
Detaille, SI;Haafkens, JA;van Dijk, FJH
目的研究类风湿性关节炎、糖尿病或听力损失患者继续工作的影响因素。69名参与者(类风湿性关节炎21例，糖尿病23例，听力损失25例)来自阿姆斯特丹学术医学中心(AMC)风湿、糖尿病和听力学门诊患者的记录，以及职业医生和患者协会的转诊。一名关节炎顾问、一名糖尿病顾问和一名听力学专家根据所使用的疾病纳入标准对患者进行了筛查。结果使员工能够继续工作的主要因素是疾病应对能力、管理层和同事的支持、适当的工作条件、患者组织和社会的支持、医疗专业人员和机构的支持、福利。这三组员工对这些因素的优先程度进行了不同的评估。对于患有类风湿性关节炎的员工来说，管理层的支持是最重要的，其次是自我接纳、自我效能和如何应对工作的专业建议。对于糖尿病患者来说，自我接纳、自我照顾和来自管理层、同事和健康专业人员的支持是最重要的。对于听力损失的员工来说，充分了解听力设备、报销和自我接受是最重要的。结论研究结果有助于了解慢性病患者在工作中的需求和需要关注的领域。
Objectives This study attempted to determine factors that help currently employed people with rheumatoid arthritis, diabetes mellitus or hearing loss to continue working.Methods This was a qualitative study that used three concept-mapping sessions. Sixty-nine participants (rheumatoid arthritis 21, diabetes mellitus 23, and hearing loss 25) were recruited from the patient records of the rheumatology, diabetes, and audiology outpatients of the Academic Medical Center (AMC), Amsterdam, and referrals from occupational physicians and patient associations. An arthritis consultant, a diabetes consultant, and an audiologist screened the patients for the used illness inclusion criteria. A researcher screened the patients for the inclusion criteria of age and work.Results The main factors enabling employees to continue working were ability to cope with the illness, support from management and colleagues, adequate work conditions, support of patient organizations and society, support of medical professionals and facilities, and benefits. The three groups of employees rated the priority of these factors differently. For the employees with rheumatoid arthritis, the support of management was the most important, followed by self-acceptance, self-efficacy, and professional advice on how to cope at work. For those with diabetes mellitus, self-acceptance, self-care, and support from management, colleagues and health professionals were the most important. For employees with hearing loss, being well informed about hearing equipment, reimbursement, and self-acceptance were the most important. A topic list was developed that can be used by health professionals as a guideline for exploring the work-related problems of patients with a chronic disease.Conclusions The results provide an understanding of the needs chronically ill employees have at work and the areas to which health professionals need to pay attention.