Duijts Saskia F A, van Egmond Martine P, Gits Maxime, van der Beek Allard J, Bleiker Eveline M
a Department of Public and Occupational Health , EMGO+ Institute for Health and Care Research, VU University Medical Center , Amsterdam , The Netherlands.
b Division of Psychosocial Research and Epidemiology , The Netherlands Cancer Institute , Amsterdam , The Netherlands.
Disabil Rehabil. 2017 Oct;39(21):2164-2172. doi: 10.1080/09638288.2016.1219924. Epub 2016 Sep 6.
Supportive interventions to enhance return to work (RTW) in cancer survivors hardly showed positive effects so far. Behavioral determinants might have to be considered in the development of interventions to achieve sustained employability. This study aimed to explore cancer survivors' perspectives and experiences regarding behavioral determinants of RTW and continuation of work.
In this qualitative study, semi-structured telephone interviews were held with 28 cancer survivors. All participants were at working age, 1-2 years after diagnosis and employed at time of diagnosis. Thematic content analysis was performed.
Work turned out to be a meaningful aspect of cancer survivors' life, and most participants reported a positive attitude towards their job. Social support to RTW or to continue working was mainly received from family and friends, but pressure to RTW from the occupational physician was also experienced. Changes in expectations regarding work ability from negative to positive during the treatment process were observed. Those who applied active coping mechanisms felt equipped to deal with difficulties regarding work.
Behavioral determinants should be taken into account in the development of future interventions to support cancer survivors' RTW. However, the causal relationship still has to be determined. Implications for rehabilitation Factors influencing occupational motivation among cancer survivors need to be understood in more detail. Previous studies in non-cancer populations have demonstrated that behavioral determinants, such as a positive attitude towards work, high social support and self-efficacy may increase return to work rates or shorten the time to return to work. Addressing behavioral determinants in future development of work-related interventions for cancer survivors is essential in achieving sustained employability.
迄今为止，旨在提高癌症幸存者重返工作岗位（RTW）的支持性干预措施几乎未显示出积极效果。在制定旨在实现持续就业能力的干预措施时，可能需要考虑行为决定因素。本研究旨在探讨癌症幸存者对RTW行为决定因素及继续工作的看法和经历。
在这项定性研究中，对28名癌症幸存者进行了半结构化电话访谈。所有参与者均处于工作年龄，诊断后1至2年，且诊断时已就业。进行了主题内容分析。
工作结果证明是癌症幸存者生活中有意义的一个方面，大多数参与者对其工作持积极态度。RTW或继续工作的社会支持主要来自家人和朋友，但也感受到职业医生对RTW的压力。在治疗过程中观察到对工作能力的期望从消极变为积极的变化。那些应用积极应对机制的人感到有能力应对工作中的困难。
在制定未来支持癌症幸存者RTW的干预措施时，应考虑行为决定因素。然而，因果关系仍有待确定。康复的意义需要更详细地了解影响癌症幸存者职业动机的因素。先前在非癌症人群中的研究表明，行为决定因素，如对工作的积极态度、高社会支持和自我效能感，可能会提高重返工作岗位的比率或缩短重返工作岗位的时间。在未来为癌症幸存者制定与工作相关的干预措施时，解决行为决定因素对于实现持续就业能力至关重要。
