Factors associated with return to work following a hand injury: a qualitative/quantitative approach.

OBJECTIVES: To describe workers who returned to work after a hand injury and to analyze the factors associated with this outcome three years after discharge from rehabilitation. METHODS: An observational, cross-sectional study was carried out with triangulation of quantitative and qualitative method...

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Publicado en:Brazilian Journal of Physical Therapy Vol. 14; no. 2; pp. 149 - 158
Autores principales: Cabral LHA, Sampaio RF, Figueiredo IM, Mancini MC
Formato: algorithm research tables/charts Journal Article
Publicado: Elsevier B.V. mar/abr2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: mar/abr2010
      vid: 14
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      pub: Elsevier B.V.
      place: Philadelphia, Pennsylvania
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        atl: Factors associated with return to work following a hand injury: a qualitative/quantitative approach.
      aug:
        au:
          Cabral LHA
          Sampaio RF
          Figueiredo IM
          Mancini MC
      sug:
        subj:
          Hand Injuries
          Job Re-Entry
          Occupational-Related Injuries
          Adult
          Algorithms
          Cross Sectional Studies
          Descriptive Statistics
          Female
          Human
          Male
          Models, Theoretical
          Multivariate Analysis
          Nonexperimental Studies
          Predictive Value of Tests
          Qualitative Studies
          Quantitative Studies
          Random Sample
          Regression
          Semi-Structured Interview
          Adult: 19-44 years
          Female
          Male
      ab: OBJECTIVES: To describe workers who returned to work after a hand injury and to analyze the factors associated with this outcome three years after discharge from rehabilitation. METHODS: An observational, cross-sectional study was carried out with triangulation of quantitative and qualitative methods. The quantitative analysis used a database with sociodemographic, functional and clinical information on 35 individuals who were classified into two groups (return/no return to work). Multivariate analysis was conducted using the CART (Classification and Regression Tree) algorithm to assess the predictive value of four models, thereby identifying workers who had returned or not returned to work. Using the results from the statistical analysis, a semi-structured form was prepared for interviews, which were conducted with seven workers randomly selected from the sample. RESULTS: Out of the 35 workers who participated in this study, 30 returned and five did not return to work. The majority were male, married and of low educational level, and the mean age was 37 years. The variables with the greatest predictive power were grip strength, occupational performance scores, occupational category and age. The qualitative analysis confirmed the multifactorial nature of the return to work and demonstrated that the presence of a professional to follow-up the process, adjustments to the workstation and working hours (to enable treatment continuity) and also accident benefits may contribute to a successful return. CONCLUSIONS: This study showed the complexity of the return to work by workers with hand injuries, highlighting a number of factors associated with this outcome and the importance of individualized assessment centered on the worker.
      pubtype: Academic Journal
      doctype:
        algorithm
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Portuguese
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