Groeneveld Iris F, de Boer Angela G E M, Frings-Dresen Monique H W
Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
BMJ Open. 2012 Jul 10;2(4). doi: 10.1136/bmjopen-2012-001321. Print 2012.
Returning to work can be problematic for cancer survivors due to suboptimal workplace support, a heavy workload, decreased physical functioning and fatigue. The timely and permanent return to work (RtW) of cancer patients favourably influences quality of life and economic independence. Multidisciplinary interventions aimed at timely and enduring RtW are lacking. The objectives of this article are (1) to describe the protocol of an intervention aimed at RtW of cancer patients, comprising of counselling by an oncological occupational physician and supervised physical exercise in a clinical setting during treatment and (2) to present the design of the study aimed at evaluating the feasibility of this intervention.
The intervention comprises three counselling sessions with an oncological occupational physician and a 12-week moderate-to-high intensity physical exercise programme, starting at the onset of chemotherapy. The intervention is aimed at cancer patients treated with curative intent, aged 18-60 years, employed and on sick leave. It will take place in two large medical centres in the Netherlands. The feasibility of the intervention will be evaluated as follows: the number of sessions, topics discussed and exercises executed will be registered by care providers; patients' and care providers' opinions will be assessed by questionnaires and interviews, respectively; and the proportion of invited patients that participated will be calculated.
The study results will be used for optimising the intervention content and may serve as a foundation for future implementation. The Medical Ethics Committees of the Academic Medical Center and the participating medical centres approved the study protocol.
由于工作场所支持不足、工作量大、身体机能下降和疲劳，癌症幸存者重返工作岗位可能会面临问题。癌症患者及时且永久地重返工作岗位对生活质量和经济独立有积极影响。目前缺乏旨在实现及时且持久重返工作岗位的多学科干预措施。本文的目的是：（1）描述一项针对癌症患者重返工作岗位的干预方案，该方案包括在治疗期间由肿瘤职业医师提供咨询以及在临床环境中进行有监督的体育锻炼；（2）介绍旨在评估该干预措施可行性的研究设计。
干预措施包括与肿瘤职业医师进行三次咨询会议以及一个为期12周的中高强度体育锻炼计划，从化疗开始时启动。该干预措施针对有治愈意图、年龄在18至60岁、已就业且正在休病假的癌症患者。干预将在荷兰的两个大型医疗中心进行。将按以下方式评估干预措施的可行性：护理人员将记录会议次数、讨论的主题和执行的锻炼项目；分别通过问卷调查和访谈来评估患者和护理人员的意见；计算受邀患者的参与比例。
研究结果将用于优化干预内容，并可为未来的实施提供基础。学术医疗中心和参与研究的医疗中心的医学伦理委员会批准了研究方案。
