Wilbanks Susan R, Ivankova Nataliya V
Department of Physical Therapy-Rehabilitation Science, University of Alabama at Birmingham (UAB) , Birmingham, AL , USA and.
Disabil Rehabil. 2015;37(9):739-49. doi: 10.3109/09638288.2014.938177. Epub 2014 Jul 8.
Return-to-work (RTW) rates after spinal cord injury (SCI) in the USA are very low and are continuing to decline. Previous research has attempted to identify factors facilitating RTW; however, the phenomenon of RTW involves many personal factors and predicting RTW success remains difficult.
The purpose of this pilot study was to explore the factors facilitating adults with SCI rejoining the workforce in an urban area in order to identify items that may be emphasized in the rehabilitation process.
The study was completed using qualitative methods. Four adults who had acquired a traumatic SCI in adulthood and were currently employed participated. Their experiences in RTW after injury were collected via semi-structured interviews and photography of assistive devices.
The most common facilitating factor was motivation, with family and rehabilitation professionals serving as extrinsic motivators. Other facilitators were resources and perceived benefits.
Motivation and resources were important facilitators, including rehabilitation professional's personal influence and therapies, and resource assistance from state agencies. The results indicate that practitioners can play an important role in influencing RTW, and resources from state agencies are helpful when individuals know how to access and utilize them.
Assistive technology supports successful return to work after SCI. Motivation strongly influences return to work after SCI and can be influenced by rehabilitation professionals, family and community members. Patients should be well informed about how to access assistance programs such as vocational rehabilitation.
在美国，脊髓损伤（SCI）后的重返工作岗位（RTW）率非常低且仍在持续下降。先前的研究试图确定促进RTW的因素；然而，RTW现象涉及许多个人因素，预测RTW成功仍然很困难。
这项初步研究的目的是探索促进成年SCI患者在城市地区重新就业的因素，以便确定在康复过程中可能需要强调的项目。
该研究采用定性方法完成。四名成年后获得创伤性SCI且目前已就业的成年人参与了研究。通过半结构化访谈和辅助设备摄影收集了他们受伤后RTW的经历。
最常见的促进因素是动机，家庭和康复专业人员作为外部激励因素。其他促进因素是资源和感知到的益处。
动机和资源是重要的促进因素，包括康复专业人员的个人影响和治疗，以及国家机构的资源援助。结果表明，从业者在影响RTW方面可以发挥重要作用，当个人知道如何获取和利用国家机构的资源时，这些资源会有所帮助。
辅助技术支持SCI后成功重返工作岗位。动机对SCI后重返工作岗位有强烈影响，并且可能受到康复专业人员、家庭和社区成员的影响。应让患者充分了解如何获得诸如职业康复等援助计划。
