Matérne Marie, Lundqvist Lars-Olov, Strandberg Thomas
University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden.
Work. 2017;56(1):125-134. doi: 10.3233/WOR-162468.
Many people who suffer an acquired brain injury (ABI) are of working age. There are benefits, for the patient, the workplace, and society, to finding factors that facilitate successful return to work (RTW).
The aim was to increase knowledge of opportunities and barriers for a successful RTW in patients with ABI.
Five men and five women with ABI participated. All had successfully returned to work at least 20 hours a week. Their experiences were gathered by semi-structured interviews, which were subsequently subjected to qualitative content analysis.
Three themes that influenced RTW were identified: individually adapted rehabilitation; motivation for RTW; and cognitive and social abilities. An individually adapted rehabilitation was judged important because the patients were involved in their own rehabilitation and required individually adapted support from rehabilitation specialists, employers, and colleagues. A moderate level of motivation for RTW was needed. Awareness of the person's cognitive and social abilities is essential, in finding compensatory strategies and adaptations.
It seems that the vocational rehabilitation process is a balancing act in individualized planning and support, as a partnership with the employer needs to be developed, motivation needs to be generated, and awareness built of abilities that facilitate or hinder RTW.
许多遭受后天性脑损伤（ABI）的人处于工作年龄。找到有助于成功重返工作岗位（RTW）的因素，对患者、工作场所和社会都有益处。
旨在增加对ABI患者成功RTW的机会和障碍的了解。
五名患有ABI的男性和五名患有ABI的女性参与其中。所有人都已成功重返工作岗位，每周至少工作20小时。通过半结构化访谈收集他们的经历，随后对访谈内容进行定性分析。
确定了影响RTW的三个主题：个性化康复；RTW的动机；认知和社交能力。个性化康复被认为很重要，因为患者参与自身康复，需要康复专家、雇主和同事提供个性化支持。需要适度的RTW动机。了解个人的认知和社交能力对于找到补偿策略和适应方法至关重要。
职业康复过程似乎是一个在个性化规划和支持方面的平衡行为，因为需要与雇主建立伙伴关系，激发动机，并提高对促进或阻碍RTW的能力的认识。
