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首页> 外文期刊>Scandinavian journal of primary health care. >Sickness absence, marginality, and medically unexplained physical symptoms: A focus-group study of patients’ experiences
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Sickness absence, marginality, and medically unexplained physical symptoms: A focus-group study of patients’ experiences

机译：疾病缺乏，边缘性和医学上无法解释的身体症状：针对患者经历的焦点小组研究

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Purpose. Medically unexplained physical symptoms (MUPS) form a major cause of sickness absence. The purpose of this study was to explore factors which may influence further marginalization among patients with MUPS on long-term sickness absence. Methods. Two focus-group discussions were conducted with a purposive sample of 12 participants, six men and six women, aged 24–59 years. Their average duration of sickness absence was 10.5 months. Participants were invited to share stories about experiences from the process leading to the ongoing sickness absence, with a focus on the causes being medically unexplained. Systematic text condensation was applied for analysis. Inspired by theories of marginalization and coping, the authors searched for knowledge of how patients’ positive resources can be mobilized to counteract processes of marginality. Results. Analysis revealed how invisible symptoms and lack of objective findings were perceived as an additional burden to the sickness absence itself. Factors that could counteract further marginalization were a supportive social network, positive coping strategies such as keeping to the daily schedule and physical activity, and positive attention and confidence from professionals. Conclusions. Confidence from both personal and professional contacts is crucial. GPs have an important and appreciated role in this aspect.
机译：目的。医学上无法解释的身体症状（MUPS）是疾病缺乏的主要原因。这项研究的目的是探讨可能影响长期病患缺失的MUPS患者进一步边缘化的因素。方法。进行了两次焦点小组讨论，目的是针对12位参与者（年龄在24-59岁之间的六名男性和六名女性）进行抽样。他们的平均缺勤时间为10.5个月。邀请参与者分享有关导致疾病持续缺乏的过程的经验的故事，重点是医学上无法解释的原因。应用系统文本压缩进行分析。受边缘化和应对理论的启发，作者寻求有关如何动员患者积极资源以抵消边缘化过程的知识。结果。分析表明，看不见的症状和缺乏客观发现被认为是疾病缺乏本身的额外负担。可以抵消进一步边缘化的因素包括：支持性的社交网络，积极的应对策略（如保持日常活动和体育锻炼）以及专业人员的积极关注和信心。结论。个人和专业联系人的信心至关重要。 GP在这方面扮演着重要的角色。

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