Bethge M, Peters E, Michel E, Radoschewski F M, Spanier K
Institut für Sozialmedizin und Epidemiologie, Universität zu Lübeck.
Institut für Medizinische Soziologie und Rehabilitationswissenschaft, Bereich Rehabilitationsforschung, Charité - Universitätsmedizin Berlin.
Rehabilitation (Stuttg). 2016 Dec;55(6):341-347. doi: 10.1055/s-0042-119631. Epub 2016 Dec 6.
Analyses of motivational and volitional determinants of applying for psychosomatic rehabilitation Determinants of a rehabilitation request were assessed by a questionnaire in 2013. Applications for psychosomatic rehabilitation measures until the end of 2014 were extracted from administrative data records. Included were employees with mental disorders. Only 55 of 974 persons requested a rehabilitation measure. The intention to apply for a rehabilitation measure was strongest determined by self-efficacy and family and professional support. Planning was explained by intention and to a lesser extent by family and physician support. Persons with higher planning scores were more likely to apply for a rehabilitation measure. Physician support also increased the likelihood of a rehabilitation request. The analyses identified determinants of rehabilitation claims that are modifiable. This gives opportunities to support rehabilitation claims. However, the contribution of these factors to explain rehabilitation requests is only limited.
申请身心康复的动机和意志决定因素分析 2013年通过问卷调查评估了康复申请的决定因素。从行政数据记录中提取了截至2014年底的身心康复措施申请。纳入对象为患有精神障碍的员工。974人中只有55人申请了康复措施。申请康复措施的意愿最强烈地取决于自我效能感以及家庭和职业支持。计划制定由意愿决定，在较小程度上由家庭和医生支持决定。计划得分较高的人更有可能申请康复措施。医生的支持也增加了提出康复申请的可能性。分析确定了可改变的康复申请决定因素。这为支持康复申请提供了机会。然而，这些因素对解释康复申请的贡献有限。
