Li Jia-Mei, Su Xiao-Qin, Xu Xiao-Ping, Xue Ping, Guo Yu-Jie
School of Medicine (School of Nursing) Nantong University, Nantong, 226001, Jiangsu, China.
Imaging department, Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, 226001, China.
Support Care Cancer. 2023 Apr 26;31(5):302. doi: 10.1007/s00520-023-07768-6.
To clarify the adaptability of cancer patients to return to work and explore its influencing factors.
A cross-sectional study.
SETTINGS/PARTICIPANTS: From March to October 2021, 283 cancer patients in the follow-up period were recruited from the oncology departments of four secondary and above hospitals and cancer friendship associations in Nantong city using self-developed scale of adaptability to return to work for cancer patients by convenience sampling method.
The contents included general sociodemographic data, disease-related data, cancer patients' readability to work Scale, Medical Coping Style Questionnaire, Social Support Rating Scale, Family Closeness and Readability Scale, General self-efficacy Scale and Social impact Scale. Paper questionnaires were used for face-to-face data collection, and SPSS17.0 was used for statistical analysis. Univariable analyses and multiple linear regression analysis were conducted.
The overall score of cancer patients' adaptability to return to work was (87.05±20.255), (22.54±4.234) for the dimension of focused rehabilitation, (32.02±9.013) for the dimension of reconstruction effectiveness, and (32.49±9.023) for the dimension of adjustment planning. Multiple linear regression analysis showed that the current return to full-time work (β =0.226, P 0.05), the current return to non-full-time work (β =0.184, P 0.05), yield response (β = -0.132, P 0.05), and general self-efficacy (β =0.226, P 0.05) could affect their return to work adaptation.
The results of status quo and influencing factors showed that the adaptability of cancer patients to return to work was generally higher in this study. Cancer patients who had participated in work, had lower yield coping scores and stigma scores, and higher self-efficacy scores and family adjustment and intimacy scores had better adaptability to return to work again.
It has been approved by the Human Research Ethics Committee of the Affiliated Hospital of Nantong University (Project No.202065).
阐明癌症患者重返工作岗位的适应性,并探究其影响因素。
横断面研究。
地点/参与者:2021年3月至10月,采用便利抽样法,使用自行编制的癌症患者重返工作适应性量表,从南通市4家二级及以上医院肿瘤科和癌症患者联谊会招募了283例处于随访期的癌症患者。
内容包括一般社会人口学数据、疾病相关数据、癌症患者工作可读性量表、医学应对方式问卷、社会支持评定量表、家庭亲密度与适应性量表、一般自我效能感量表和社会影响量表。采用纸质问卷进行面对面数据收集,使用SPSS17.0进行统计分析。进行单因素分析和多元线性回归分析。
癌症患者重返工作岗位的总体适应评分为(87.05±20.255),专注康复维度评分为(22.54±4.234),重建效能维度评分为(32.02±9.013),调整规划维度评分为(32.49±9.023)。多元线性回归分析显示,目前全职重返工作(β =0.226,P<0.05)、目前非全职重返工作(β =0.184,P<0.05)、屈服反应(β = -0.132,P<0.05)和一般自我效能感(β =0.226,P<0.05)会影响其重返工作的适应性。
现状及影响因素结果表明,本研究中癌症患者重返工作岗位的适应性总体较高。已参加工作、屈服应对得分和污名得分较低、自我效能感得分以及家庭调整和亲密度得分较高的癌症患者再次重返工作岗位的适应性更好。
已获得南通大学附属医院人类研究伦理委员会批准(项目编号:202065)。