Thesis (M. Sc.)--University of Hong Kong, 1999. / Includes bibliographical references (leaves 174-177).

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Faktorer som påverkar återgång till arbete efter moped olyckor i Vietnam Rehabilitering kan möjliggöra för personer med funktionsnedsättningar att leva självständigt och vara en del av samhället. Majoriteten av dem som skadas i trafiken i Vietnam är motorcykelåkare. Syftet med uppsatsen var att beskriva faktorer som upplevdes påverka arbetsåtergången för personer som har varit med i en mopedolycka i Vietnam. En kvalitativ metod med semi-strukturerade intervju användes under datainsamlingen. I uppsatsen deltog elva personer, både män och kvinnor, som hade varit med i en mopedolycka under de senaste fem åren. En kvalitativ innehållsanalys användes. Resultatet visade stödjande och hindrande faktorer som påverkar återgång till arbete. De faktorer som främst upplevdes som stödjande vid återgång till arbete var stöd från arbetsgivare, hälso- och sjukvårdspersonal samt familj. Arbetsgivarna kunde underlätta genom att ge tid för rehabilitering och vila. Hälso- och sjukvårdspersonal kunde förbättra upplevelsen av hälsotillståndet och vara uppmuntrande och stöttande under rehabiliteringsperioden. Stödet från familjen bestod av hjälp i de dagliga aktiviteterna och skjutsande till och från sjukhuset och arbetet. Faktorer som visades vara hindrande för återgång till arbete var avsaknad av miljöanpassning och försämrat hälsotillstånd. Slutsatsen av detta examensarbete var att arbetsgivare, hälso- och sjukvårdspersonal och familjen upplevdes som den främsta resursen i den sociala miljön vid återgång till arbetet. / Rehabilitation is a way to enable people with disabilities to live independently and to be a part of the community. The majority of people who are injured by traffic accidents in Vietnam are mainly motorcycle users. The purpose of the thesis was to describe factors influencing return-to-work experienced by people injured by motorbike accidents in Vietnam. A qualitative method with semi structured interviews was used to collect the data. The thesis included eleven participants, both men and women, who had been in a motorbike accident during the last five years. For data analysis a qualitative content analysis was used. Results showed supportive and obstructive factors that influenced return to work. Those factors that mainly was experienced as supportive when returning to work was supportive employers, professionals and family. The employer could support with time for rehabilitation and rest. The professionals could increase the health condition and be encouraging and supportive during the rehabilitation period. Support from family consisted of help with activities in daily living and driving their relative to hospital and to work. Factors that was obstructive when returning to work was lack of environmental adjustments and decreased health condition. The conclusion of this thesis was that the employer, professionals and families are seen as the main resource in the social environment when returning to work.

published_or_final_version / Social Work / Master / Master of Social Work

published_or_final_version / Social Work / Master / Master of Social Work

published_or_final_version / Social Work / Master / Master of Social Work

published_or_final_version / Social Work / Master / Master of Social Work

This investigation was concerned with the relationship between loneliness and disability in individuals with back and spinal cord injury. Specifically, the purpose of this study was to answer the following questions: (1) Do disabled individuals report a greater degree of loneliness than an able-bodied control group? (2) Does loneliness relate to the level of expressed need for inclusion and affection? (3) Does locus of control relate to the degree of loneliness reported by individuals with disability? (4) Does the employment status or living arrangement of disabled individuals relate to the degree of reported loneliness? (5) Does the short form of the Revised UCLA Loneliness Scale provide a reliable estimate of the full-scale form in the measurement of loneliness in disabled individuals? The population for this study consisted of thirty spinal-injured paraplegics, thirty back-injured patients, and fifty able-bodied control subjects. The criterion instruments employed in this study were the Revised UCLA Loneliness Scale, the Fundamental Interpersonal Relations Orientation-Behavior, and the Rotter Internal-External Locus of Control Scale. Survey packets were mailed to the spinal-injury and back-injury subjects. Able-bodied controls were administered the same packet in a group-classroom setting. The data was analyzed by Pearson Product-Moment correlation, point bi-serial correlation, One Way Analysis of Variance, and Student t-test. The significance level for this investigation was set at .05. Based on the results of the statistical analyses, the following conclusions were drawn: (1) Paraplegics did not significantly differ from back-injured patients, or an able-bodied control group, on the measure of Loneliness. (2) A significant correlation (negative) was found between loneliness and the expressed need for inclusion and affection in the spinal-injured group. (3) A significant relationships between loneliness and employment status or living arrangement was not found. (4) Spinal-injured paraplegics rated as externals on the locus of control measure were significantly higher than those subjects rated as having an internal locus of control on the measure of loneliness. (5) The short-form of the Revised UCLA Loneliness Scale was significantly, (positively), correlated with the full-form in all subject groups.

Very little has been written about the physician-patient interaction from the perspectives of individuals with severe disabilities. It has been reported that satisfaction with the physician-patient relationship can affect continuity of care and compliance with therapeutic regimens. While it is feasible that these issues could be of less consequence to the health of patients who are non-disabled, discontinuity of care or noncompliance with treatment plans could result in critical, life-threatening situations for individuals with severe disabilities. This study explored factors of the physician-patient interaction that are important from the perspective of individuals with severe disabilities. Research questions addressed the nature of the interaction, similarity with factors considered fundamental by individuals without disabilities, and whether there were factors important to individuals with severe disabilities that previously had not been reported in the patient satisfaction literature. The six individuals selected to participate in the study represented a range of disabilities that met the Rehabilitation Services Administration (RSA) criteria to be considered severe: blind, cerebral palsy, deaf, post-polio, spinal cord injured, and systemic lupus erythematosus. These participants also met all criteria as "key informants" for the purpose of qualitative research. A qualitative design was selected, employing two in-depth ethnographic interviews with each participant to elicit responses to focused, open-ended questions about the physician-patient interaction. The questions were patterned after those used in the development of the Smith-Falvo Patient-Doctor Interaction Scale (PDIS). Permission from the senior author was granted for "fair use" of the PDIS, and the related findings were used as comparison measures to responses of participants in this study. Findings of this research indicate that the interactional dynamics (eye contact, greeting, familiarity and evidence of respect) of first impressions for each individual in the physician-patient dyad influence to a large degree whether a satisfactory relationship can be established. In addition, participants with severe disabilities need to be considered by their physicians as equal partners in the management of their health care.