Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, Virginia.
Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, Pennsylvania.
Cancer. 2018 Jul 1;124(13):2824-2831. doi: 10.1002/cncr.31375. Epub 2018 Apr 16.
The current study was performed to characterize the employment status of survivors of hematological cancer who have an informal caregiver from the time of diagnosis through the first 6 months of treatment.
Using a mixed methods approach, semistructured interviews with survivors of hematological cancer were conducted within 6 months of the initiation of cancer treatment. Interviews assessed cancer treatment status, barriers and facilitators to employment, financial and insurance status, and relationship with the primary caregiver. These results are part of a longitudinal study of cancer survivors and informal caregivers.
A total of 171 patients were enrolled. Within 6 months of beginning cancer treatments, approximately 35% were no longer employed. Reasons to remain employed included financial need, employee benefits, and a sense of purpose and normalcy. Employer accommodations and supportive colleagues facilitated continued employment. Logistic regression analysis demonstrated that having a higher household income, a desire to work, nonphysical job tasks, and congruent survivor-caregiver communication were associated with greater odds of remaining employed.
Within 6 months of initiating cancer treatment, the majority of survivors of hematological cancer had maintained employment. Because of the limitations imposed by the physical stress of cancer treatments, as well as the need to maintain employment to continue receiving employee benefits to cover such treatments, survivors of hematological cancer likely would benefit from employment accommodations that are sensitive to their unique needs. Cancer 2018;124:2824-2831. © 2018 American Cancer Society.
本研究旨在描述从诊断时到治疗开始后 6 个月期间有非正规照顾者的血液系统恶性肿瘤幸存者的就业状况。
采用混合方法，在癌症治疗开始后 6 个月内对血液系统恶性肿瘤幸存者进行半结构式访谈。访谈评估癌症治疗状况、就业的障碍和促进因素、财务和保险状况以及与主要照顾者的关系。这些结果是癌症幸存者和非正规照顾者纵向研究的一部分。
共纳入 171 例患者。在开始癌症治疗后的 6 个月内，约 35%的患者不再就业。继续工作的原因包括经济需要、员工福利以及使命感和正常感。雇主的适应和支持性同事促进了继续就业。逻辑回归分析表明，家庭收入较高、工作意愿、非体力工作任务以及幸存者与照顾者沟通一致与继续就业的可能性更大相关。
在开始癌症治疗后的 6 个月内，大多数血液系统恶性肿瘤幸存者仍保持就业。由于癌症治疗带来的身体压力的限制，以及为了继续获得员工福利以支付这些治疗费用而保持就业的需要，血液系统恶性肿瘤幸存者可能需要对其独特需求敏感的就业安排。癌症 2018;124:2824-2831. © 2018 美国癌症协会。
