Return to work after a serious hand injury
Return to work after a serious hand injury
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DOI：
10.3233/wor-2012-1373
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发表时间：
2013-01-01
影响因子：
2.3
通讯作者：
Cederlund, Ragnhild I.
中科院分区：
文献类型：
--
作者：
Ramel, Eva;Rosberg, Hans-Eric;Cederlund, Ragnhild I.
目的：本文探讨的因素重要的回归工作（RTW）的人谁已经持续严重的手损伤。参与者：40名年龄在19-64岁之间，手部严重或严重受伤的人在2005-2007年间被连续招募。方法：在受伤12个月后邮寄一份自我管理的研究特定问卷，包括人口统计数据和功能、残疾、日常职业、健康、生活质量、连贯感和几个开放性问题的标准化问卷。关于RTW的开放性问题也包括在内。结果：12个月内恢复工作的27人，未恢复工作的13人。与RTW和一般工作动机有关的因素分为个人因素和与工作环境和康复有关的因素。两组之间最显著的差异是个体因素，如更高的感知残疾，手部功能下降，以及对日常工作的不满导致身体生活质量下降。无RTW组也有更多的住院天数（住院护理）和较低的连贯性。结论：这些发现支持了RTW过程可能更多地依赖于人自己的能力和动机，而不是手部损伤的严重程度的观点。在讨论中提出了干预和进一步研究的建议。
OBJECTIVES: This paper explores factors important for return to work (RTW) in people who have sustained a serious hand injury.PARTICIPANTS: Forty people aged 19-64, with a severe or major hand injury were recruited consecutively during 2005-2007.METHODS: A self-administered and study specific questionnaire, including demographic data and standardised questionnaires for function, disability, daily occupations, health, quality of life, sense of coherence and several open questions was sent out by mail twelve months after injury. Open questions regarding RTW were also included.RESULTS: The results showed that 27 people had returned to work within twelve months and 13 had not. Factors related to RTW and general work motivations were divided into individual factors, and factors related to the work environment and rehabilitation. The most prominent differences between the groups were individual factors, such as higher perceived disability, reduced hand function, and dissatisfaction with daily occupations resulting in a lower physical quality of life. The no RTW group had also more ward days (inpatient care) and lower sense of coherence.CONCLUSIONS: These findings support the idea that the RTW process can be more dependent on the person's own ability and motivation than on the severity of the hand injury. Suggestions for intervention and further studies are presented in the discussion.