韩国职业健康医生视角下的癌症幸存者与重返工作
Cancer Survivors and Returning to Work Perspectives from Occupational Health Physicians in Korea.
机构信息
Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
Department of Occupational & Environmental Medicine, Sungso Hospital, Andong, Korea.
出版信息
J Korean Med Sci. 2019 Mar 15;34(11):e98. doi: 10.3346/jkms.2019.34.e98. eCollection 2019 Mar 25.
BACKGROUND
This study was conducted from an occupational health perspective to document cancer survivors' ability to return to work, the role of clinical care, and the current status of effective return-to-work.
METHODS
This cross-sectional study was conducted to evaluate the experiences and opinions of occupational health physicians (OHPs) regarding cancer survivors' return-to-work. A self-reported survey was conducted from December 30, 2015, to January 30, 2016, targeting 337 OHPs. Questions included: 1) treatment experiences of survivors in the words of OHPs, 2) current status of the assessments of fitness for work of cancer survivors, 3) experiences associated with workplace and treatment, and 4) problems of returning to work and overcoming system.
RESULTS
Only 25% of the respondents said that they had experience treating cancer survivors, and the average number of patients was 12.6 per annum, which indicated that few cancer survivors were treated. Eleven cases included conducting assessment of fitness for work. There were 17 respondents who did not treat cancer survivors. Both those who had and did not have experience in treating survivors showed higher musculoskeletal system disorders (53.8 vs. 63.5) than cancer (15.5 vs. 11.2) in terms of frequency of the diseases in the assessment of fitness for work. Most respondents said that OHPs evaluate the current role appropriately and preferred OHPs in the future. They responded that OHPs found it difficult to treat cancer survivors, and it was psychologically tough to communicate with them (61.4%). Regarding the association of patient rehabilitation with workplaces, 48.9% said that workplaces provide inadequate support.
CONCLUSION
As a preliminary study, we found that OHPs were found to have little experience in treating cancer survivors and undergo difficulties owing to poor collaboration with workplaces and communication with patients. This study will provide basic data for future studies to promote cancer survivors' return to workplaces.
背景
本研究从职业健康的角度出发，记录癌症幸存者重返工作岗位的能力、临床护理的作用以及有效重返工作岗位的现状。
方法
本横断面研究评估了职业健康医生（OHP）对癌症幸存者重返工作岗位的经验和看法。2015 年 12 月 30 日至 2016 年 1 月 30 日，针对 337 名 OHP 进行了一项自我报告调查。问题包括：1）OHP 描述的幸存者的治疗经历，2）目前对癌症幸存者工作能力评估的状况，3）与工作场所和治疗相关的经历，以及 4）重返工作岗位和克服系统问题。
结果
只有 25%的受访者表示有治疗癌症幸存者的经验，平均每年治疗 12.6 例，这表明很少有癌症幸存者接受治疗。11 例包括进行工作能力评估。有 17 名受访者没有治疗过癌症幸存者。无论是有还是没有治疗过幸存者经验的受访者，在工作能力评估中，肌肉骨骼系统疾病的频率（53.8%比 63.5%）都高于癌症（15.5%比 11.2%）。大多数受访者表示，OHP 对当前角色的评估是恰当的，并希望未来由 OHP 来评估。他们表示，OHP 很难治疗癌症幸存者，与他们沟通也很有心理压力（61.4%）。关于患者康复与工作场所的关联，48.9%的人表示工作场所提供的支持不足。
结论
作为一项初步研究，我们发现 OHP 在治疗癌症幸存者方面经验有限，由于与工作场所合作不佳和与患者沟通困难，他们面临困难。本研究将为未来促进癌症幸存者重返工作岗位的研究提供基础数据。
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