Purpose

Building on an emerging body of evidence, this scoping review aimed to provide an overview of current interventions to promote work-focused care by healthcare providers for individuals with musculoskeletal conditions and to identify current knowledge gaps for future research.

Methods

Literature searches were performed in Pubmed, CINAHL, EMBASE, and PsycInfo using Medical Subject Heading terms and text words relating to musculoskeletal conditions, interventions to promote work-focused care and work-related outcomes. Articles involving any interventions with elements of work-focused care delivered by healthcare providers to manage musculoskeletal conditions were reviewed for suitability and inclusion.

Results

A total of 22 articles (18 intervention trials) were identified. Most studies were multidisciplinary interventions incorporating one or more elements of work-focused care including: work-related assessment to identify barriers to working, vocational advice/coaching or education to address barriers to working, involvement of the workplace stakeholders, restoration of fitness for work and regular communication with multidisciplinary team members. Most studies (61 %) concluded that their interventions achieved the desired work-related outcomes although firm conclusions could not be made regarding the effectiveness of a particular component, content or strategy of work-focused care itself because of the variability in the type and number of elements and outcomes used.

Conclusions

There is good evidence demonstrating the potential for healthcare providers to improve work outcomes for those with musculoskeletal conditions. Additional training is required to increase confidence in this area of practice. Accepting that work-focused care is important, however, does not diminish the challenge it presents.

中文翻译：

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医疗保健提供者为肌肉骨骼疾病患者促进以工作为中心的护理的干预措施范围审查

目的

基于新出现的证据，本范围界定审查旨在概述当前的干预措施，以促进医疗保健提供者为肌肉骨骼疾病患者提供以工作为中心的护理，并确定当前的知识差距以供未来研究。

方法

在 Pubmed、CINAHL、EMBASE 和 PsycInfo 中使用医学主题标题术语和与肌肉骨骼疾病、干预措施相关的文本词进行文献搜索，以促进以工作为中心的护理和与工作相关的结果。对涉及医疗保健提供者提供的以工作为中心的护理元素进行干预以管理肌肉骨骼疾病的文章的适用性和包容性进行了审查。

结果

共确定了 22 篇文章（18 项干预试验）。大多数研究是多学科干预措施，包含一项或多项以工作为重点的护理要素，包括：与工作相关的评估以确定工作障碍、职业建议/辅导或教育以解决工作障碍、工作场所利益相关者的参与、恢复工作健康并与多学科团队成员定期沟通。大多数研究 (61 %) 得出的结论是，他们的干预措施实现了预期的与工作相关的结果，尽管由于类型和数量的可变性，无法就以工作为中心的护理本身的特定组成部分、内容或策略的有效性做出明确的结论使用的元素和结果。

结论

有充分的证据表明医疗保健提供者有潜力改善肌肉骨骼疾病患者的工作成果。需要额外的培训来增加对这一实践领域的信心。然而，接受以工作为中心的护理很重要，但这并没有减少它带来的挑战。