癌症诊断后影响工作功能的因素：一项针对癌症幸存者和职业健康专业人员的焦点小组研究。
Factors influencing work functioning after cancer diagnosis: a focus group study with cancer survivors and occupational health professionals.
作者信息
Dorland H F, Abma F I, Roelen C A M, Smink J G, Ranchor A V, Bültmann U
机构信息
Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Department of Health Psychology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
出版信息
Support Care Cancer. 2016 Jan;24(1):261-266. doi: 10.1007/s00520-015-2764-z. Epub 2015 May 29.
PURPOSE
Cancer survivors (CSs) frequently return to work, but little is known about work functioning after return to work (RTW). We aimed to identify barriers and facilitators of work functioning among CSs.
METHODS
Three focus groups were conducted with CSs (n = 6, n = 8 and n = 8) and one focus group with occupational health professionals (n = 7). Concepts were identified by thematic analysis, using the Cancer and Work model as theoretical framework to structure the results.
RESULTS
Long-lasting symptoms (e.g. fatigue), poor adaptation, high work ethics, negative attitude to work, ambiguous communication, lack of support and changes in the work environment were mentioned as barriers of work functioning. In contrast, staying at work during treatment, open dialogue, high social support, appropriate work accommodations and high work autonomy facilitated work functioning.
CONCLUSIONS
Not only cancer-related symptoms affect work functioning of CSs after RTW but also psychosocial and work-related factors. The barriers and facilitators of work functioning should be further investigated in studies with a longitudinal design to examine work functioning over time.
目的
癌症幸存者（CSs）经常重返工作岗位，但对于重返工作岗位（RTW）后的工作功能了解甚少。我们旨在确定癌症幸存者工作功能的障碍和促进因素。
方法
与癌症幸存者（n = 6、n = 8和n = 8）进行了三个焦点小组讨论，并与职业健康专业人员（n = 7）进行了一个焦点小组讨论。通过主题分析确定概念，以癌症与工作模型作为理论框架来构建结果。
结果
长期症状（如疲劳）、适应不良、高度的职业道德、对工作的消极态度、沟通不明确、缺乏支持以及工作环境的变化被提及为工作功能的障碍。相比之下，治疗期间继续工作、开放对话、高度的社会支持、适当的工作调整和高度的工作自主性促进了工作功能。
结论
不仅与癌症相关的症状会影响癌症幸存者重返工作岗位后的工作功能，心理社会和与工作相关的因素也会产生影响。应在纵向设计的研究中进一步调查工作功能的障碍和促进因素，以随时间检查工作功能。
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