系统响应能力和健康素养在慢性腰痛患者返回工作的挑战:一个定性研究
Gitte Frydenlund1,2, Anders Hansen1,2, Søren O'Neill1,2
1Medical Research Unit, Spine Center of Southern Denmark, University Hospital of Southern Denmark, Kolding, Denmark.
Disability and rehabilitation
|January 8, 2026
概括
患有慢性腰部疼痛 (CLBP) 的人因心理脆弱性和碎片化的支持而面临返回工作 (RTW) 的挑战. 提高健康素养 (HL) 可以增强RTW流程,以获得更好的结果.
科学领域:
- 职业健康 职业健康 职业健康
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性腰部疼痛 (CLBP) 显著影响工作参与.
- 对于患有CLBP的人来说,回归工作 (RTW) 过程往往是复杂的,协调不良.
- 健康素养 (HL) 是健康结果和与服务的参与的关键决定因素.
研究的目的:
- 探索与CLBP导航RTW.个人的经验.
- 为这一群体确定RTW过程中的障碍和促进者.
- 收集建议,以提高RTW过程的连贯性.
主要方法:
- 17名长期病假的CLBP门诊患者参与了这项研究.
- 通过半结构面试和重点小组收集的数据.
- 分析采用通过健康素养镜头进行反射性主题分析.
主要成果:
- 出现了四个主题:心理脆弱性,寻求诊断和RTW清晰度,缺乏利益相关者的认可和支持,以及缺乏专业共识.
- 小主题详细介绍了每个总体主题内的具体挑战.
- 研究结果强调了心理因素的相互作用,诊断的不确定性和分散的支持.
结论:
- 有限的交互和关键健康素养 (HL) 阻碍了对患有CLBP的人的RTW参与.
- 心理脆弱性,诊断不确定性和分散的服务加剧了这些挑战.
- 建议采取符合HL的做法,以减少不平等现象,并促进公平的RTW.
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