What employees with rheumatoid arthritis, diabetes mellitus and hearing loss need to cope at work.
OBJECTIVE
This study attempted to determine factors that help currently employed people with rheumatoid arthritis, diabetes mellitus or hearing loss to continue working.


METHODS
This was a qualitative study that used three concept-mapping sessions. Sixty-nine participants (rheumatoid arthritis 21, diabetes mellitus 23, and hearing loss 25) were recruited from the patient records of the rheumatology, diabetes, and audiology outpatients of the Academic Medical Center (AMC), Amsterdam, and referrals from occupational physicians and patient associations. An arthritis consultant, a diabetes consultant, and an audiologist screened the patients for the used illness inclusion criteria. A researcher screened the patients for the inclusion criteria of age and work.


RESULTS
The main factors enabling employees to continue working were ability to cope with the illness, support from management and colleagues, adequate work conditions, support of patient organizations and society, support of medical professionals and facilities, and benefits. The three groups of employees rated the priority of these factors differently. For the employees with rheumatoid arthritis, the support of management was the most important, followed by self-acceptance, self-efficacy, and professional advice on how to cope at work. For those with diabetes mellitus, self-acceptance, self-care, and support from management, colleagues and health professionals were the most important. For employees with hearing loss, being well informed about hearing equipment, reimbursement, and self-acceptance were the most important. A topic list was developed that can be used by health professionals as a guideline for exploring the work-related problems of patients with a chronic disease.


CONCLUSIONS
The results provide an understanding of the needs chronically ill employees have at work and the areas to which health professionals need to pay attention.
Detaille
Sarah I
SI
Coronel Institute for Occupational and Environmental Health, Academic Medical Center, AmCOGG, University of Amsterdam, The Netherlands.
Haafkens
Joke A
JA
van Dijk
Frank J H
FJ
D000222:Adaptation, Physiological; D000223:Adaptation, Psychological; D000328:Adult; D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000523:psychology; D002908:Chronic Disease; D015331:Cohort Studies; D003638:Deafness / Q000150:complications* / Q000523:psychology; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000523:psychology; D006233:Persons with Disabilities; D016832:Employment, Supported; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009426:Netherlands; D016272:Occupational Health; D009790:Occupations; D012307:Risk Factors; D012494:Sampling Studies; D020377:Self Efficacy; D012917:Social Adjustment