Understanding the Needs of Young and Middle-Aged Chinese People Who Have Experienced a Stroke Who Have Not Successfully Returned to Work: A Qualitative Study

IF 3.2 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES Health Expectations Pub Date : 2025-01-15 DOI:10.1111/hex.70150

Ziwei Liu, Shu Liu, Jiaxing Shi, Yanming Yang, Yuan Zhong, Jiaxin Li

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Abstract

Objectives

The study aims to understand the return to work (RTW) needs of young and middle-aged people who have experienced a stroke and to contribute to the development of supportive RTW services.

Design

A qualitative study employing the phenomenological method.

Participants

Eleven young and middle-aged people who have experienced a stroke participated in the study.

Methods

Semi-structured in-depth interviews were conducted and analysed using Colaizzi's 7-step method to identify and categorize the RTW needs of participants.

Results

The analysis delineated four overarching thematic categories of RTW needs among the participants: self-management needs, emphasizing the regulation of symptoms, health maintenance and recovery planning; social support needs, highlighting the significance of workplace accommodations, professional medical guidance, and emotional encouragement from companions and family; the need for information related to returning to work, which includes accessing resources on rehabilitation opportunities, labour rights and professional consultation services; and personal development needs, focusing on fostering self-worth, identifying growth opportunities and acquiring new skills to adapt to changing professional demands.

Conclusion

The diverse and comprehensive needs of young and middle-aged people who have experienced a stroke underscore the importance of multifaceted support from healthcare professionals. This support should encompass medical, psychological, informational and skill-development aspects and should involve enhanced communication and collaboration with relevant stakeholders to facilitate a successful RTW.

Patient or Public Contribution

This study was designed without direct involvement from patients or the public in the development of the research question, the design of the study, or the conduct of the research. This decision was informed by the specific focus on qualitative experiences and perceptions of stroke survivors regarding their RTW journey, which relied heavily on personal narratives and subjective accounts collected through individual interviews. However, the insights gained from these narratives have been crucial in shaping the research outcomes, emphasizing the patient-centred approach to understanding RTW barriers and facilitators.

Reporting Method

This study followed the SRQR checklist for qualitative studies as its reporting method.

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了解中国中青年中风后未能成功重返工作岗位的需求：一项定性研究。

目的：本研究旨在了解中青年中风患者重返工作岗位的需求，并为发展支持性的重返工作岗位服务做出贡献。设计：采用现象学方法进行定性研究。参与者：11名经历过中风的年轻人和中年人参加了这项研究。方法：采用Colaizzi的7步法进行半结构化深度访谈，对参与者的RTW需求进行识别和分类。结果：本研究划分了参与者RTW需求的四个主要主题类别：自我管理需求，强调症状调节、健康维持和康复计划；社会支持需求，强调工作场所住宿、专业医疗指导以及来自同伴和家人的情感鼓励的重要性；需要获得与重返工作有关的信息，其中包括获得有关康复机会、劳工权利和专业咨询服务的资源；以及个人发展需求，注重培养自我价值，识别成长机会和获得新技能以适应不断变化的专业需求。结论：经历过中风的中青年的多样化和全面的需求强调了医疗保健专业人员多方面支持的重要性。这种支持应包括医疗、心理、信息和技能发展方面的内容，并应包括加强与相关利益攸关方的沟通与协作，以促进成功的重新旅行。患者或公众贡献：本研究的设计没有患者或公众直接参与研究问题的发展、研究的设计或研究的实施。这一决定是基于对中风幸存者关于其RTW旅程的定性经验和看法的特别关注，这在很大程度上依赖于通过个人访谈收集的个人叙述和主观叙述。然而，从这些叙述中获得的见解对于形成研究成果至关重要，强调以患者为中心的方法来理解RTW障碍和促进因素。报告方法：本研究采用SRQR定性研究清单作为报告方法。

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来源期刊

Health Expectations 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.20

自引率

9.40%

发文量

251

审稿时长

>12 weeks

期刊介绍： Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.