55 岁及以上工人的康复:专业人士的观点和解决方案

IF 2.1 3区 医学 Q1 REHABILITATION Journal of Occupational Rehabilitation Pub Date : 2024-09-11 DOI:10.1007/s10926-024-10236-5
Marie-José Durand, Marie-France Coutu, Alexandra Lecours, Guillaume Léonard, Valérie Lederer, Iuliana Nastasia, Junie Carrière, Marie-Andrée Paquette
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引用次数: 0

摘要

目的工作残疾影响着越来越多 55 岁及以上的工人(W55 +)。虽然康复计划对平均年龄为 42 岁的工人有效,但其设计往往无法满足高龄工人的独特需求。本研究旨在描述工作康复专业人员遇到的困难,并探讨他们的解决方案,以改善为 55 岁以上工人提供的服务。主要在私人诊所招募职业治疗师、物理治疗师和心理学家。研究人员试用了基于工作残疾范式的访谈指南。对工作康复专业人员进行了定性访谈,然后进行了转录。结果样本由 15 名参与者(平均年龄 38 岁)组成,不同性别和学科的参与者人数几乎相等。发现的困难涉及:(1) W55 + 的特点;(2) 工作环境;(3) 补偿制度;(4) 利益相关者之间的沟通。为改善所提供的服务,提出了五个解决方案:为医疗保健专业人员提供工具和培训、实施沟通机制、纳入重返工作岗位协调员、制定管理 W55 + 的联合行动计划,以及在工作场所实施综合预防方法。这些结果为今后的研究绘制了路线图,今后的研究应扩展这些利益相关者的视角,更全面地描述他们的需求和潜在的解决方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Rehabilitating Workers Aged 55 and Over: Professionals’ Perspectives and Solutions

Purpose

Work disability affects a growing number of workers aged 55 and over (W55 +). While rehabilitation programs have demonstrated efficacy for workers with an average age of 42, they often have not been designed to meet unique needs of aging workers. This study aimed to describe the difficulties encountered by work rehabilitation professionals and explore their solutions for improving services offered to W55 + .

Methods

This study used a simple descriptive design with purposive sampling. Occupational therapists, physical therapists, and psychologists were mainly recruited in private clinics. An interview guide based on the Work Disability Paradigm was piloted and used with the participants. Qualitative interviews were conducted with work rehabilitation professionals and then transcribed. A thematic analysis was performed.

Results

The sample consisted of fifteen participants (average age 38 years) with near equal representation across genders and disciplines. Difficulties were identified in relation to the (1) characteristics of W55 + , (2) work environment, (3) compensation system, and (4) communication among stakeholders. Five solutions were proposed to improve the services offered: provide healthcare professionals with access to tools and training, implement communication mechanisms, integrate a return-to-work coordinator, develop a joint action plan for managing W55 + , and implement an integrative prevention approach in workplaces.

Conclusions

Our results represent a first step in mapping various stakeholders’ needs to ensure better support for W55 + with work disabilities. These results delineate a roadmap for future research that should expand upon these stakeholders’ perspectives to provide a more comprehensive description of their needs and potential solutions.

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来源期刊
CiteScore
5.80
自引率
12.10%
发文量
64
期刊介绍: The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law.  A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.
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