Nieuwenhuijsen Karen, Bos-Ransdorp Brigitte, Uitterhoeve Lon L J, Sprangers Mirjam A G, Verbeek Jos H A M
Academic Medical Center, Universiteit van Amsterdam, Department: Coronel Institute of Occupational Health, PO Box 22700, 1100 DE Amsterdam, The Netherlands.
J Occup Rehabil. 2006 Dec;16(4):647-57. doi: 10.1007/s10926-006-9057-9.
For employed cancer survivors, returning to work and maintaining employment is an important aspect of their quality of life. We developed an intervention aimed at enhancing this by means of (a) providing the patient with an educational leaflet on return to work and (b) enhancing communication between attending and occupational physicians. The purpose of this study is to test the feasibility of this intervention and to examine the relation of patient adherence to the advice of the leaflet and return to work.
A patient series of 35 employed cancer survivors was used to evaluate the intervention. Survivors completed a baseline questionnaire prior to their treatment. Survivors and occupational physicians were interviewed by telephone eight weeks following all curative treatment. Our measure of feasibility included satisfaction of survivors with the intervention, adherence to the advice, time to return to work, satisfaction of occupational physicians with the intervention, and perceived influence on their rehabilitation efforts.
Interviews of 26 survivors and 24 occupational physicians, revealed that those groups perceived the leaflet as useful (i.e., 7 on a 0-10 scale. Also seven out of ten suggestions in the leaflet was adhered to and half of the occupational physicians perceived the guidance they provided was helpful. However there was no effect of level of adherence on actual return to work.
This pilot study demonstrated the feasibility of the approach used. However level of adherence to educational leaflet was not associated with an improvement in return to work in cancer survivors.
对于在职癌症幸存者而言，重返工作岗位并维持就业是其生活质量的一个重要方面。我们开发了一种干预措施，旨在通过以下方式来增强这一点：(a) 为患者提供一份关于重返工作岗位的教育传单，以及 (b) 加强主治医生与职业医生之间的沟通。本研究的目的是测试这种干预措施的可行性，并考察患者对传单建议的依从性与重返工作岗位之间的关系。
使用一个包含35名在职癌症幸存者的患者系列来评估该干预措施。幸存者在接受治疗前完成一份基线调查问卷。在所有根治性治疗后的八周，通过电话对幸存者和职业医生进行访谈。我们对可行性的衡量包括幸存者对干预措施的满意度、对建议的依从性、重返工作岗位的时间、职业医生对干预措施的满意度，以及对他们康复努力的感知影响。
对26名幸存者和24名职业医生的访谈显示，这些群体认为传单很有用（即在0至10分的量表上评分为7分）。此外，传单中十分之七的建议得到了遵守，并且十分之五的职业医生认为他们提供的指导很有帮助。然而，依从程度对实际重返工作岗位没有影响。
这项试点研究证明了所采用方法的可行性。然而，癌症幸存者对教育传单的依从程度与重返工作岗位的改善并无关联。
