Department of Surgery of the Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
BMC Gastroenterol. 2010 Jan 27;10:12. doi: 10.1186/1471-230X-10-12.
Cholecystectomy causes considerable financial burden on society with a major part caused by sick-leave. There are wide variations in duration of sick-leave. The aim of our study was to identify all aspects that influence the moment of return to work by using focus groups and to compare responses from patients and physicians.
A qualitative research design was planned using focus group discussions. Four focus group discussions were organized: two patient groups and two physician groups. Employed patients who had recovered after cholecystectomy were included in the patient groups. The physicians groups consisted of general practitioners, surgeons, and company physicians. Three investigators independently searched transcriptions of the sessions for all items relating to return to work. The importance of items and categories were assessed by determining frequencies.
In the patients groups physical limitations (35.3%) and individual patient factors (17.5%) were important factors in the duration of sick-leave, while influence or advice comprised only 8.4% of the items. In the physicians groups influence or advice (21.8%) and information-related factors (21.4%) were thought to be important categories.
Physicians perceive their advices as an important factor in patients' duration of sick-leave. In contrast, patients seldom mention this factor and experience physical complaints as the major reason influencing the moment of return to work.
胆囊切除术给社会带来了相当大的经济负担，其中很大一部分是病假造成的。病假的持续时间差异很大。我们的研究目的是通过使用焦点小组确定影响工作恢复时间的所有方面，并比较患者和医生的反应。
计划采用焦点小组讨论进行定性研究设计。组织了四个焦点小组讨论：两个患者组和两个医生组。已从胆囊切除术后康复的在职患者被纳入患者组。医生组由全科医生、外科医生和公司医生组成。三位研究人员独立搜索会议记录，以查找与返回工作相关的所有项目。通过确定频率来评估项目和类别重要性。
在患者组中，身体限制（35.3%）和个体患者因素（17.5%）是病假持续时间的重要因素，而影响或建议仅占项目的 8.4%。在医生组中，影响或建议（21.8%）和信息相关因素（21.4%）被认为是重要类别。
医生认为他们的建议是患者病假持续时间的一个重要因素。相比之下，患者很少提及这一因素，而是将身体不适作为影响重返工作岗位时间的主要原因。
