Johansson E E, Hamberg K, Lindgren G, Westman G
Department of Family Medicine, Umeå University, Sweden.
Scand J Prim Health Care. 1997 Dec;15(4):169-74. doi: 10.3109/02813439709035022.
To explore the meaning of working life for a group of women sick-listed because of undefined, musculoskeletal pain disorders.
Repeated thematic interviews, analysed qualitatively according to grounded theory.
Twenty female patients, impaired by biomedically undefined pain and musculoskeletal disorders, were successively recruited at an urban primary health care centre in northern Sweden.
There were discrepancies between work aspirations and work experiences concerning economic maintenance, social interaction, and personal recognition. The women had low-income jobs in fields threatened by redundancy, such as cleaning, care, and service. Family considerations had a strong impact on organization and priorities in paid work. In a situation of pain and sick leave, family orientation strengthened and work aspirations declined. Social and personal recognition was sought in the unpaid duties at home, and economic refuge in 'the state as supporter'.
To understand women with undefined musculoskeletal pain as patients, we must also understand their aspirations and experiences as workers, mothers, and spouses. 'Family considerations', 'diminishing paid work', and 'the state as supporter' are important concepts for understanding the women's sick role process.
探讨因不明原因的肌肉骨骼疼痛障碍而被列入病假名单的一群女性的工作生活意义。
反复进行主题访谈，根据扎根理论进行定性分析。
在瑞典北部一个城市的初级卫生保健中心，陆续招募了20名因生物医学上不明原因的疼痛和肌肉骨骼疾病而受损的女性患者。
在经济维持、社会交往和个人认可方面，工作期望与工作经历之间存在差异。这些女性从事清洁、护理和服务等受裁员威胁领域的低收入工作。家庭因素对有偿工作的组织和优先级有很大影响。在疼痛和病假的情况下，家庭导向增强，工作期望下降。在家庭的无偿职责中寻求社会和个人认可，在“国家作为支持者”中寻求经济庇护。
要将患有不明原因肌肉骨骼疼痛的女性理解为患者，我们还必须理解她们作为工人、母亲和配偶的期望和经历。“家庭因素”、“有偿工作减少”和“国家作为支持者”是理解女性患病角色过程的重要概念。
