作者: Guvnor Gard , Ann Christine Sandberg
DOI: 10.1002/PRI.129
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摘要: BACKGROUND AND PURPOSE: A new concept to increase return work for patients listed as sick with chronic musculoskeletal pain has been used at a rehabilitation centre in Lulea, Sweden. The programme includes three days week and intensive two week, 12 weeks, combination of 'on the job' training after period off sick. focused on reduction, identifying finding solutions problems actual life situations functional capacities needed situation. aim study was describe patients' perceptions motivating factors work. METHODS: phenomenological method used. naive reading interview notes followed by structural analyses reflections interpreted whole. Inclusion criteria were least one year four weeks' leave during that time. Ten patients, aged 30-54 years, participated study. An initial conceptual framework developed inform scope guide data collection analysis. RESULTS: Different influenced motivation Among division labour most important motivator, particularly ability do much colleagues, quantitatively qualitatively. All had jobs healthcare or service sectors, many social contacts. They perceived their task content being minor importance compared whether tasks meaningful highly others. wanted job which they could satisfactory way according own norms colleagues. This increased Relationships (in terms co-operation colleagues clients) Self-confidence factor work; be others, must done individual acceptable others group. Everyday responsibility, feedback support daily important. These aspects self-confidence. results supported development possible CONCLUSIONS: Structure, content, relationships, health self-confidence all (Less)