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促进残疾后继续工作:支持工人采用预防行为的职业康复策略的范围综述。

Fostering Stay at Work After a Period of Disability: A Scoping Review of Occupational Rehabilitation Strategies to Support Workers in the Adoption of Preventive Behaviours.

机构信息

Département d'ergothérapie, Université du Québec à Trois-Rivières, 555 Boul de l'Université, Drummondville, Québec, J2C 0R5, Canada.

Centre interdisciplinaire de recherche en réadaptation et intégration sociale, Quebec, Canada.

出版信息

J Occup Rehabil. 2024 Mar;34(1):56-70. doi: 10.1007/s10926-023-10122-6. Epub 2023 Jun 26.

DOI:10.1007/s10926-023-10122-6
PMID:37358726
Abstract

PURPOSE

Based on the theoretical framework of the Model of Preventive Behaviours at Work, the aim of this study was to describe the the occupational rehabilitation strategies the literature reports that support workers who have suffered an occupational injury in adopting preventive behaviours.

METHODS

To conduct this scoping review, we used a systematic methodology in 7 steps : (1) definition of the research question and inclusion/exclusion criteria; (2) scientific and gray literature search; (3) determination of manuscripts' eligibility; (4) extraction and charting of information; (5) quality assessment; (6) interpretation; and (7) knowledge synthesis.

RESULTS

We selected 46 manuscripts of various types (e.g. randomized trials, qualitative studies, governmental documents). Manuscripts were mainly of good or high quality according to our quality assessment. The strategies for coaching, engaging, educating and collaborating were mostly reported in the literature to support the development of the six preventive behaviours during occupational rehabilitation. The results also suggest that heterogeneity exists regarding the specificity of the strategies reported in the literature, which may have hindered our ability to provide rich and detailed descriptions. Literature also mainly describes individually oriented behaviours and reports strategies requiring a low level of worker involvement, which represent issues to adress in future researh projects.

CONCLUSION

The strategies described in this article reprensent concrete levers that occupational rehabilitation professionals can use to support workers in the adoption of preventive behaviours at work on return from having suffered an occupational injury.

摘要

目的

基于工作场所预防行为模型的理论框架,本研究旨在描述文献中报告的支持职业伤害康复者采取预防行为的职业康复策略。

方法

为了进行本次范围综述,我们采用了 7 个步骤的系统方法:(1)定义研究问题和纳入/排除标准;(2)科学和灰色文献检索;(3)确定手稿的资格;(4)提取和图表信息;(5)质量评估;(6)解释;(7)知识综合。

结果

我们选择了 46 篇不同类型的手稿(例如随机试验、定性研究、政府文件)。根据我们的质量评估,手稿主要是高质量或高可信度的。在职业康复期间支持发展六种预防行为的文献中主要报道了辅导、参与、教育和合作等策略。结果还表明,文献中报告的策略的特异性存在异质性,这可能妨碍了我们提供丰富和详细描述的能力。文献还主要描述了面向个体的行为,并报告了需要工人低参与度的策略,这是未来研究项目中需要解决的问题。

结论

本文描述的策略代表了职业康复专业人员可以用来支持职业伤害康复者在返回工作岗位后采取预防行为的具体手段。

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A logic model for a self-management program designed to help workers with persistent and disabling low back pain stay at work.一个旨在帮助患有持续且致残性下腰痛的工人继续工作的自我管理计划的逻辑模型。
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Scientific, professional and experiential validation of the model of preventive behaviours at work: protocol of a modified Delphi Study.
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