Gavin James P, Kettlewell Jade, Elliott Abigail O, Ammour Sandra, Wareham Peter
School of Health Sciences, University of Southampton, Southampton, Hampshire, UK.
School of Social Sciences, University of Nottingham, Nottingham, UK.
Br J Occup Ther. 2022 Dec;85(12):974-983. doi: 10.1177/03080226221107772. Epub 2022 Jun 20.
Following traumatic injury, occupational therapists (OTs) are pivotal in supporting people to return-to-work (RTW) and regain independence. Aim: to identify priorities for RTW after traumatic injury and highlight barriers hindering the process.
We recruited 17 participants with direct (i.e. trauma survivor [ = 11]; OT trauma survivor [ = 2]) or indirect (i.e. OT [ = 4]) experience of returning to work following traumatic injury. Online consultations, lasting 60 min, were guided by a semi-structured script ensuring relevant topics were covered. An inductive approach was used for coding themes using thematic analysis.
Sense of purpose, identity and social interaction were greater priorities for RTW, than financial stability. Major barriers were: pain and fatigue; adapting to physical changes; impacts on mental health; and lack of support (healthcare and the workplace). Participants (public and healthcare professionals) reported a lack of vocational rehabilitation in supporting trauma survivors RTW, but advocated occupational therapy for psychological recovery; purposeful engagement in occupations; and community support.
Restoring an individual's self-identity and social connections, whilst helping control pain and fatigue, should be prioritised when planning occupational therapy for those returning to work after traumatic injury. This study was limited to 'returners', but can inform occupational therapy interventions for RTW.
在创伤性损伤后，职业治疗师对于帮助人们重返工作岗位并重新获得独立起着关键作用。目的：确定创伤性损伤后重返工作岗位的优先事项，并突出阻碍这一过程的障碍。
我们招募了17名有直接（即创伤幸存者[=11]；职业治疗师创伤幸存者[=2]）或间接（即职业治疗师[=4]）创伤性损伤后重返工作经历的参与者。在线咨询持续60分钟，由半结构化脚本指导，确保涵盖相关主题。采用归纳法，使用主题分析对主题进行编码。
对于重返工作岗位而言，目标感、身份认同和社交互动比经济稳定更为重要。主要障碍包括：疼痛和疲劳；适应身体变化；对心理健康的影响；以及缺乏支持（医疗保健和工作场所）。参与者（公众和医疗保健专业人员）报告称，在支持创伤幸存者重返工作岗位方面缺乏职业康复，但主张采用职业治疗来促进心理恢复；有目的地参与职业活动；以及社区支持。
在为创伤性损伤后重返工作岗位的人规划职业治疗时，应优先恢复个人的自我认同和社会联系，同时帮助控制疼痛和疲劳。本研究仅限于“重返者”，但可为重返工作岗位的职业治疗干预提供参考。
