Department of Occupational, Environmental and Insurance Medicine, Katholieke Universiteit Leuven, Leuven, Belgium.
Psychooncology. 2010 Jul;19(7):677-83. doi: 10.1002/pon.1633.
To explore how female breast cancer patients experience work incapacity during the treatment and return-to-work phases and how interactions between patients and stakeholders affect this experience.
Database search for full text articles published between January 1995 and January 2008 that focused on employed female breast cancer patients, factors related to work incapacity, and returning to work. Only results based on self-report data were included. Studies focusing on treatment, financial factors, rate of return, or absence were excluded.
Six articles met the inclusion criteria. Women with breast cancer receive varied reactions but little advice about returning to work. Women were primarily concerned with disclosing the diagnosis to their employer and to relatives. Uncertainties about physical appearance, ability to work, and possible job loss affected the women's decisions about working during the treatment phase. After treatment, most women wanted to regain their 'normal life', but concentration and arm or fatigue problems potentially interfered. Although supportive work environments were helpful, the individual needs of women differed. Employers and employees need to find a balance in defining accommodating work. Many women received favourable support, but some reported feeling discriminated against. Many women re-evaluated the role of work in their lives after being confronted with breast cancer.
Work adjustments could help women to keep their jobs during illness and recovery. To resolve women's concerns about returning to work, employers, physicians, and insurance institutions should consider increasing and improving communication with breast cancer patients and playing a more active and supportive role.
探讨女性乳腺癌患者在治疗和重返工作岗位阶段经历工作能力丧失的情况，以及患者与利益相关者之间的相互作用如何影响这种体验。
检索 1995 年 1 月至 2008 年 1 月期间发表的全文文章，重点关注在职女性乳腺癌患者、与工作能力丧失相关的因素以及重返工作岗位的问题。仅纳入基于自我报告数据的结果。排除关注治疗、财务因素、返回率或缺勤的研究。
符合纳入标准的文章有 6 篇。患有乳腺癌的女性得到了不同的反应，但几乎没有关于重返工作岗位的建议。女性主要关心向雇主和亲属透露诊断结果。对身体外貌、工作能力和可能失业的不确定性影响了女性在治疗阶段工作的决定。治疗后，大多数女性希望恢复“正常生活”，但注意力、手臂或疲劳问题可能会产生干扰。虽然支持性的工作环境有帮助，但女性的个体需求有所不同。雇主和员工需要在定义适应工作的问题上找到平衡。许多女性得到了有利的支持，但也有一些女性报告感到受到歧视。许多女性在面对乳腺癌后重新评估了工作在生活中的角色。
工作调整可以帮助女性在患病和康复期间保住工作。为了解决女性对重返工作岗位的担忧，雇主、医生和保险机构应考虑增加并改善与乳腺癌患者的沟通，并发挥更积极和支持性的作用。
