Tran Thuy, Keesing Sharon, Harris Courtenay, Ciccarelli Marina
Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia.
Hand Works Occupational Therapy, Perth, Western Australia, Australia.
Aust Occup Ther J. 2023 Apr;70(2):233-245. doi: 10.1111/1440-1630.12851. Epub 2022 Nov 11.
Lateral elbow tendinopathy (LET) is one of the most prevalent work-related musculoskeletal conditions. Current treatments for LET focus mainly on the physiological symptoms of pain, grip strength, and function. Recently, a novel workplace-based hand therapy educational intervention, Working Hands-ED, was developed based on the Person-Environment-Occupation- Performance model, International Classification of Functioning, Disability and Health framework and the Australian Clinical Framework for the Delivery of Health Services. Combining a hand therapist's specialised knowledge and skills in upper limb rehabilitation with an approach that considers injured workers' occupations and work environments may provide a more holistic approach to managing work-related LET. To the best of our knowledge, no previous studies have investigated the experiences of hand therapists who perform workplace-based educational interventions for the management of LET.
An exploratory, descriptive qualitative design using semi-structured interviews was used with hand therapists who delivered the novel hand therapy intervention Working Hands-ED.
Ten occupational therapists working in hand therapy were interviewed. Three main themes and eight subthemes were identified from interview data: Person-centred approach, opportunity for therapists to provide enhanced service, and improved stakeholder engagement in the return-to-work process. Logistical challenges such as the costs and time spent away from the clinical setting were identified.
All hand therapists reported delivering Working Hands-ED when managing work-related LET was a positive experience for them. They believed that the novel intervention could provide a more holistic approach to care that added value to their service delivery; however, there were some logistical factors to consider including the additional time and costs associated with the intervention.
外侧肘肌腱病（LET）是最常见的与工作相关的肌肉骨骼疾病之一。目前针对LET的治疗主要集中在疼痛、握力和功能等生理症状上。最近，基于人-环境-职业-表现模型、国际功能、残疾和健康分类框架以及澳大利亚卫生服务提供临床框架，开发了一种新型的基于工作场所的手部治疗教育干预措施——工作之手-ED。将手部治疗师在上肢康复方面的专业知识和技能与一种考虑受伤工人职业和工作环境的方法相结合，可能会为管理与工作相关的LET提供一种更全面的方法。据我们所知，以前没有研究调查过为管理LET而进行基于工作场所教育干预的手部治疗师的经历。
采用探索性、描述性定性设计，对提供新型手部治疗干预措施工作之手-ED的手部治疗师进行半结构化访谈。
对10名从事手部治疗的职业治疗师进行了访谈。从访谈数据中确定了三个主要主题和八个子主题：以患者为中心的方法、治疗师提供强化服务的机会以及利益相关者在重返工作过程中的参与度提高。还确定了一些后勤挑战，如成本和离开临床环境所花费的时间。
所有手部治疗师都报告说，在管理与工作相关的LET时提供工作之手-ED对他们来说是一次积极的经历。他们认为，这种新型干预措施可以提供一种更全面的护理方法，为他们的服务增加价值；然而，有一些后勤因素需要考虑，包括与干预相关的额外时间和成本。
