Barriers That Obstruct Return to Work After Coronary Bypass Surgery: A Qualitative Study

Autor: Michiel F. Reneman, Frederik Keus, Willem Dieperink, Iwan C. C. van der Horst, Fredrike Blokzijl, Massimo A. Mariani, Marisa Onrust, Wolter Paans
Přispěvatelé: RS: Carim - V04 Surgical intervention, Intensive Care, MUMC+: MA Medische Staf IC (9), MUMC+: MA Intensive Care (3), Nursing Diagnostics, Critical Care, Critical care, Anesthesiology, Peri-operative and Emergency medicine (CAPE), Cardiovascular Centre (CVC), Extremities Pain and Disability (EXPAND)
Rok vydání: 2020
Předmět:
Zdroj: Journal of Occupational Rehabilitation
Journal of Occupational Rehabilitation, 31(2), 316-322. Springer
Journal of Occupational Rehabilitation. Kluwer
Journal of Occupational Rehabilitation, 31. SPRINGER/PLENUM PUBLISHERS
ISSN: 1573-3688
1053-0487
Popis: Purpose Coronary artery bypass grafting is the most frequently performed cardiac surgical procedure. Despite its benefits on survival and quality of life, it is associated with a considerable financial burden on society including sick leave. Our study aimed to explore the barriers that obstruct return to work after coronary artery bypass grafting. Methods We performed a qualitative study with in-depth interviewing of patients 6 months after their surgery. We included ten working patients and interviewed them and their spouses at home. The interviews were transcribed and two investigators independently searched the transcriptions for barriers that had obstructed return to work. Results Based on the interviews we were able to distinguish four main groups of barriers: ‘personal’, ‘healthcare’, ‘work’ and ‘law & regulation.’ The personal barriers were subgrouped in affective, physical, cognitive, social and individually determined factors. Conclusion In a qualitative study we showed that personal barriers as well as barriers regarding healthcare, work and law & regulation, were perceived by patients as important factors obstructing return to work after coronary artery bypass grafting. To overcome the identified barriers, the process of return to work could preferably be initiated during the hospital phase, started during cardiac rehabilitation, and coordinated by a case-managing professional. Electronic supplementary material The online version of this article (10.1007/s10926-020-09919-6) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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