Journal of Research in Rehabilitation Sciences

Identifying and Analyzing the Effective Factors in Returning Back to Work among the Patients with Spinal Cord Injury; A Qualitative Research

Document Type : Original Articles

Authors

1 MSc Student, Department of Counseling, School of Educational Sciences and Psychology, University of Isfahan, Isfahan, Iran

2 Assistant Professor, Department of Counseling, School of Educational Sciences and Psychology, University of Isfahan, Isfahan, Iran

10.22122/jrrs.v14i2.3162

Abstract

Introduction: One of the consequences of spinal cord injury is losing job. The goal of the present study was to identify and analyze the factors affecting returning back to work in order to facilitate working, and increase the quality of life (living) in people with spinal cord injury.Materials and Methods: This was a qualitative research and survey study. Regarding this fact and by using targeted sampling method to reach the data fulfilment, semi-structured interview was done with 15 patients with spinal cord injury in Isfahan City, Iran. The interviews were then typed, performed, and analyzed using inductive content analysis method.Results: The factors affecting returning back to work in patients with spinal cord injury could be divided into 5 main categories as individual rehabilitation, family rehabilitation, occupational rehabilitation, social rehabilitation, and peripheral fitting. All these five category had their own subcategories.Conclusion: Using (applying) different types of rehabilitation such as individual, social, occupational, and family types, as well as peripheral fitting, returning back to work would be easier and possible for those with spinal cord injury. The unemployment rate would decrease, and the quality of would increase, too.

Keywords

  1. Fatehi F, Kamali M. Perceived experiences of unemployed people with spinal cord injury in the process of returning to work. J Res Rehabil Sci 2012; 8(2): 254-62. [In Persian].
  2. Habibi R, Ghomeishi F, Bahrami S. Spinal cord injury patient- family teaching manual. 1st ed. Theran, Iran: Arjmand Publications; 2011. [In Persian].
  3. Shafiabady A. Vocational rehabilitation. 5th ed. Tehran, Iran: Jnagal Publications; 2017. [In Persian].
  4. Ferdiana A, Post MW, Hoekstra T, van der Woude LH, van der Klink JJ, Bultmann U. Employment trajectories after spinal cord injury: results from a 5-year prospective cohort study. Arch Phys Med Rehabil 2014; 95(11): 2040-6.
  5. Cotner BA, Njoh EN, Trainor JK, O'Connor DR, Barnett SD, Ottomanelli L. Facilitators and barriers to employment among veterans with spinal cord injury receiving 12 months of evidence-based supported employment services. Top Spinal Cord Inj Rehabil 2015; 21(1): 20-30.
  6. Johnston D, Ramakrishnan K, Garth B, Murphy G, Middleton JW, Cameron ID. Early access to vocational rehabilitation for inpatients with spinal cord injury: A qualitative study of staff perceptions. J Rehabil Med 2016; 48(9): 776-80.
  7. Tzanos IA, Mitsiokapa E, Megaloikonomos PD, Igoumenou VG, Panagopoulos GN, Papathanasiou J, et al. Social reintegration and quality of life after spinal cord injury: The Greek Paradigm. J Biomed 2016; 1: 36-43.
  8. Wood-Dauphinee S., Exner G, SCI Consensus Group. Quality of life in patients with spinal cord injury-basic issues, assessment, and recommendations: Results of a consensus meeting. Restor Neurol Neurosci 2002; 20(3-4): 135-49.
  9. Ottomanelli L, Lind L. Review of critical factors related to employment after spinal cord injury: implications for research and vocational services. J Spinal Cord Med 2009; 32(5): 503-31.
  10. Hess DW, Ripley DL, McKinley WO, Tewksbury M. Predictors for return to work after spinal cord injury: A 3-year multicenter analysis. Arch Phys Med Rehabil 2000; 81(3): 359-63.
  11. Kuoppala J, Lamminpaa A. Rehabilitation and work ability: A systematic literature review. J Rehabil Med 2008; 40(10): 796-804.
  12. Krause JS, Terza JV, Saunders LL, Dismuke CE. Delayed entry into employment after spinal cord injury: Factors related to time to first job. Spinal Cord 2010; 48(6): 487-91.
  13. Ramakrishnan K, Mazlan M, Julia PE, Abdul LL. Return to work after spinal cord injury: factors related to time to first job. Spinal Cord 2011; 49(8): 924-7.
  14. Lidal IB, Huynh TK, Biering-Sorensen F. Return to work following spinal cord injury: a review. Disabil Rehabil 2007; 29(17): 1341-75.
  15. Tomassen PC, Post MW, van Asbeck FW. Return to work after spinal cord injury. Spinal Cord 2000; 38(1): 51-5.
  16. Ramakrishnan K, Chung TY, Hasnan N, Abdullah SJ. Return to work after spinal cord injury in Malaysia. Spinal Cord 2011; 49(7): 812-6.
  17. Jang Y, Wang YH, Wang JD. Return to work after spinal cord injury in Taiwan: the contribution of functional independence. Arch Phys Med Rehabil 2005; 86(4): 681-6.
  18. Yasuda S, Wehman P, Targett P, Cifu DX, West M. Return to work after spinal cord injury: a review of recent research. NeuroRehabilitation 2002; 17(3): 177-86.
  19. Gall MD, Borg WR, Gall JP. Quantitative and qualitative research in educational and psychology sciences. Trans. Nasr AR, Arizi HR, Abolghasemi M, Pakseresht MJ, Kiamanesh AR, Bagheri K, et al. Tehran, Iran: SAMT, Shahid Beheshti University of Medical Sciences; 2012. [In Persian].
  20. Strauss A., Corbin JM. Basics of qualitative research: Grounded theory procedures and techniques. Thousand Oaks, CA: Sage Publications; 1990. p. 89-95.
  21. Trenaman L, Miller WC, Queree M, Escorpizo R. Modifiable and non-modifiable factors associated with employment outcomes following spinal cord injury: A systematic review. J Spinal Cord Med 2015; 38(4): 422-31.
  22. Ramakrishnan K, Johnston D, Garth B, Murphy G, Middleton J, Cameron I. Early Access to Vocational Rehabilitation for Inpatients with Spinal Cord Injury: A Qualitative Study of Patients' Perceptions. Top Spinal Cord Inj Rehabil 2016; 22(3): 183-91.
  23. Siasi AA. Theories of personality, or, psychological schools. 12th ed. Tehran, Iran: University of Tehran Press; 2010. [In Persian].
  24. Marti A, Boes S, Lay V, Escorpizo R, Trezzini B. The association between chronological age, age at injury and employment: Is there a mediating effect of secondary health conditions? Spinal Cord 2016; 54(3): 239-44.
  25. Samiee F. Career aspiration from fantasy to reality. Isfahan, Iran: University of Isfahan Publications; 2017. [In Persian].
  26. Middleton JW, Johnston D, Murphy G, Ramakrishnan K, Savage N, Harper R, et al. Early access to vocational rehabilitation for spinal cord injury inpatients. J Rehabil Med 2015; 47(7): 626-31.
  27. Phillips VL, Hunsaker AE, Florence CS. Return to work and productive activities following a spinal cord injury: the role of income and insurance. Spinal Cord 2012; 50(8): 623-6.
  28. Lynch J, Cahalan R. The impact of spinal cord injury on the quality of life of primary family caregivers: a literature review. Spinal Cord 2017; 55(11): 964-78.
Journal of Research in Rehabilitation Sciences
Volume 14, Issue 2 - Serial Number 2
May 2018
Pages 86-92
  • Receive Date: 29 October 2018
  • Revise Date: 04 May 2024
  • Accept Date: 22 May 2022