Brusletto Birgit, Torp Steffen, Ihlebæk Camilla Martha, Vinje Hege Forbech
Department of Health, Social and Welfare Studies, Faculty of Health and Social Sciences, University College of Southeast Norway (USN), P.O. Box 235, NO-3603, Kongsberg, Norway.
Department of Public Health Science, Faculty of Landscape and Society, Norwegian University of Life Sciences (NMBU), Universitetstunet 1, NO-1433, Ås, Norway; Faculty of Health and Social Work Studies, Østfold University College, P.O.Box 700, NO-1757, Halden, Norway.
Eur J Oncol Nurs. 2018 Jun;34:21-27. doi: 10.1016/j.ejon.2018.03.003. Epub 2018 Mar 8.
We investigated persons who survived cancer (PSC) and their experiences in returning to sustainable work.
Videotaped, qualitative, in-depth interviews with previous cancer patients were analyzed directly using "Interpretative Phenomenological Analysis" (IPA). Four men and four women aged 42-59 years participated. Mean time since last treatment was nine years. All participants had worked for more than 3 years when interviewed. An advisory team of seven members with diverse cancer experiences contributed as co-researchers.
The entire trajectory from cancer diagnosis until achievement of sustainable work was analog to a journey, and a process model comprising five phases was developed, including personal situations, treatments, and work issues. The theme "return-to-work" (RTW) turned out to be difficult to separate from the entire journey that started at the time of diagnosis. PSCs were mainly concerned about fighting for life in phases 1 and 2. In phase 3 and 4, some participants had to adjust and make changes at work more than once over a period of 1-10 years before reaching sustainable work in phase 5. Overall, the ability to adapt to new circumstances, take advantage of emerging opportunities, and finding meaningful occupational activities were crucial.
Our process model may be useful as a tool when discussing the future working life of PSCs. Every individual's journey towards sustainable work was unique, and contained distinct and long-lasting efforts and difficulties. The first attempt to RTW after cancer may not be persistent.
我们对癌症幸存者（PSC）及其回归可持续工作的经历进行了调查。
对之前的癌症患者进行录像、定性、深入访谈，并直接使用“诠释现象学分析”（IPA）进行分析。4名年龄在42至59岁之间的男性和4名女性参与了研究。自上次治疗以来的平均时间为9年。所有参与者在接受访谈时都已工作超过3年。一个由7名具有不同癌症经历的成员组成的咨询团队作为共同研究者参与其中。
从癌症诊断到实现可持续工作的整个轨迹类似于一段旅程，并开发了一个包含五个阶段的过程模型，包括个人情况、治疗和工作问题。结果表明，“重返工作岗位”（RTW）这一主题难以与从诊断时开始的整个旅程分开。PSC在第1阶段和第2阶段主要关注为生命而战。在第3阶段和第4阶段，一些参与者在1至10年的时间里不得不在工作中多次调整和做出改变，才能在第5阶段实现可持续工作。总体而言，适应新环境、利用新出现的机会以及找到有意义的职业活动的能力至关重要。
我们的过程模型在讨论PSC未来的工作生活时可能作为一种工具有用。每个人走向可持续工作的旅程都是独特的，并且包含独特且持久的努力和困难。癌症后首次尝试RTW可能不会持续。
