Wiitavaara Birgitta, Barnekow-Bergkvist Margareta, Brulin Christine
Department of Nursing, Umeå University, SE-90187 Umeå, Sweden.
Int J Nurs Stud. 2007 Nov;44(8):1379-90. doi: 10.1016/j.ijnurstu.2006.07.009. Epub 2006 Sep 14.
Musculoskeletal disorders (MSD) are one of the major causes of the high levels of long-term sickleave and early retirement, and healthcare personnel are among the occupational groups most affected. Only limited research in the area has focused on the experiences of those affected, and to increase the understanding of MSD, all dimensions of the health experiences need to be taken into consideration.
The aim of this paper was to explore the experiences of illness and wellness among female healthcare personnel with musculoskeletal symptoms.
A qualitative grounded theory approach guided the study in data collection and analysis.
Medical and surgical ward units at three hospitals; one university hospital and two minor hospitals.
Eight women, registered nurses and nursing aides, with neck, shoulder and/or back problems in early stages.
A grounded theory approach was used with narrative thematic interviews and parallel data analysis with constant comparisons.
The analysis revealed a process of striving to reach a balance between illness and wellness, through accepting and handling illness. Illness appeared as a threat and an experience, while experiences of wellness were simultaneously nurtured. The informants were striving for balance through an inner reasoning leading to acceptance and by handling illness in various ways depending on the character of the illness.
This paper indicates the diversity of the illness experience, the parallel importance of wellness, and the process of balancing these two in order to feel well enough. As previous research has shown that MSD has a multifactorial cause, a holistic view of health promotion, prevention and rehabilitation may provide a more effective tool than the bodily physical focus most frequently used today.
肌肉骨骼疾病（MSD）是导致长期病假和提前退休率居高不下的主要原因之一，医护人员是受影响最严重的职业群体之一。该领域仅有有限的研究关注患者的经历，为了增进对MSD的理解，需要考虑健康体验的各个方面。
本文旨在探究有肌肉骨骼症状的女性医护人员的患病和健康体验。
采用定性扎根理论方法指导研究的数据收集和分析。
三家医院的内科和外科病房；一家大学医院和两家小型医院。
八名女性，注册护士和护理助理，处于颈部、肩部和/或背部问题的早期阶段。
采用扎根理论方法，进行叙事主题访谈并通过持续比较进行平行数据分析。
分析揭示了一个通过接受和应对疾病来努力在患病和健康之间达成平衡的过程。疾病表现为一种威胁和一种体验，同时健康体验也得到了培养。参与者通过内在的推理达成接受，并根据疾病的特征以各种方式应对疾病，从而努力实现平衡。
本文表明了患病体验的多样性、健康的同等重要性，以及平衡这两者以达到良好状态的过程。正如先前的研究所表明的，MSD有多种病因，与目前最常用的关注身体生理的方法相比，健康促进、预防和康复的整体观点可能提供一种更有效的工具。
