Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Psychooncology. 2013 Dec;22(12):2755-62. doi: 10.1002/pon.3341. Epub 2013 Jul 3.
As half of the women with breast cancer are of working ages and usually survive, knowledge is needed on how to support them early regarding work-related problems caused by treatments. Most previous studies have focused on individual and disease-related factors, whereas few have focused on work-related factors such as work adjustment and social support. The aim of this study was to investigate received and perceived social support from supervisor and colleagues as well as work adjustments, and their associations with sickness absence, among women who recently had had breast cancer surgery.
Inclusion criteria were as follows: women aged 20-63 years, living in Stockholm County, treated surgically for a first diagnosis of breast cancer, literate in Swedish, without pre-surgical chemotherapy or known distant metastases. Included in the study were 605 women who worked at diagnosis and that had answered a questionnaire within eight weeks of inclusion. Descriptive statistics, univariate, and multivariable logistic regression analyses were applied to estimate odds ratios (OR) with 95% confidence intervals (CI) for the likelihood of being sickness absent.
Most women perceived and received social support and work adjustment after breast cancer surgery. Low adjustment (OR = 2.14; 95% CI, 1.45-3.18) and less social support (OR = 1.80; 95% CI, 1.16-2.78) were significantly associated with being sickness absent. Adjusting for sociodemographics, strenuous work posture, and treatment did not attenuate these associations.
Adjustment at work and social support from employer are associated with sickness absence and needs to be explored in discussions on return to work after breast cancer surgery.
由于一半的乳腺癌患者处于工作年龄，且通常能够存活，因此需要了解如何在治疗相关问题上尽早为她们提供支持，以使其能够继续工作。大多数先前的研究都集中在个体和疾病相关因素上，而很少关注工作相关因素，如工作调整和社会支持。本研究旨在调查最近接受过乳腺癌手术的女性所获得的和感知到的来自主管和同事的社会支持以及工作调整情况，以及它们与病假之间的关系。
纳入标准如下：年龄在 20-63 岁之间、居住在斯德哥尔摩县、接受过首次乳腺癌手术治疗、能够读懂瑞典语、无术前化疗或已知远处转移的女性。本研究共纳入了 605 名在诊断时仍在工作且在纳入后八周内回答了问卷的女性。采用描述性统计、单变量和多变量逻辑回归分析来估计可能性比（OR）及其 95%置信区间（CI），以评估病假的可能性。
大多数女性在乳腺癌手术后对社会支持和工作调整的感知和获得情况较好。调整不佳（OR=2.14；95%CI，1.45-3.18）和社会支持较少（OR=1.80；95%CI，1.16-2.78）与病假显著相关。调整社会人口统计学、高强度工作姿势和治疗因素并不会减弱这些关联。
工作调整和雇主的社会支持与病假相关，需要在讨论乳腺癌手术后重返工作岗位的问题时进行探讨。
