Coutu Marie-France, Baril Raymond, Durand Marie-José, Côté Daniel, Rouleau Annick, Cadieux Geneviève
Rehabilitation School, Université de Sherbrooke, Longueuil, Québec, Canada.
Work. 2010;35(2):209-19. doi: 10.3233/WOR-2010-0973.
Previous studies have found illness representations to be associated with the degree to which patients adopt health behaviours. Surprisingly, pain representations, especially those in a work rehabilitation context, have rarely been explored.
To conduct a thorough investigation of the pain representations held by workers who were on sick leave due to persistent musculoskeletal pain during the process of an intensive work rehabilitation program.
Qualitative semi-structured interviews were conducted with 16 participants (male, female), three times during the program and one month after discharge. Data analysis was based on a narrative approach.
Throughout the process, pain representation was an indicator of the type of action the participants were ready to take to control the immediate or possible consequences of their pain. Using the context of a work rehabilitation trajectory we identified the differential impact of reconstruction or status quo in pain representations that eventually led to a return to work, or not.
This study highlights the importance of identifying and acknowledging workers' pain representations in facilitating their return to work.
以往研究发现，疾病认知与患者采取健康行为的程度相关。令人惊讶的是，疼痛认知，尤其是在工作康复背景下的疼痛认知，很少被探讨。
对在强化工作康复计划过程中因持续性肌肉骨骼疼痛而休病假的工人所持有的疼痛认知进行全面调查。
对16名参与者（男性、女性）进行定性半结构化访谈，在计划期间进行三次，出院后一个月进行一次。数据分析基于叙事方法。
在整个过程中，疼痛认知是参与者准备采取何种行动来控制其疼痛的直接或可能后果的一个指标。利用工作康复轨迹的背景，我们确定了疼痛认知中重建或维持现状的不同影响，这最终导致了是否重返工作岗位。
本研究强调了识别和承认工人的疼痛认知对促进他们重返工作岗位的重要性。
