Center for Health Communication and Health Services Research (CHSR), Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, Bonn, Germany.
Center for Integrated Oncology (CIO Bonn), University Hospital Bonn, Bonn, Germany.
Eur J Cancer Care (Engl). 2021 Jul;30(4):e13402. doi: 10.1111/ecc.13402. Epub 2021 Jan 23.
Knowledge regarding the occupational rehabilitation of male breast cancer patients (MBCPs) is currently scarce; however, there may exist unmet needs of men affected by this rare disease. Therefore, this exploratory study investigated the experiences of MBCPs in their return to work (RTW).
Interview data from 14 men with a breast cancer diagnosis were used for qualitative content analysis. Data were collected within the mixed-methods N-MALE project (Male breast cancer: patients' needs in prevention, diagnosis, treatment, rehabilitation, and follow-up care), conducted in Germany from 2016 to 2018.
The eight identified motives for RTW were desire for normalcy, distraction, need for activity, social contacts, work as a source of pleasure, financial considerations, lack of self-perception of illness, and having a job requiring low physical effort. The participants reported positive experiences with their workplaces from diagnosis through RTW. However, stigmatisation occurred. The aftermath of the disease and treatment led to changes in the interviewees' productivity, for instance due to fatigue.
The findings of this study contribute to a better understanding of RTW processes, as new insights were gained about motives and experiences particular to MBCPs. Support needs after return were apparent and may help to reduce long-term effects that limit productivity.
目前,男性乳腺癌患者(MBCP)职业康复方面的知识相对匮乏,但这类罕见疾病可能存在未被满足的男性患者需求。因此,本探索性研究调查了 MBCP 重返工作岗位(RTW)的经历。
本研究采用定性内容分析法,对 14 名男性乳腺癌患者的访谈数据进行分析。这些数据来自德国于 2016 年至 2018 年开展的混合方法 N-MALE 项目(男性乳腺癌:预防、诊断、治疗、康复和随访护理中的患者需求)。
确定的 8 个 RTW 动机包括对正常生活的渴望、分散注意力、活动需求、社会联系、工作作为快乐源泉、经济考虑、缺乏疾病自我认知以及需要从事体力劳动要求低的工作。参与者报告了从诊断到 RTW 期间工作场所的积极体验。然而,他们也经历了污名化。疾病和治疗的后果导致了受访者生产力的变化,例如疲劳。
本研究的结果有助于更好地理解 RTW 过程,因为我们对 MBCP 特定的 RTW 动机和经历有了新的认识。回归后的支持需求显而易见,这可能有助于减轻限制生产力的长期影响。