Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Disabil Rehabil. 2011;33(23-24):2237-46. doi: 10.3109/09638288.2011.563821. Epub 2011 Mar 29.
To describe the factors experienced by adults with moderate-to-severe acquired brain injury (ABI) as either limiting or facilitating during the process of return to work (RTW) in order to give an advice about the vocational rehabilitation process.
A qualitative study was performed. Twelve adults who were working before acquiring traumatic or non-traumatic brain injury (2-3 years earlier) participated. The experiences were gathered by semi-structured interviews. The International Classification of Functioning, Disability and Health was used as a theoretical framework for the interviews and the analysis.
The most common limiting factor was tiredness. The most common facilitating factors were the will to RTW, the ongoing recovery and the knowledge and support of the employer, colleagues, occupational physician and occupational specialist.
Different aspects were experienced as being important during the process of RTW after ABI. These aspects should be kept in mind during the process of RTW to make the outcome as successful as possible. It is advised to pay special attention to the recovery opportunities of an individual, to inform the employer, colleagues, occupation physician and the occupational specialist about ABI, and to support people with ABI for long time periods. An important role can be played by the rehabilitation centre.
描述患有中重度后天性脑损伤（ABI）的成年人在重返工作岗位（RTW）过程中经历的限制或促进因素，为职业康复过程提供建议。
进行了一项定性研究。12 名成年人在遭受创伤性或非创伤性脑损伤（2-3 年前）之前曾有过工作经历，他们参与了半结构化访谈。国际功能、残疾和健康分类被用作访谈和分析的理论框架。
最常见的限制因素是疲劳。最常见的促进因素是重返工作的意愿、持续的康复以及雇主、同事、职业医生和职业专家的知识和支持。
ABI 后 RTW 过程中，不同方面被认为是重要的。在 RTW 过程中应牢记这些方面，以使结果尽可能成功。建议特别关注个人的康复机会，向雇主、同事、职业医生和职业专家告知 ABI，并长期支持 ABI 患者。康复中心可以发挥重要作用。
