乳腺癌治疗早期与工作相关的残疾预测因素。
Predictors of Work-Related Disability During Early Phases of Breast Cancer Treatment.
机构信息
From the Departments of Occupational Therapy (RB, ES, LT) and Rehabilitation Counseling (MM), School of Health and Rehabilitation Sciences, and School of Nursing (CB), University of Pittsburgh, Pennsylvania.
出版信息
Am J Phys Med Rehabil. 2019 Jul;98(7):627-630. doi: 10.1097/PHM.0000000000001138.
OBJECTIVE
This study examined the magnitude of work-related disability in postmenopausal women with breast cancer compared with healthy controls. It also examined demographic and clinical correlates of work-related disability in postmenopausal women with breast cancer.
STUDY DESIGN
This was an exploratory secondary analysis of longitudinal study.
OUTCOME MEASURE
The Work Limitations Questionnaire measured the percentage of at-work productivity loss.
RESULTS
The analysis revealed a significant group-by-time interaction effect (F1,40 = 4.705, P = 0.036, partial η = .105) on work-related disability. Participants with breast cancer (mean = 2.364, SE = 0.374) had significantly higher percentage of at-work productivity loss compared with the healthy control group (mean = 1.263, SE = 0.392). At baseline, cognitive-emotional symptoms were moderately to strongly associated with work-related disability. At 6 months, physical symptoms were moderately associated with work-related disability.
CONCLUSIONS
Women with newly diagnosed breast cancer are likely to experience higher rates of work-related disability compared with health counterparts. Health care providers should provide intervention to parallel the shift in symptoms that lead to higher work-related disability and job cessation.
目的
本研究旨在考察与健康对照相比，绝经后乳腺癌女性的工作相关残疾程度。还研究了绝经后乳腺癌女性工作相关残疾的人口统计学和临床相关性。
研究设计
这是一项对纵向研究的探索性二次分析。
结果测量
工作限制问卷测量了工作生产力损失的百分比。
结果
分析显示，工作相关残疾存在显著的组-时间交互效应（F1,40 = 4.705，P = 0.036，偏η= 0.105）。与健康对照组（mean = 1.263，SE = 0.392）相比，患有乳腺癌的参与者（mean = 2.364，SE = 0.374）的工作生产力损失百分比显著更高。在基线时，认知情感症状与工作相关残疾中度至高度相关。6 个月时，身体症状与工作相关残疾中度相关。
结论
与健康同龄人相比，新诊断为乳腺癌的女性可能更容易出现工作相关残疾。医疗保健提供者应提供干预措施，以应对导致更高工作相关残疾和失业的症状变化。
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