Division of Epidemiology and Public Health, University of Nottingham, United Kingdom.
Cancer Nurs. 2011 Nov-Dec;34(6):E1-12. doi: 10.1097/NCC.0b013e31820a4c68.
Many cancer patients and survivors experience impairments in their ability to work as a result of diagnosis and treatment. Although the literature demonstrates favorable return-to-work rates, there is a lack of intervention studies that have sought to enhance reemployment and return-to-work outcomes.
The purpose of this study was to test the feasibility of an intervention designed to offer brief tailored information on work ability during treatment to colorectal cancer patients.
Thirteen employed colorectal cancer patients were recruited to test the feasibility of the intervention. Participants were provided with an educational leaflet and a face-to-face return-to-work consultation. This included advice and guidance on managing symptoms at work, communication with employer, and information on work ability during and after treatment. This was tailored according to work type (manual/nonmanual).
Most participants found key aspects of the intervention useful. In particular, information and advice on the impact of treatment upon work ability were considered most valuable. Although levels of work ability and well-being did not change during the intervention, there were trends of improvement in the data.
This study demonstrated that the content of this intervention could aid return to work.
Most participants felt that specialist cancer nurses and consultants were best placed to deliver return-to-work interventions. Although cancer nurses provide patients with a significant amount of information at diagnosis and treatment, our findings suggest that raising employment matters early on could help identify the most suitable time to deliver a return-to-work intervention.
许多癌症患者和幸存者由于诊断和治疗而导致工作能力受损。尽管文献表明恢复工作的比率较高，但缺乏旨在增强重新就业和恢复工作成果的干预研究。
本研究旨在测试一项旨在在治疗期间为结直肠癌患者提供有关工作能力的简短定制信息的干预措施的可行性。
招募了 13 名在职结直肠癌患者来测试干预措施的可行性。向参与者提供了教育传单和面对面的重返工作咨询。这包括有关在工作中管理症状、与雇主沟通以及在治疗期间和之后的工作能力方面的建议和指导。这是根据工作类型（体力劳动/非体力劳动）量身定制的。
大多数参与者发现干预措施的关键方面很有用。特别是，关于治疗对工作能力的影响的信息和建议被认为最有价值。尽管干预期间的工作能力和幸福感水平没有变化，但数据显示有改善的趋势。
这项研究表明，这种干预措施的内容可以帮助恢复工作。
大多数参与者认为，专门的癌症护士和顾问最适合提供重返工作的干预措施。尽管癌症护士在诊断和治疗时为患者提供了大量信息，但我们的研究结果表明，尽早提出就业问题可能有助于确定最适合提供重返工作干预措施的时间。
