URESP, Centre de recherche FRQS du Centre hospitalier universitaire (CHU) de Québec, Hôpital du Saint-Sacrement, 1050, chemin Ste-Foy, Quebec City, QC, G1S 4L8, Canada.
J Occup Rehabil. 2013 Jun;23(2):280-9. doi: 10.1007/s10926-012-9399-4.
Back pain entails considerable costs, particularly because many injured workers are absent from work for long periods. Factors that influence return to work among workers with back pain are still, however, not well understood. This qualitative study aimed at documenting affected workers' perspective on the: 1--difficulties caused by back pain, and 2--most important obstacles to and facilitators of return to work.
Two focus groups composed of workers having suffered from work-disabling back pain were held: a group of participants who had returned to work (n = 9) and a group of participants who had not returned or had recently returned to work (n = 10). The verbatim accounts of the discussions were transcribed and a content analysis was carried out that included a ranking of items.
Difficulties caused by back pain were related to: (1) personal, (2) family, (3) social, (4) occupational, and (5) financial factors, and (6) health services. Obstacles to and facilitators of return to work were of 4 different types: (1) occupational factors, (2) factors associated with the utilization of health services, (3) clinical, and (4) personal factors. Persistent pain, lack of access to information or support groups, and lack of collaboration and understanding from employer were the most important obstacles identified, whereas knowledge of one's limits and physical training were perceived to be the most important facilitators of return to work, ahead of work-related factors. Differences between groups' perceptions were attributed mainly to control beliefs.
Personal, clinical, occupational and health services factors are perceived by workers with back pain to play a crucial role in determining whether they return to work or not.
背痛会带来相当大的成本，尤其是因为许多受伤的工人会长期缺勤。然而，影响背痛工人重返工作岗位的因素仍未得到很好的理解。这项定性研究旨在记录受影响工人对以下方面的看法：1. 背痛带来的困难；2. 重返工作岗位的最重要障碍和促进因素。
举行了两个由患有致残性背痛的工人组成的焦点小组：一个是已经重返工作岗位的参与者小组（n=9），另一个是尚未重返或最近重返工作岗位的参与者小组（n=10）。讨论的逐字记录被转录，并进行了内容分析，包括对项目进行排名。
背痛带来的困难与以下因素有关：1. 个人因素；2. 家庭因素；3. 社会因素；4. 职业因素；5. 财务因素；6. 卫生服务因素。重返工作岗位的障碍和促进因素有四种不同类型：1. 职业因素；2. 与卫生服务利用相关的因素；3. 临床因素；4. 个人因素。持续的疼痛、缺乏获取信息或支持团体的机会、以及雇主缺乏合作和理解被认为是最重要的障碍，而对自身限制的了解和身体训练被认为是重返工作岗位的最重要促进因素，优先于与工作相关的因素。两个小组之间的看法差异主要归因于控制信念。
背痛工人认为个人、临床、职业和卫生服务因素在决定他们是否重返工作岗位方面起着至关重要的作用。
