The Experience of Return to Work Among People with Persistent Symptoms Following a Concussion: An Interview Study.

IF 2.5 3区医学 Q1 REHABILITATION

Journal of Occupational Rehabilitation Pub Date : 2025-06-30 DOI:10.1007/s10926-025-10305-3

Karin Vierø, Lisbeth Lund Pedersen, Jan Hartvigsen, Jette Primdahl

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引用次数: 0

Abstract

Purpose: This study aimed to explore the experiences of Danish adults experiencing persistent symptoms following a concussion with a focus on their return to work (RTW) process.

Methods: We employed a phenomenological-hermeneutic approach, using semi-structured interviews with seven persons with persistent symptoms following a concussion from two Danish municipalities. Data were analyzed using reflexive thematic analysis.

Results: The analysis derived four main themes: (1) The importance of understanding and consideration from others. The participant's quality of life and RTW outcomes were influenced by the level of understanding and consideration they received from others. (2) Balancing needs and limitations. The participants struggled to balance their desire to work with their limited ability, which resulted in feelings of pressure and guilt towards their families. (3) Experiencing random support. The participants experienced random support from stakeholders and lack of guidance from the healthcare system. (4) A sense of loneliness, due to their inability to tolerate being around others.

Conclusion: Recognition in daily life seem to play a key role in the RTW process for individuals with persistent symptoms following a concussion. They struggle to balance their limitations to match their desire to both work and family life. The support they received was often random and they felt lonely. The findings reflect the participant's desire for structured and recognition-based rehabilitation and support to enhance their daily lives and facilitate the RTW process.

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脑震荡后持续症状患者重返工作岗位的经历：一项访谈研究

目的：本研究旨在探讨丹麦成年人在脑震荡后持续症状的经历，重点是他们重返工作岗位（RTW）过程。方法：我们采用现象学-解释学方法，对来自丹麦两个城市的7名脑震荡后持续症状的患者进行半结构化访谈。数据分析采用反身性主题分析。结果：分析得出四个主要主题：(1)他人理解和考虑的重要性。参与者的生活质量和RTW结果受到他们从他人那里得到的理解和考虑水平的影响。(2)平衡需求和限制。参与者努力平衡他们对工作的渴望和他们有限的能力，这导致了他们对家庭的压力和内疚。(3)随机支持。参与者经历了利益相关者的随机支持和缺乏卫生保健系统的指导。(4)孤独感，因为他们无法忍受周围的人。结论：日常生活中的认知似乎在脑震荡后持续症状的个体的RTW过程中起关键作用。他们努力平衡自己的局限性，以满足他们对工作和家庭生活的渴望。他们得到的支持往往是随机的，他们感到孤独。调查结果反映了参与者对结构化和基于认知的康复和支持的渴望，以改善他们的日常生活并促进康复过程。

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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来源期刊

Journal of Occupational Rehabilitation Multiple-

CiteScore

5.80

自引率

12.10%

发文量

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.