[9] 一般講演

[9-15] Factors that enable or obstruct the continuation of work among patients with…chronic pain: Qualitative…analysis of patient narratives

*佐藤 幹代^1,2、小原 眞知子³、佐藤 りか²、射場 典子²、高橋 奈津子^4,2 (1. 自治医科大学看護学部(日本)、2. 認定NPO法人健康と病の語りディペックス・ジャパン(日本)、3. 日本社会事業大学(日本)、4. 聖路加国際大学看護学研究科(日本))

発表言語：日本語

Objective
Chronic pain affects the patient's entire life. The objective of the study is to clarify factors that enable or obstruct the continuation of work of patients with chronic pain by focusing on psychosocial aspects concerning the current status of their workplace.

Method
Exploratory research was conducted based on the secondary analysis of the interview data of 31 patients with chronic pain, provided by DIPEx-Japan, which publishes a website on patients’ and family experiences of chronic pain (www.dipex-j.org/chronic-pain/).

Result
The uncontrollable intense pain was proved to be the most obstructive personal factor. However, self-management capability to adjust one's workstyle suitably made it possible for them to continue their job. Furthermore, job continuation has become possible under an environment with a work climate that accepts adjustment of working site and time as well as workload.

Conclusion
Employment not only affects the economic aspect but also relates to joy and purpose in life.
On the other hand, it has been suggested that leaving their job could induce the patients to lose their confidence and decrease self-esteem with negative impacts on their lives. We need to build a comprehensive support system that enable patients to continue their work in spite of their pain.