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连接康复和日常生活——与压力相关的健康不良的女性的生活体验。

Connecting rehabilitation and everyday life--the lived experiences among women with stress-related ill health.

机构信息

Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet , Stockholm , Sweden .

出版信息

Disabil Rehabil. 2013 Oct;35(21):1790-7. doi: 10.3109/09638288.2012.754951. Epub 2013 Jan 24.

DOI:10.3109/09638288.2012.754951
PMID:23343358
Abstract

PURPOSE

The aim was to describe and understand how connecting rehabilitation experiences and everyday life was characterised in the lived experiences during the rehabilitation in women with stress-related ill health.

METHOD

Five women were interviewed on three occasions during a rehabilitation programme and once 3 months later. Data were analysed using the Empirical, Phenomenological and Psychological method.

RESULTS

The participants experienced connections between their rehabilitation and their previous, present and future everyday life influencing both rehabilitation and everyday life in a back-and-forth process. These connections were experienced in mind or in doing, mostly targeting the private arena in everyday life. Connecting rehabilitation experiences to their working situations was more challenging and feelings of frustration and being left alone were experienced.

CONCLUSIONS

Although the participants described constructive connections between rehabilitation experiences and the private arena in everyday life, they mostly failed to experience connections that facilitated a positive return to work. Recommended support in the return to work process in rehabilitation comprises the provision of practical work-related activities during rehabilitation; being supportive in a constructive dialogue between the participant and the workplace, and continuing this support in follow-ups after the actual rehabilitation period.

IMPLICATIONS FOR REHABILITATION

Rehabilitation for persons with stress-related ill health needs to focus on the private arena as well as the work situation in everyday life. Creative activities may enable experiences that inspire connections in mind and connections targeting the private arena in everyday life. The work situation needs to be thoroughly discussed during rehabilitation for enabling the participants to experience a support in the return to work process. Rehabilitation including practical work-related activities, support in a constructive dialogue between the participant and the manager at the workplace, and continued support in follow-ups targeting the workplace might be beneficial for successfully return to work.

摘要

目的

描述并理解在与压力相关的健康问题女性的康复过程中,康复体验与日常生活是如何联系在一起的,以及这些体验是如何塑造她们的日常生活的。

方法

5 名女性在康复计划期间接受了 3 次访谈,在康复结束后 3 个月接受了 1 次访谈。使用实证、现象学和心理学方法对数据进行分析。

结果

参与者体验到康复经历与之前、现在和未来的日常生活之间的联系,这种联系在相互影响的过程中既影响康复,也影响日常生活。这些联系在头脑中或在行动中被体验到,主要针对日常生活中的私人领域。将康复经历与工作环境联系起来更具挑战性,参与者会感到沮丧和被孤立。

结论

尽管参与者描述了康复经历与日常生活的私人领域之间的建设性联系,但他们大多未能体验到有助于积极重返工作岗位的联系。在康复过程中重返工作岗位时,建议提供实际的工作相关活动;在参与者与工作场所之间进行建设性对话时提供支持;并在实际康复期结束后的随访中继续提供支持。

对康复的启示

针对压力相关健康问题的康复需要关注日常生活中的私人领域和工作环境。创造性的活动可以使参与者在头脑中体验到联系,并将联系目标指向日常生活中的私人领域。在康复期间,需要彻底讨论工作环境,以使参与者在重返工作岗位的过程中得到支持。包括实际工作相关活动的康复、在参与者和工作场所经理之间进行建设性对话的支持、以及针对工作场所的后续支持,可能有助于成功重返工作岗位。

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