Faucett Julia, McCarthy Dolores
University of California, San Francisco, Occupational and Environmental Health Nursing Program, University of California Center for Occupational and Environmental Health (Northern), Box 0608, San Francisco, CA 94143-0608, USA.
Nurs Clin North Am. 2003 Sep;38(3):509-23. doi: 10.1016/s0029-6465(02)00099-3.
Chronic pain, especially chronic back pain, is costly to workers, their families, employers, and society. Successful return to productive work life for the worker with chronic pain requires multi-disciplinary efforts, including those of the nurse case manager, occupational health nurse, and nursing specialist in pain management. Sensitivity to the dynamics of multiple stakeholders in the RTW process is essential because of their diverse perspectives. Successful RTW can be facilitated by a combination of approaches, including case management, worker capacity evaluation, ergonomic job analysis, team design of job modifications, appropriate medical treatment, and self management by the worker.
慢性疼痛，尤其是慢性背痛，对工人、其家庭、雇主和社会来说成本高昂。让患有慢性疼痛的工人成功回归有生产效率的工作生活需要多学科的努力，包括护士个案经理、职业健康护士以及疼痛管理护理专家的努力。由于多个利益相关者在重返工作岗位过程中的观点各不相同，因此对这一过程中各方动态的敏感度至关重要。多种方法相结合有助于成功实现重返工作岗位，这些方法包括个案管理、工人能力评估、工效学工作分析、工作调整的团队设计、适当的医疗治疗以及工人的自我管理。
