Weis J, Koch U, Geldsetzer M
Abteilung für Rehabilitationspsychologie, Psychologisches Institut der Universität Freiburg.
Soz Praventivmed. 1992;37(2):85-95. doi: 10.1007/BF01322738.
The importance of vocational integration has increased during the last years, whereas an analysis of the literature shows, that research in this field has been neglected especially in german speaking countries. This study investigates the situation and the problems of vocational integration after cancer. 380 former patients with different diagnoses treated in a university medical center have been asked by a self developed questionnaire for their experiences in treatment and medical rehabilitation, their actual impairment in physical and vocational functioning, their estimation of rehabilitation success, their actual employment problems and the changes of job conditions due to cancer. As the results show, more than one third of the sample returned to work often reducing working time or changing their job. Especially older patients with worse prognoses have been retired early. Special programs of vocational rehabilitation are not used by patients we examined, whereas programs of medical rehabilitation are used showing great differences between diagnostic groups. The return to work is influenced by age, tumor localisation, prognosis and the former status in job. The results are discussed with regard to the problems of psychosocial rehabilitation of cancer patients.
在过去几年中，职业融入的重要性有所增加，而对文献的分析表明，该领域的研究尤其在德语国家被忽视了。本研究调查了癌症患者职业融入的情况和问题。通过一份自行编制的问卷，对在一所大学医学中心接受治疗的380名不同诊断的 former patients 进行了询问，了解他们在治疗和医学康复方面的经历、身体和职业功能方面的实际损伤、对康复成功的估计、实际就业问题以及因癌症导致的工作条件变化。结果显示，超过三分之一的样本重返工作岗位，通常是减少工作时间或更换工作。尤其是预后较差的老年患者提前退休。我们所调查的患者没有使用职业康复的特殊项目，而医学康复项目的使用情况在诊断组之间存在很大差异。重返工作受到年龄、肿瘤位置、预后和以前工作状况的影响。针对癌症患者心理社会康复的问题对结果进行了讨论。
