Mohammed Jaleel, Gonzales Anne, Bakhsh Hadeel R, Georgievna Volkova Alisa, Rai Jayanti, Kancharla Bindu, Hashmi Shahrukh K
Lincolnshire Community Health Services NHS Trust, Lincoln LN5 7JH, UK.
Rehabilitation Association for Hematopoietic Cell Transplantation, Gloucester, UK.
Occup Ther Int. 2021 Jul 6;2021:5568513. doi: 10.1155/2021/5568513. eCollection 2021.
The current paper seeks to inform healthcare professionals on how adapting various components of return to work (RTW) programs that are already in use by other musculoskeletal rehabilitation settings can help optimize return to work process for patients with or without musculoskeletal manifestations, posthematopoietic cell transplantation. Since there is no universally agreed RTW structure for hematopoietic cell transplant patients, a narrative approach has been taken utilizing evidence from the existing musculoskeletal return to work assessment publications to help draw parallel for the hematopoietic cell transplant patients. Databases were searched including PUBMED, CINHAL, AMED, SCOPUS, and Cochrane using keywords RTW, functional restoration program, hematopoietic cell transplant, bone marrow transplant, stem cell transplant, and musculoskeletal functional assessment. The authors have managed to outline and propose a structured RTW assessment and monitoring program which can aid in getting patients back to employment by utilizing the functional capacity and job evaluation to help hematopoietic cell transplantation patients reintegrate socially. Patients undergoing hematopoietic cell transplant require additional support and a robust assessment system to allow safe RTW. The proposed model of RTW assessment can prove to be beneficial in helping patients return to work safely. . To acknowledge the individuality in functional limitation is important in determining not only the rehab needs but also the RTW capabilities. The proposed RTW plan not only promotes an individualized approach to patients but also provides a structure for return to work assessments for hematopoietic cell transplantation patients, thus, eliminating the need for guess work by healthcare professionals. In line with the International Classification of Functioning, Disability, and Health (ICF) recommendations, a RTW assessment combined with a job evaluation helps healthcare professionals and stakeholders to understand the unique challenges and strengths of a patient and thereby design an individualized therapy approach.
本文旨在告知医疗保健专业人员，如何调整其他肌肉骨骼康复机构已经在使用的重返工作岗位（RTW）计划的各个组成部分，以帮助优化造血干细胞移植后有或没有肌肉骨骼表现的患者的重返工作流程。由于目前尚无针对造血干细胞移植患者的普遍认可的RTW结构，因此采用了叙述性方法，利用现有肌肉骨骼重返工作岗位评估出版物中的证据，来帮助为造血干细胞移植患者找出相似之处。使用关键词RTW、功能恢复计划、造血干细胞移植、骨髓移植、干细胞移植和肌肉骨骼功能评估，对包括PUBMED、CINHAL、AMED、SCOPUS和Cochrane在内的数据库进行了检索。作者成功概述并提出了一个结构化的RTW评估和监测计划，该计划可以通过利用功能能力和工作评估来帮助造血干细胞移植患者重新融入社会，从而帮助患者重返工作岗位。接受造血干细胞移植的患者需要额外的支持和强大的评估系统，以确保安全地重返工作岗位。所提出的RTW评估模型在帮助患者安全重返工作岗位方面可能被证明是有益的。认识到功能限制的个体差异不仅对于确定康复需求而且对于确定重返工作岗位的能力都很重要。所提出的RTW计划不仅促进了针对患者的个性化方法，而且为造血干细胞移植患者的重返工作岗位评估提供了一个框架，从而消除了医疗保健专业人员的猜测工作。根据国际功能、残疾和健康分类（ICF）的建议，RTW评估与工作评估相结合有助于医疗保健专业人员和利益相关者了解患者的独特挑战和优势，从而设计个性化的治疗方法。
