Grossmann P, Wellpott P, Grossmann S, Ostermann H W
Abteilung Orthopädie/Rheumatologie, Klinik Porta Westfalica, Bad Oeynhausen.
Rehabilitation (Stuttg). 1998 May;37(2):68-77.
Perceptions about one's occupational future are regarded as the initial phase in an ongoing process of occupational resettlement towards achieving gainful activity. Actual gainful activity, however, tends to be increasingly dependent on a number of labour market variables. At the end of an orthopaedic rehabilitation measure, 341 patients with pain syndromes of the locomotor system were interviewed concerning their vocational perspectives and notions, and the data obtained were studied in association with anamnestic and psychosocial factors. It is assumed that both plain expectations (such as returning, or not returning, to work) and multi-layered statements alike (such as the dual message of returning and of not returning to work, at first glance incompatible) will frequently be masked in the interview. Distinct, differing patterns were nevertheless found for the various patient groups regarding pain description, pain course, subjective disablement by pain, subjective job burden, subjective well-being, rehab expectations, and judgement of therapy outcome. Similar differences were stated for the social situation, indicated inter alia by (in)capacity for work, or application for benefit award (severely disabled person status, invalidity pension). Pain drawings, pain severity scaling, differentiated description of various pain qualities, the Pain Disability Index, all emerged as useful and practical additional tools in elucidating these patterns.
对个人职业前景的认知被视为朝着实现有收益活动的职业重新安置这一持续过程的初始阶段。然而，实际的有收益活动往往越来越依赖于一些劳动力市场变量。在一项骨科康复措施结束时，对341名患有运动系统疼痛综合征的患者就其职业前景和观念进行了访谈，并将获得的数据与记忆和社会心理因素相关联进行研究。据推测，无论是单纯的期望（如是否重返工作岗位）还是多层次的表述（如乍一看相互矛盾的重返和不重返工作岗位的双重信息）在访谈中都常常会被掩盖。然而，对于不同患者群体，在疼痛描述、疼痛病程、疼痛导致的主观残疾、主观工作负担、主观幸福感、康复期望以及治疗结果判断等方面发现了明显不同的模式。在社会状况方面也存在类似差异，尤其体现在工作能力或申请福利津贴（重度残疾人身份、残疾抚恤金）方面。疼痛绘图、疼痛严重程度分级、对各种疼痛性质的差异化描述、疼痛残疾指数，都成为阐明这些模式的有用且实用的辅助工具。
