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手臂振动综合征:工人在功能损伤和残疾方面的经历。

Hand-arm vibration syndrome: Workers' experience with functional impairment and disability.

作者信息

Handford Midori, Lepine Kiera, Boccia Kristina, Ruddick Francesca, Alyeksyeyeva Darya, Thompson Aaron, Holness D Linn, Switzer-McIntyre Sharon

机构信息

Department of Physical Therapy, Faculty of Medicine, University of Toronto, Rehabilitation Sciences Centre, Toronto, Ontario, Canada.

Department of Physical Therapy, Faculty of Medicine, University of Toronto, Rehabilitation Sciences Centre, Toronto, Ontario, Canada.

出版信息

J Hand Ther. 2017 Oct-Dec;30(4):491-499. doi: 10.1016/j.jht.2016.10.010. Epub 2017 Mar 21.

Abstract

STUDY DESIGN

Qualitative and descriptive study.

INTRODUCTION

Hand-arm vibration syndrome (HAVS) is a prevalent disease in Canada. There is little work on the perspectives of HAVS patients.

PURPOSE OF THE STUDY

Explore perceptions of disability and functional compromise in patients with HAVS.

METHODS

Semi-structured telephone interviews were conducted with HAVS patients and analysed using content analysis.

RESULTS

The 11 participants reported numbness, pain, and reduced dexterity, strength, and sensation. Participants noted that HAVS was an inevitable aspect of their work. They indicated frustration with their condition and viewed it as a disability. To overcome impairments risky strategies are often used. Participants reported lack of support to manage symptoms and overcome work disability.

DISCUSSION

HAVS related impairment is disabling. Workers require improved resources and support to address symptom management and safe strategies to minimize work disability.

CONCLUSION

HAVS patients experience functional, social, emotional, and psychological disability.

LEVEL OF EVIDENCE

Not applicable.

摘要

研究设计

定性与描述性研究。

引言

手臂振动综合征(HAVS)在加拿大是一种常见疾病。关于HAVS患者观点的研究较少。

研究目的

探究HAVS患者对残疾和功能损害的认知。

方法

对HAVS患者进行半结构化电话访谈,并采用内容分析法进行分析。

结果

11名参与者报告了麻木、疼痛以及灵活性、力量和感觉的下降。参与者指出HAVS是其工作中不可避免的一部分。他们对自己的病情表示沮丧,并将其视为一种残疾。为克服损伤,他们经常采用有风险的策略。参与者报告称缺乏管理症状和克服工作残疾的支持。

讨论

与HAVS相关的损伤会导致残疾。工人需要更好的资源和支持来管理症状,并采取安全策略以尽量减少工作残疾。

结论

HAVS患者经历功能、社会、情感和心理残疾。

证据水平

不适用。

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