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因肌肉骨骼疾病和失调而长期病假。工作要求的体验。

On long term sick leave due to musculoskeletal diseases and disorders. Experiences of work demands.

作者信息

Aas Randi Wågø, Thingbø Cathrine, Holte Kari Anne, Lie Kristine, Lode Inger Anna

机构信息

International Research Institute of Stavanger (IRIS), Norway Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

出版信息

Work. 2011;39(3):233-42. doi: 10.3233/WOR-2011-1171.

DOI:10.3233/WOR-2011-1171
PMID:21709359
Abstract

OBJECTIVE

The rate of sick leave is higher in the public sector than in the private sector in several countries, making it essential to thoroughly investigate employees in the public sector. The following research question was investigated: How do employees on long-term sick leave (> 8 weeks) due to musculoskeletal disorders or diseases describe their work demands?

METHODS

This paper is from the larger Rogaland RTW case study. The informants were female employees (n=8) in the first-line public sector with different types of musculoskeletal diseases or disorders. Qualitative interviews were conducted using a semi-structured interview guide based on two measures: Worker Role Interview and Work Environmental Impact Scale. Data was analysed by condensing and categorizing meaning.

RESULTS

Fifty-one work demands were described, only five of which were physical demands. Demands were sometimes described as merely negative or positive for the work performance, but also as both. Most of the negative demands were emotional and cognitive challenges in mastering the work tasks. Most of the demands (n= 36) were experienced to be claimed by the employee herself, with only a few being claimed by the employer or environment (n=7) or by both (n=8).

CONCLUSIONS

Eight employees in the public sector on long-term sick leave due to musculoskeletal problems experienced mostly cognitive and emotional demands, and defined themselves as the work-demand claimer. The results of this study point to the importance of broadening the perspective in work rehabilitation for workers absent due to diagnosis of the musculoskeletal system.

摘要

目的

在一些国家,公共部门的病假率高于私营部门,因此对公共部门员工进行全面调查至关重要。本研究调查了以下问题:因肌肉骨骼疾病或失调而长期病假(>8周)的员工如何描述他们的工作需求?

方法

本文来自规模更大的罗加兰返工案例研究。研究对象是公共部门一线的女性员工(n=8),她们患有不同类型的肌肉骨骼疾病或失调。采用基于两种测量方法的半结构化访谈指南进行定性访谈:工作角色访谈和工作环境影响量表。通过对意义进行浓缩和分类来分析数据。

结果

共描述了51项工作需求,其中只有5项是体力需求。这些需求有时被描述为对工作绩效只有消极或积极影响,但也有兼具两者的情况。大多数消极需求是在掌握工作任务时面临的情感和认知挑战。大多数需求(n=36)被认为是员工自己提出的,只有少数是雇主或环境提出的(n=7)或两者都提出的(n=8)。

结论

8名因肌肉骨骼问题而长期病假的公共部门员工主要经历了认知和情感需求,并将自己定义为工作需求的提出者。本研究结果表明,对于因肌肉骨骼系统疾病而缺勤的员工,拓宽工作康复的视角具有重要意义。

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