Aspekte beruflicher und sozialer Wiedereingliederung aus Sicht kardiovaskulär erkrankter Rehabilitanden in besonderen beruflichen Problemlagen – Ergebnisse einer qualitativen Erhebung

Abstract

This study investigated subjective biopsychosocial effects of coronary heart disease (CHD), coping strategies and social support in patients undergoing cardiac rehabilitation (CR) and having extensive work-related problems. A qualitative investigation was performed in 17 patients (48.9±7.0 y, 13 male) with extensive work-related problems (SIMBO-C>30). All patients were interviewed with structured surveys. Data analysis was performed using a software that is based on the content analysis approach of Mayring. In regard to effects of disease, patients indicated social aspects including occupational aspects (62%) more often than physical or mental factors (9 or 29%). Applied coping strategies and support services are mainly focused on physical impairments (70 or 45%). The development of appropriate coping strategies was insufficient although social effects of disease were subjectively meaningful for patients in CR.

Patient-reported outcomes predict return to work and health-related quality of life six months after cardiac rehabilitation: Results from a German multi-centre registry (OutCaRe)

“…On the other hand, applied coping strategies and support services are mainly focussed on physical aspects of the cardiovascular disease. [44] Especially the essential adaptation of everyday life including the work environment after a cardiac event and subsequent CR could be overtaxing, triggering the desire for early retirement.…”

Wirksamkeit der internetbasierten, berufsbezogenen Nachsorge GSA-Online im Anschluss an die stationäre psychosomatische Rehabilitation: Ergebnisse einer randomisiert kontrollierten Studie

“…Während interpersonelle Konfliktkonstellationen am Arbeitsplatz eine häufige Ursache für arbeitsbezogenen Stress darstellen [17], erfahren sie jedoch weder in der analogen noch in der internetbasierten Rehabilitationsnachsorge besondere Beachtung. Dabei weisen Untersuchungen auf einen Bedarf an berufsbezogenen und psychosozialen Nachsorgeangeboten hin [18], insbesondere bei Patient*innen der Psychosomatik, welche über geringere Ressourcen im Umgang mit arbeitsbezogenem Stress berichten [19].…”