与新加坡头颈部癌症幸存者重返工作相关的因素：一项初步探索性混合方法研究。
Factors associated with returning to work in head and neck cancer survivors in Singapore: A preliminary exploratory mixed-methods approach study.
机构信息
Department of Head and Neck Surgery, Division of Surgery and Surgical Oncology, Singapore General Hospital, National Cancer Centre Singapore, Singapore.
SingHealth Duke-NUS Head and Neck Centre, SingHealth, Singapore.
出版信息
Head Neck. 2021 May;43(5):1451-1464. doi: 10.1002/hed.26644. Epub 2021 Feb 18.
BACKGROUND
Little is known about return-to-work (RTW) among Asian head and neck cancer (HNC) survivors. We investigated the prevalence and factors associated with RTW among HNC patients with in Singapore.
METHODS
In this cross-sectional mixed-methods study, 80 HNC patients, who had been working prior to diagnosis, completed questionnaires and 15 participated in qualitative interviews to explore perceived barriers and facilitators of RTW. Multivariate logistic regression was used to evaluate factors associated with not-returning-to-work (NRTW) within 6 months of treatment completion.
RESULTS
Thirty-five participants reported NRTW 43.8%. Multivariable analysis showed that patients with advanced stage (III-IV) cancer (odds ratios [OR] = 4.51, 95% confidence intervals [CI]: 1.15-13.28, p = 0.006), multi-modality treatment (OR = 4.62, 95% CI: 1.38-15.52, p = 0.013), and pink-collar jobs (OR = 9.30, 95% CI: 1.70-50.83, p = 0.010) had higher odds of NRTW.
CONCLUSION
The factors associated with employment after HNC treatment are complex. Identification of key modifiable factors may lead to improved RTW outcomes.
背景
亚洲头颈部癌症（HNC）幸存者的工作回归（RTW）情况知之甚少。我们调查了新加坡 HNC 患者 RTW 的流行情况和相关因素。
方法
在这项横断面混合方法研究中，80 名在诊断前有工作的 HNC 患者完成了问卷调查，其中 15 名患者参加了定性访谈，以探讨 RTW 的感知障碍和促进因素。多变量逻辑回归用于评估与治疗完成后 6 个月内未重返工作岗位（NRTW）相关的因素。
结果
35 名参与者报告 NRTW 发生率为 43.8%。多变量分析表明，癌症分期较晚（III-IV 期）（比值比 [OR] = 4.51，95%置信区间 [CI]：1.15-13.28，p = 0.006）、多模式治疗（OR = 4.62，95% CI：1.38-15.52，p = 0.013）和从事粉领工作（OR = 9.30，95% CI：1.70-50.83，p = 0.010）的患者 NRTW 的可能性更高。
结论
与 HNC 治疗后就业相关的因素较为复杂。确定关键的可改变因素可能会改善 RTW 结果。
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