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重返工作岗位的癌症幸存者工作生活质量的结构方程模型

Structural Equation Model of the Quality of Working Life among Cancer Survivors Returning to Work.

作者信息

Jin Ju Hyun, Lee Eun Ju

机构信息

College of Nursing, Research Institute of Nursing Science, Keimyung University, Daegu, Republic of Korea.

College of Nursing, Keimyung University, Daegu, Republic of Korea.

出版信息

Asian Nurs Res (Korean Soc Nurs Sci). 2021 Feb;15(1):37-46. doi: 10.1016/j.anr.2020.10.002. Epub 2020 Nov 28.

Abstract

PURPOSE

This study aimed to construct and validate a model of the quality of working life (QWL) among cancer survivors returning to work.

METHODS

A cross-sectional study was developed. Participants included 204 cancer survivors in the extended cancer survivor stage, 6 months after returning to work, who were treated at two tertiary hospital cancer centers. The data were analyzed with SPSS 22.0 and AMOS 20.0 for confirmatory factor analysis to assess the hypothesis fit and verify the hypothesis.

RESULTS

Factors affecting cancer survivors' quality of working liferesulted in cancer stigma and social support (explanatory power was 43.1%) and the model showed acceptable goodness of fit. In the final model, cancer stigma had a significant direct effect on social support and indirect effect on organizational health, employee health, and QWL. Additionally, social support had significant direct effect on organizational health, employee health and QWL.

CONCLUSION

Based on the results of this study, there is a need to develop strategies and effective intervention programs that can increase the support of supervisors and colleagues for improving overall quality of work life. Furthermore, the development of policies and intervention programs to reduce cancer stigma for the purpose of transforming perceptions through education and public relations which are indirect factors that affect the quality of work life, can contribute to improving the quality of work life for cancer survivors.

摘要

目的

本研究旨在构建并验证重返工作岗位的癌症幸存者工作生活质量(QWL)模型。

方法

开展了一项横断面研究。参与者包括204名处于癌症幸存者扩展阶段、重返工作岗位6个月后的癌症幸存者,他们在两家三级医院癌症中心接受治疗。使用SPSS 22.0和AMOS 20.0对数据进行分析,以进行验证性因素分析,评估假设拟合度并验证假设。

结果

影响癌症幸存者工作生活质量的因素导致了癌症污名化和社会支持(解释力为43.1%),且该模型显示出可接受的拟合优度。在最终模型中,癌症污名化对社会支持有显著直接影响,对组织健康、员工健康和工作生活质量有间接影响。此外,社会支持对组织健康、员工健康和工作生活质量有显著直接影响。

结论

基于本研究结果,有必要制定策略和有效的干预计划,以增加主管和同事的支持,从而提高整体工作生活质量。此外,制定政策和干预计划以减少癌症污名化,通过教育和公共关系改变观念,这些作为影响工作生活质量的间接因素,有助于提高癌症幸存者的工作生活质量。

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