Soeker Mogammad Shaheed, Jainodien Ayesha
Occupational Therapy Department, University of the Western Cape, Cape Town, South Africa.
Occup Ther Int. 2025 Jan 4;2025:9914578. doi: 10.1155/oti/9914578. eCollection 2025.
Individuals diagnosed with tuberculosis (TB) and multidrug-resistant (MDR) TB may struggle to return to work after they have completed a rehabilitation program. Multidrug-resistant tuberculosis (MDRTB) has been seen as a condition that is resistant to treatment, hence causing individuals to be economically in-active for considerable periods of time. The aim of the current study was to explore the views of individuals living with MDRTB, individuals with TB, and health professionals treating individuals with TB and MDRTB about the development of a vocational rehabilitation program. The researchers used an exploratory descriptive research design, and semistructured interviews were conducted with five key informants and four participants who were diagnosed with pulmonary tuberculosis (PTB) and MDRTB. Thematic analysis was used in order to analyse the study findings. The current study is the second of two articles. The first article focused on barriers and facilitators linked to returning to work for individuals living with TB and MDRTB. The current article focuses on the development of a vocational rehabilitation program. The findings of the original study revealed five themes; however, for the purpose of this article, only two themes will be presented, namely, Theme 1: promoting a holistic model and Theme 2: the use of resources for activity engagement. The latter theme contributed to the participant's view of the development of a vocational rehabilitation program. The study provided a description of the components of a vocational rehabilitation program that has been adapted from the Model of Occupational Self-Efficacy (MOOSE). The above program has been designed for individuals diagnosed with PTB/MDRTB and has the potential to assist them in returning to work. It is suggested that vocational rehabilitation programs be incorporated into general medical programs that focus on improving the functioning of individuals diagnosed with PTB/MDRTB.
被诊断患有结核病（TB）和耐多药结核病（MDR）的患者在完成康复计划后可能难以重返工作岗位。耐多药结核病（MDRTB）被视为一种难以治疗的疾病，这使得患者在相当长的一段时间内无法从事经济活动。本研究的目的是探讨耐多药结核病患者、结核病患者以及治疗结核病和耐多药结核病患者的医护人员对职业康复计划制定的看法。研究人员采用探索性描述性研究设计，对五名关键信息提供者以及四名被诊断患有肺结核（PTB）和耐多药结核病的参与者进行了半结构化访谈。采用主题分析法对研究结果进行分析。本研究是两篇文章中的第二篇。第一篇文章聚焦于与结核病和耐多药结核病患者重返工作相关的障碍和促进因素。本文聚焦于职业康复计划的制定。原研究的结果揭示了五个主题；然而，出于本文的目的，仅呈现两个主题，即主题1：推广整体模式和主题2：利用资源参与活动。后一个主题有助于参与者对职业康复计划制定的看法。该研究描述了一个根据职业自我效能模型（MOOSE）改编的职业康复计划的组成部分。上述计划是为被诊断患有肺结核/耐多药结核病的患者设计的，有潜力帮助他们重返工作岗位。建议将职业康复计划纳入专注于改善被诊断患有肺结核/耐多药结核病患者功能的一般医疗计划中。
