Return-to-work status of breast cancer survivors and its influencing factors
10.3760/cma.j.cn115682-20191213-04562
- VernacularTitle:乳腺癌幸存者重返工作现状及其影响因素研究
- Author:
Xiaoli ZHU
1
;
Huiting ZHANG
;
Lijuan ZHANG
;
Min XU
;
Liping ZHANG
;
Xiulan YANG
Author Information
1. 广州医科大学附属肿瘤医院乳腺科，广州 510060
- Keywords:
Breast neoplasms;
Return-to-work;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2020;26(20):2702-2710
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the current situation of return-to-work of breast cancer survivors and analyze its influencing factors, so as to provide guidance and suggestions for the construction of the return-to-work intervention plan of breast cancer survivors in China.Methods:A total of 113 breast cancer survivors from Sun Yat-Sen University Cancer Center and Cancer Center of Guangzhou Medical University from June 1, 2019 to September 30, 2019 were selected as research objects by the convenient sampling method. General Information Questionnaire, Health Literacy Scale, Concern about Recurrence Scale, Social Support Rating Scale and Readiness for Return-To-Work Scale were used to investigate. Univariate analysis and multivariate Logistic regression were used to analyze the influencing factors of return-to-work of breast cancer patients.Results:The time between return-to-work of patients and diagnosis was (7.08±6.20) months. Among the patients who did not return to work, the most were in the intention stage (19 cases, 46.34%) and the least were in the action assessment stage (1 case, 2.44%) . Among the patients who had returned to work, 65 patients (90.28%) were in active maintenance phase. Surgical methods, pre-disease occupations, postoperative adjuvant chemotherapy and health literacy were influencing factors for return-to-work of patients.Conclusions:Breast cancer survivors who do not return to work have a low and medium level of readiness to return to work, and those who do not return to work have a low intention to return to work. Breast cancer survivors who have returned to work score at a medium to high level, and patients are more likely to maintain a good working condition after returning to work. Extensive surgical methods such as mastectomy, physical labor before illness and adjuvant chemotherapy after surgery are obstacles for breast cancer survivors to return to work, and high level of health literacy is the promotion factor for their return to work.
