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癌症幸存者的重返工作。

Return to Work of Cancer Survivors.

机构信息

Klinik Sonnenblick, Marburg, Germany.

出版信息

Oncol Res Treat. 2017;40(12):760-763. doi: 10.1159/000485079. Epub 2017 Nov 29.

Abstract

Due to improving treatment options, the number of so-called long-term cancer survivors is steadily increasing. Current studies assume that more than 60% of adults survive their cancer. These patients have a variety of problems (chemotherapy-induced neuropathy, fatigue, etc.) that require very special care. In addition to somatic and psychological side effects of the cancer or its treatment, these patients also suffer from the financial and social consequences of the disease. Thus, for a long-term survivor of working age, the question of a 'return to work' represents a significant problem since otherwise the financial existence of the patient, and often the family, may substantially deteriorate. Studies show that cancer patients classify financial worries with regard to the quality of life as more significant than physical or psychological side effects of the cancer or its treatment. Furthermore, there are initial studies showing that the social descent due to the disease may also prove relevant for cancer prognosis. In contrast, it was shown in studies and in a Cochrane analysis that professional assistance and support services are suitable for keeping patients in their professional lives. Therefore, both patients and physicians need to be aware of this problem.

摘要

由于治疗选择的改善,所谓的长期癌症幸存者的数量正在稳步增加。目前的研究假设,超过 60%的成年人能够战胜癌症。这些患者有各种各样的问题(化疗引起的神经病变、疲劳等),需要非常特殊的护理。除了癌症或其治疗的躯体和心理副作用外,这些患者还承受着疾病带来的经济和社会后果。因此,对于处于工作年龄的长期幸存者来说,“重返工作岗位”的问题是一个重大问题,因为否则患者,通常还有其家庭,的经济状况可能会大幅恶化。研究表明,癌症患者将经济担忧视为生活质量的重要因素,甚至超过了癌症或其治疗的身体或心理副作用。此外,有初步研究表明,由于疾病导致的社会地位下降也可能与癌症预后相关。相比之下,研究和 Cochrane 分析表明,专业援助和支持服务适合帮助患者保持其职业生活。因此,患者和医生都需要意识到这个问题。

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