Barreiras e facilitadores do retorno ao trabalho após traumas ortopédicos agudos em membros superiores: uma revisão integrativa da literatura

摘要

Introduction: Traumatic upper limb injuries often lead to work disability. Ensuring the maintenanceof the worker occupational role is a goal for occupational therapists in occupational health, using prevention andrehabilitation techniques. Therefore, it is important to know the factors that influence return to work. Objective: Todocument evidence of barriers and facilitators elements of return to work after acute upper limb trauma. Method:A review study using the integrative review approach. The search included Biblioteca Virtual em Saúde (BVS),Scielo, Lilacs, Periódicos Capes and Pubmed databases. Articles that mentioned a return to work and upper limbtrauma in their abstract, published between 2005 and 2015 and written in Portuguese, English or Spanish, werealso used. Results: The final sample consists of 13 articles, after qualitative analysis the results were grouped intofour categories: Patient, Injury, Rehabilitation, and Work. Injury severity, hospitalization time, number of surgicalprocedures, insertion in a rehabilitation program, work-related rehabilitation, family and workplace support werethe main elements identified. Conclusion: The rehabilitation program should be integrated and multidisciplinarywith actions aimed at pain management, functional recovery, and preparation for a return to work. Support familymember and whenever possible work environment should be considered within the vocational rehabilitation programto ensure the return to work.