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支持关节炎患者在整个生命周期中的就业:一项定性研究。

Supporting Arthritis and Employment Across the Life Course: A Qualitative Study.

机构信息

Institute for Work and Health, Toronto, Ontario, Canada, McMaster University, Hamilton, Ontario, Canada, and Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

Institute for Work and Health and Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

出版信息

Arthritis Care Res (Hoboken). 2018 Oct;70(10):1461-1468. doi: 10.1002/acr.23523.

Abstract

OBJECTIVE

To examine the need for and availability and use of formal and informal workplace resources and to uncover differences across the life course in adults with arthritis.

METHODS

Focus groups and interviews were conducted with young (aged 18-34 years; n = 7), middle-aged (35-54 years; n = 13), and older adults (≥55 years; n = 25) with a diagnosis of inflammatory arthritis, osteoarthritis, or other rheumatic disease. Participants were asked about their employment experiences, formal and informal workplace resource needs, and availability and use of workplace resources. Differences based on chronological, functional, psychosocial, organizational, and lifespan dimensions of age were examined. A modified grounded theory approach was used to inductively analyze the data.

RESULTS

Young, middle-aged, and older adult participants required similar workplace resources. Across all participants, scheduling modifications tended to be the most needed workplace resource. In contrast, the perceived availability and use of formal workplace resources differed among participants. Young adult participants and those who were newer to their jobs reported that workplace resources were less available and utilized. Middle-aged and older adults reported greater availability of workplace resources. Scheduling accommodations and at-work modifications were the workplace resources that were used most by middle-aged and older adults, respectively.

CONCLUSION

Similar workplace resources could meet the employment needs of individuals with arthritis across the life course. Attention should be paid to young adults and those who are new to their jobs, because they may perceive more barriers to accessing formal workplace resources and be susceptible to work disability.

摘要

目的

研究关节炎患者在整个生命周期中对正式和非正式工作场所资源的需求、可及性和使用情况,并揭示不同年龄段之间的差异。

方法

对年轻(18-34 岁;n=7)、中年(35-54 岁;n=13)和老年(≥55 岁;n=25)确诊为炎症性关节炎、骨关节炎或其他风湿性疾病的成年人进行了焦点小组和访谈。参与者被问及他们的工作经历、正式和非正式工作场所资源需求以及工作场所资源的可及性和使用情况。根据年龄的时间、功能、心理社会、组织和寿命维度,研究了差异。采用改良的扎根理论方法对数据进行了归纳分析。

结果

年轻、中年和老年参与者需要类似的工作场所资源。在所有参与者中,调整工作时间往往是最需要的工作场所资源。相比之下,正式工作场所资源的可及性和使用情况在参与者之间存在差异。年轻的成年参与者和那些刚入职的参与者报告说,工作场所资源的可用性和使用率较低。中年和老年参与者报告了更多的工作场所资源可用性。工作时间调整和工作场所调整分别是中年和老年参与者使用最多的工作场所资源。

结论

相似的工作场所资源可以满足关节炎患者在整个生命周期中的就业需求。应关注年轻成年人和刚入职的成年人,因为他们可能认为获得正式工作场所资源的障碍更多,并且容易出现工作残疾。

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