Department of Clinical Neuroscience and Rehabilitation/Physiotherapy, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Sweden.
BMC Musculoskelet Disord. 2009 Aug 17;10:103. doi: 10.1186/1471-2474-10-103.
Musculoskeletal disorders are very common and almost inevitable in an individual's lifetime. Enabling self-management and allowing the individual to take responsibility for care is stated as desired in the management of these disorders, but this may be asking more than people can generally manage. A willingness among people to take responsibility for musculoskeletal disorders and not place responsibility out of their hands or on employers but to be shared with medical professionals has been shown. The aim of the present study was to describe how people with musculoskeletal disorders think and reason regarding responsibility for prevention, treatment and management of the disorder.
Individual interviews with a strategic sample of 20 individuals with musculoskeletal disorders were performed. The interviews were tape-recorded, transcribed verbatim and analysed according to qualitative content analysis.
From the interviews an overarching theme was identified: own responsibility needs to be met. The analysis revealed six interrelated categories: Taking on responsibility, Ambiguity about responsibility, Collaborating responsibility, Complying with recommendations, Disclaiming responsibility, and Responsibility irrelevant. These categories described different thoughts and reasoning regarding the responsibility for managing musculoskeletal disorders. Generally the responsibility for prevention of musculoskeletal disorders was described to lie primarily on society/authorities as they have knowledge of what to prevent and how to prevent it. When musculoskeletal disorders have occurred, health care should provide fast accessibility, diagnosis, prognosis and support for recovery. For long-term management, the individuals themselves are responsible for making the most out of life despite disorders.
No matter what the expressions of responsibility for musculoskeletal disorders are, own responsibility needs to be met by society, health care, employers and family in an appropriate way, with as much or as little of the "right type" of support needed, based on the individual's expectations.
肌肉骨骼疾病在个体一生中非常常见且几乎不可避免。在这些疾病的管理中，人们希望能够实现自我管理，让个体对自身的护理负责，但这可能超出了大多数人能够管理的范围。人们已经表现出愿意对肌肉骨骼疾病负责，而不是将责任推卸给雇主或医疗专业人员，而是与他们共同承担。本研究的目的是描述患有肌肉骨骼疾病的人在预防、治疗和管理疾病方面的责任方面是如何思考和推理的。
对 20 名患有肌肉骨骼疾病的个体进行了具有战略意义的个体访谈。采访进行了录音，逐字转录，并根据定性内容分析进行了分析。
从访谈中确定了一个总体主题：需要满足自身的责任。分析揭示了六个相互关联的类别：承担责任、责任模糊、共同承担责任、遵守建议、推卸责任和责任无关。这些类别描述了管理肌肉骨骼疾病的责任的不同想法和推理。一般来说，预防肌肉骨骼疾病的责任主要在于社会/当局，因为他们了解预防什么以及如何预防。一旦发生肌肉骨骼疾病，医疗保健应提供快速的可及性、诊断、预后和恢复支持。对于长期管理，个体自身负责尽最大努力在有疾病的情况下生活。
无论对肌肉骨骼疾病的责任表达如何，社会、医疗保健、雇主和家庭都需要以适当的方式满足个体的自身责任，根据个体的期望，提供尽可能多或尽可能少的“正确类型”的支持。
