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在物理治疗和职业治疗中经历的干预挑战与工人的疼痛和残疾代表:混合方法研究研究
Patricia Godbout1,2,3, Marie-France Coutu4,5,6, Marie-José Durand1,2,3
1Centre d'Action en Prévention Et Réadaptation de L'Incapacité Au Travail (CAPRIT), Université de Sherbrooke, 150 Place Charles-Le Moyne, Suite 200, Longueuil, QC, J4K 0A8, Canada.
无助的工人对疼痛和残疾的信念阻碍了康复. 临床医生面临这些表现的挑战,需要新的跨学科干预措施来有效地恢复工作.
科学领域:
- 职业健康心理学 职业健康心理学
- 康复科学是康复的科学.
- 临床心理学 临床心理学
背景情况:
- 工人对疼痛和残疾的表现显著影响康复结果.
- 了解这些表征对于有效的临床干预工作残疾至关重要.
研究的目的:
- 识别普遍存在的无助的工人持有的疼痛和残疾代表.
- 探索临床医生在处理这些表示时所面临的干预挑战.
主要方法:
- 采用了一种解释性的顺序混合方法设计 (定量跟随定性).
- 对劳动残疾的修订疾病感知问卷的二次分析 (n=297) 确定了代表性.
- 与物理治疗师 (n=8) 和职业治疗师 (n=6) 进行的半结构面试探讨了干预挑战.
主要成果:
- 普遍存在的无助表现包括对严重后果的看法,不可预测的症状和负面情绪.
- 临床医生发现了两个关键的挑战模式:无法控制的疼痛导致无助,生物医学信仰阻碍了积极的康复.
- 发现这两种模式都阻碍了工人参与康复治疗.
结论:
- 两种不同的疼痛和残疾代表模式给临床医生带来了重大挑战.
- 解决这些无助的工人代表对于成功的职业康复至关重要.
- 需要采用跨学科的干预方法,将代表意识纳入临床实践.
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