复工过程中的工作能力:对常见精神障碍员工的混合方法随访研究结果。

IF 2.5 3区 医学 Q1 REHABILITATION
Alexandra Sikora, Ralf Stegmann, Ute B Schröder, Inga L Schulz, Uta Wegewitz, Ute Bültmann
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引用次数: 0

摘要

目的:在因常见精神障碍(cmd)而长期缺勤后重返工作岗位(RTW)过程中的一个主要目标是恢复和维持员工的工作能力,使他们能够持续参与工作。本研究以CMDs为研究对象,对员工的工作能力评分及工作经验进行调查。方法:采用混合方法对286名参与者进行随访研究,在基线(临床出院前一周)和6、12、18和30个月后,用工作能力评分(was,范围0-10)定量评估工作能力。在子样本中,分析了N = 32名参与者在6个月和12个月时的定性工作能力体验,并与定量数据联合评估。结果:在前18个月的随访中,平均WAS有所增加。定性的工作能力体验分为三类:(1)工作能力差(WAS 0-3)的员工,他们还没有RTW,并且描述了应对日常生活的很大困难;(2)中等工作能力(WAS 4-6),他们主要做RTW,但仍然表现出一定程度的脆弱性;(3)良好到非常好的工作能力(WAS 7-10),他们主要返回工作岗位,并报告了许多个人和工作住宿,以保持他们的工作能力。结论:本研究为工作能力体验的不同方面提供了新的见解,特别是在RTW后期,恢复和维持工作能力对于持续的工作参与至关重要。这些知识可以帮助RTW利益相关者在RTW过程中更好地调整支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Work Ability during the Return to Work Process: Results from a Mixed Methods Follow-Up Study Among Employees with Common Mental Disorders.

Purpose: A main goal during the return to work (RTW) process after a long-term sickness absence due to common mental disorders (CMDs), is to restore and maintain employees' work ability to enable their sustained work participation. This study jointly examined employees' work ability ratings and experiences during their RTW process with CMDs.

Methods: In a mixed methods follow-up study of N = 286 participants, work ability was quantitatively assessed with the Work Ability Score (WAS, range 0-10) at baseline (week before clinical discharge) and after 6, 12, 18, and 30 months. In a sub-sample, the qualitative work ability experiences of N = 32 participants were analysed at 6 and 12 months, and were jointly evaluated with the quantitative data.

Results: The mean WAS increased during the first 18 months of follow-up. Three groups of qualitative work ability experiences emerged: Employees with (1) poor work ability (WAS 0-3), who did not RTW yet and described great difficulties in coping with everyday life, (2) moderate work ability (WAS 4-6), who mainly did RTW, but still showed a certain level of fragility, and (3) good to very good work ability (WAS 7-10), who mainly returned to work and reported many individual and work accommodations to maintain their work ability.

Conclusion: The present study provides new insights into different aspects of work ability experiences, especially during the later RTW phases, where restoring and maintaining work ability is essential for a sustained work participation. This knowledge may help RTW stakeholders to better tailor support during the RTW process.

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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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