Liedberg Gunilla M, Björk Mathilda, Dragioti Elena, Turesson Christina
Pain and Rehabilitation Centre, Department of Health, Medicine and Caring Sciences, Linköping University, 58185 Linköping, Sweden.
Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Linköping University, 58183 Linköping, Sweden.
J Clin Med. 2021 Mar 17;10(6):1247. doi: 10.3390/jcm10061247.
Chronic musculoskeletal pain is a significant burden for employees, employers, and society. However, more knowledge is needed about which interventions reduce sick leave. Interventions were defined as the act or an instance of intervening, provided by different stakeholders. This review synthesizes the experiences of patients, employers, and health professionals concerning the interventions that influence returning to work and staying at work for persons with chronic musculoskeletal pain. A literature search was performed using several combinations of key terms. Overall, 18 qualitative studies published between 2002 and 2018 were included. Qualitative analysis assessed how much confidence could be placed in each review finding. Moderate evidence was found for factors improving the return to work process such as collaboration between stakeholders, including the persons with chronic musculoskeletal pain and support from all involved actors in the process. Moderate evidence was found for self-management strategies and workplace adjustments needed to facilitate more persons to returning to work and staying at work despite pain. This review provides stakeholders, employers, and health professionals' information that could be used to develop and implement interventions to increase the possibilities for persons with chronic musculoskeletal pain returning to work or staying at work.
慢性肌肉骨骼疼痛对员工、雇主和社会来说都是一项沉重的负担。然而，对于哪些干预措施能够减少病假，我们还需要了解更多。干预措施被定义为不同利益相关者所采取的干预行为或实例。本综述综合了患者、雇主和健康专业人员对于影响慢性肌肉骨骼疼痛患者重返工作岗位和继续工作的干预措施的经验。我们使用了几组关键词组合进行文献检索。总体而言，纳入了2002年至2018年间发表的18项定性研究。定性分析评估了对每项综述结果的置信程度。发现有中等证据支持改善重返工作流程的因素，例如利益相关者之间的合作，包括慢性肌肉骨骼疼痛患者以及该过程中所有相关行为者的支持。发现有中等证据支持自我管理策略和工作场所调整，以帮助更多人尽管疼痛仍能重返工作岗位并继续工作。本综述为利益相关者、雇主和健康专业人员提供了信息，可用于制定和实施干预措施，以增加慢性肌肉骨骼疼痛患者重返工作岗位或继续工作的可能性。
