Wiitavaara B, Lundman B, Barnekow-Bergkvist M, Brulin C
Department of Nursing, Umeå University, S-901 87 Umeå, Sweden.
Int J Nurs Stud. 2007 Jul;44(5):770-9. doi: 10.1016/j.ijnurstu.2006.02.007. Epub 2006 Apr 4.
Musculoskeletal disorders (MSD) are a dominant cause to long-term sick leave and early retirement. Some occupational groups are more affected than others and ambulance personnel are among them. Despite a vast amount of research, only a small part focuses the experiences of the affected.
The aim of the study was to explore the experience of illness and wellness in ambulance personnel with musculoskeletal symptoms.
An emerging design was used in accordance with Grounded Theory.
Informants in the study were ten men with musculoskeletal symptoms, working as ambulance personnel at an ambulance station located in a mid-sized city in Sweden.
Narrative interviews were performed, parallel to a constant comparative analysis.
The study resulted in a model, which describes the experience of illness and wellness as characterised by an effort to strike a balance. Wellness through nurturing appeared parallel to encountering illness as an experience and a threat. Accepting and handling illness was of importance to maintaining wellness, and wellness through nurturing was the motivation for accepting and handling illness.
Enhancing the understanding of wellness and illness makes it possible to avoid undermining the meaningfulness that support accepting and handling illness, and by understanding different aspects of illness prevention can become facilitated. This is of importance as other aspects than solely physical have shown to be similarly important in the development of MSD.
肌肉骨骼疾病（MSD）是长期病假和提前退休的主要原因。一些职业群体比其他群体受影响更大，救护人员就在其中。尽管进行了大量研究，但只有一小部分关注受影响者的经历。
本研究的目的是探讨有肌肉骨骼症状的救护人员对疾病和健康的体验。
采用基于扎根理论的新兴设计。
本研究的受访者是10名有肌肉骨骼症状的男性，他们在瑞典一个中等城市的一个救护站担任救护人员。
进行叙事访谈，并同时进行持续比较分析。
该研究得出了一个模型，该模型将疾病和健康的体验描述为以努力实现平衡为特征。通过滋养实现健康似乎与将疾病视为一种经历和威胁同时出现。接受和应对疾病对维持健康很重要，而通过滋养实现健康是接受和应对疾病的动力。
增强对健康和疾病的理解可以避免破坏支持接受和应对疾病的意义，并且通过理解疾病预防的不同方面可以得到促进。这很重要，因为在肌肉骨骼疾病的发展中，除了身体方面之外，其他方面也同样重要。
