Lamble Melissa, Seto Vanessa, Ye Zi, Couture Charlotte, de Oliveira Ana, Calva Valerie, Couture Marie-Andrée, Poulin Chantal, LaSalle Léo, Nedelec Bernadette
School of Physical and Occupational Therapy, McGill University, Montréal, Canada.
Centre de recherché, Center hospitalier de l'Université de Montréal (CRCHUM), Canada.
J Burn Care Res. 2019 Oct 16;40(6):846-856. doi: 10.1093/jbcr/irz100.
Returning to work can be challenging for burn survivors. Approximately 28% never return to any form of employment, resulting in lower health-related quality of life. Open communication has been identified as a facilitator for return to work (RTW). To ease the RTW process and promote communication with coworkers and employers a knowledge translation (KT) intervention was developed for burn survivors. Following its implementation, the impact on the RTW process was evaluated. This study was a cross-sectional, mixed methods study where burn survivors included in the KT intervention were compared with a control group. Control group participants were selectively invited so that the two groups' mean age, sex, and percent total body surface area burned were similar. Semistructured interviews gathered information about their RTW process and outcomes. Qualitative data were analyzed through thematic analysis and quantitative data were summarized and compared using Mann-Whitney tests. Overall, both groups were satisfied with their RTW process. Participants from the control group identified more barriers related to support received, particularly at work, and reported more psychological symptoms such as posttraumatic stress disorder, self-consciousness, and discomfort with questions. Many participants from the KT group indicated the KT intervention gave them tools and information to provide others with a better understanding of their lived experience. It is possible that the KT intervention facilitated more open communication by empowering burn survivors to explain their situation on their own, thus reducing the prevalence of social and psychological barriers by allowing them to self-advocate for more support.
重返工作岗位对烧伤幸存者来说可能具有挑战性。约28%的人再也无法回归任何形式的工作,这导致与健康相关的生活质量下降。开放沟通已被视为促进重返工作岗位(RTW)的一个因素。为了简化重返工作流程并促进与同事和雇主的沟通,为烧伤幸存者开发了一种知识转化(KT)干预措施。在实施该措施后,评估了其对重返工作流程的影响。本研究是一项横断面混合方法研究,将纳入KT干预措施的烧伤幸存者与一个对照组进行比较。对照组参与者是经过选择性邀请的,以便两组的平均年龄、性别和全身烧伤总面积百分比相似。半结构化访谈收集了有关他们重返工作流程和结果的信息。定性数据通过主题分析进行分析,定量数据使用曼-惠特尼检验进行汇总和比较。总体而言,两组对他们的重返工作流程都感到满意。对照组的参与者发现了更多与所获得的支持相关的障碍,尤其是在工作方面,并且报告了更多的心理症状,如创伤后应激障碍、自我意识以及对问题感到不适。KT组的许多参与者表示,KT干预措施给了他们工具和信息,以便让其他人更好地理解他们的生活经历。KT干预措施有可能通过使烧伤幸存者能够自行解释自己的情况来促进更开放的沟通,从而通过让他们自我倡导获得更多支持来降低社会和心理障碍的发生率。