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医疗保健专业人员与癌症幸存者的就业相关需求。

Health Care Professionals and the Employment-Related Needs of Cancer Survivors.

机构信息

SEDL an Affiliate of the American Institutes for Research (AIR), 4700 Mueller Blvd, Austin, TX, 78723, USA.

Southwest Americans with Disabilities Act (ADA) Center, Independent Living Research Utilization (ILRU) Program, TIRR Memorial Hermann, Houston, TX, USA.

出版信息

J Occup Rehabil. 2017 Jun;27(2):296-305. doi: 10.1007/s10926-016-9629-2.


DOI:10.1007/s10926-016-9629-2
PMID:26857027
Abstract

Introduction Individuals diagnosed with cancer look to health care professionals as primary sources of information. This positions staff in oncology settings in an ideal role to inform patients, who continue workforce participation in increasing numbers, about resources that might help them to handle work-related issues related to their oncological symptoms. This article reports on findings from a survey of staff that provide nonmedical services to cancer patients in two Houston area hospital systems. The impetus for this survey was two-fold: the trend in recent years for increasing numbers of cancer survivors to stay in the workforce after or even during treatment, and low levels of awareness that these employees are eligible for protection under the Americans with Disabilities Act of 1990 and its 2008 amendments (ADA Amendments Act of 2008, Pub. L. 110-325, 122 Stat. 3553, 2008; Americans with Disabilities Act, 42 U.S.C. § 12111-17, 2006). The survey assesses perceptions of the effects of cancer on patients' employment status, levels of knowledge about supports to address these employment-related needs, and respondents' preferred modes for information receipt. The latter topic serves the purpose of tailoring training activities to the respondents' informational needs and learning preferences. Methods Data were collected via an online survey administered in two Houston-area hospital systems. This article reports on the findings from 86 respondents. Results Tenure as measured by years in oncology is related positively to level of knowledge about disability-related benefits, legislation and programs (r = .32, P < .01). Respondents with more years in their profession worked with patients whom they reported had a higher number of cancer side effects that "created work difficulties for patients" (r = .24, P < .05). The number of side effects was in turn positively associated with negative effects of the diagnosis at work (r = .27, P < .05). A higher score of negative effects of the cancer diagnosis at work in turn correlated with unwanted consequences of disclosing the cancer at work (r = .36, P < .01). No statistically significant correlations were observed among the variables measuring respondents' reported knowledge of disability-related benefits, laws and programs, their perception of patients' level of understanding of these topics, and reports of patients' receipt of reasonable accommodation. Conclusions Health care professionals who treat cancer patients could benefit from training resources about how survivors might address their employment-related needs, including how to convey that knowledge to their patients. Mentoring programs might also have positive outcomes, since respondents with greater tenure in oncology-related settings reported higher levels of knowledge about disability-related topics.

摘要

简介 被诊断患有癌症的个体将医疗保健专业人员视为主要信息来源。这使肿瘤学环境中的工作人员处于理想的角色,可以向继续增加数量的患者提供有关资源的信息,这些资源可能有助于他们处理与肿瘤学症状相关的工作问题。本文报告了对在休斯顿地区两个医院系统中为癌症患者提供非医疗服务的工作人员进行的调查结果。进行这项调查的动机有两个:近年来,越来越多的癌症幸存者在治疗后甚至在治疗期间继续留在工作岗位上,而这些员工有资格根据 1990 年《美国残疾人法案》及其 2008 年修正案(2008 年《美国残疾人法案修正案》,Pub. L. 110-325,122 Stat. 3553,2008 年;《美国残疾人法案》,42 U.S.C.§ 12111-17,2006 年)获得保护的意识水平较低。该调查评估了癌症对患者就业状况的影响,以及对解决这些与就业相关需求的支持的了解程度,以及受访者对信息的首选接收方式。后者的主题是根据受访者的信息需求和学习偏好来调整培训活动。 方法 通过在休斯顿地区的两个医院系统中进行在线调查收集数据。本文报告了 86 名受访者的调查结果。 结果 以在肿瘤学领域的工作年限衡量,与残疾相关福利、立法和计划的知识水平呈正相关(r=.32,P<.01)。在他们的专业领域工作年限较长的受访者与他们报告的患有更多癌症副作用的患者合作,这些副作用“给患者的工作带来了困难”(r=.24,P<.05)。副作用的数量反过来又与工作中诊断的负面影响呈正相关(r=.27,P<.05)。工作中癌症诊断的负面影响评分较高,与工作中披露癌症的不良后果呈正相关(r=.36,P<.01)。衡量受访者对残疾相关福利、法律和计划的报告知识,他们对患者对这些主题的理解程度的看法以及患者获得合理调整的报告之间没有观察到统计学上显著的相关性。 结论 治疗癌症患者的医疗保健专业人员可以从有关幸存者如何满足其就业相关需求的培训资源中受益,包括如何将这些知识传达给他们的患者。导师计划也可能产生积极的结果,因为在肿瘤学相关环境中工作年限较长的受访者对残疾相关主题的了解程度更高。

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