Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Research and Development Department, Rijndam Rehabilitation, Rotterdam, The Netherlands.
Pain Pract. 2020 Jun;20(5):491-500. doi: 10.1111/papr.12876. Epub 2020 Mar 4.
Adolescents with chronic musculoskeletal pain face different impairments in daily life. After an inpatient pain rehabilitation program, adolescents function better on several domains. The aim of this study was to explore the long-term work participation of adults who followed inpatient pain rehabilitation during adolescence because of chronic musculoskeletal pain and to identify potential facilitators and barriers regarding work in later life.
A mixed-methods study with standardized questionnaires and semi-structured interviews. The questionnaires measured pain, disability, work status, and the quality and quantity of the work. The interviews contained questions about work participation. Potential participants were all patients who had participated in an inpatient pain rehabilitation program 15 to 20 years previously. Analyses were performed by thematic analysis. Using the Sherbrooke model as guidance, themes were classified into 4 systems: healthcare, workplace, legislative/insurance, and personal.
Fourteen patients consented to participate (12 females). Seventy-one percent of them had paid work. The mean self-reported quality of the work delivered was 9.6 (standard deviation = 0.5). Eighteen facilitators and 12 barriers regarding work participation later on in life were mentioned. The inpatient pain rehabilitation program was the most frequently mentioned facilitator (n = 5), while the personal system and coping-related factors were the most frequently mentioned barriers (n = 5).
Ten out of 14 participants are currently working, most of them despite experiencing pain. Several factors based on the 4 systems of the Sherbrooke model contribute as facilitators or barriers regarding current work participation. Pain rehabilitation is mostly regarded as a facilitator for work participation later on in life.
患有慢性肌肉骨骼疼痛的青少年在日常生活中面临着不同的障碍。在住院疼痛康复计划之后，青少年在多个领域的功能得到改善。本研究的目的是探讨青少年时期因慢性肌肉骨骼疼痛接受住院疼痛康复治疗后成年人的长期工作参与情况，并确定与以后生活中的工作相关的潜在促进因素和障碍。
采用混合方法研究，使用标准化问卷和半结构式访谈。问卷测量疼痛、残疾、工作状况以及工作的质量和数量。访谈包含有关工作参与的问题。潜在的参与者均为 15 至 20 年前参加过住院疼痛康复计划的患者。分析采用主题分析。使用谢布鲁克模型作为指导，将主题分为 4 个系统：医疗保健、工作场所、立法/保险和个人。
有 14 名患者同意参与（12 名女性）。其中 71%的人有带薪工作。自我报告的工作质量平均得分为 9.6（标准差=0.5）。提到了 18 个促进工作参与的因素和 12 个工作参与的障碍。住院疼痛康复计划是最常被提及的促进因素（n=5），而个人系统和与应对相关的因素是最常被提及的障碍（n=5）。
在 14 名参与者中有 10 人目前正在工作，尽管大多数人都在经历疼痛。基于谢布鲁克模型的 4 个系统的几个因素是工作参与的促进因素或障碍。疼痛康复大多被视为以后生活中工作参与的促进因素。
