Cheung Kin, Ching Siu Yin Shirley, Chan Amy, Cheung Doris, Cheung Suk Yee Polly
School of Nursing, The Hong Kong Polytechnic University, Yuk Choi Road, Hung Hom, Kowloon, Hong Kong, China.
Hong Kong Breast Cancer Foundation, 16/F, Jupiter Tower, 9 Jupiter Street, North Point, Hong Kong, China.
Support Care Cancer. 2017 Nov;25(11):3495-3504. doi: 10.1007/s00520-017-3773-x. Epub 2017 Jun 14.
The aims of this study were to identify the work ability (WA) of breast cancer (BC) survivors during the course of their illness, and the relationships between personal-, disease-, and work-related factors, and their WA.
This is a cross-sectional survey study. One hundred fifty-one participants with the response rate of 88.9% were recruited from the community in 2014 and 2015.
BC survivors' WA was at its highest before diagnosis, and then dropped to the lowest during treatment. Although their current WA had improved, it has not bounced back to that before diagnosis. The resignation rate was 35.8%. Factors positively associated with current WA included (a) age and year of diagnosis, (b) physical and psychological health and (c) WA before diagnosis or during treatment, working years, work control and mastery. However, compliance with appropriate healthy eating habits and believing in personal health controlled by chance were negatively associated with current WA. Furthermore, the participants would more likely to have higher current WA if they (a) were more optimistic with good stress management; (b) currently were not receiving treatment or other illnesses; (c) perceived less effects of their health problems, physical workloads or their cancer diagnoses on their work and (d) perceived continue to work in the next 2 years, with good ability to handle physical and mental work.
This study confirmed that most BC survivors continued to work after their diagnoses. The factors affecting their WA were multifactorial. It is important to enhance their positive thinking.
本研究旨在确定乳腺癌(BC)幸存者在患病过程中的工作能力(WA),以及个人、疾病和工作相关因素与他们的工作能力之间的关系。
这是一项横断面调查研究。2014年和2015年从社区招募了151名参与者,应答率为88.9%。
BC幸存者的工作能力在诊断前最高,然后在治疗期间降至最低。虽然他们目前的工作能力有所提高,但尚未恢复到诊断前的水平。辞职率为35.8%。与当前工作能力呈正相关的因素包括:(a)年龄和诊断年份;(b)身心健康;(c)诊断前或治疗期间的工作能力、工作年限、工作控制和掌握程度。然而,遵守适当的健康饮食习惯以及认为个人健康受机遇控制与当前工作能力呈负相关。此外,如果参与者(a)更乐观且压力管理良好;(b)目前未接受治疗或患有其他疾病;(c)认为其健康问题、身体工作量或癌症诊断对其工作的影响较小;(d)预计在未来两年继续工作且有良好的身心工作处理能力,那么他们更有可能具有较高的当前工作能力。
本研究证实,大多数BC幸存者在确诊后仍继续工作。影响他们工作能力的因素是多方面的。增强他们的积极思维很重要。