Medical School (School of Nursing), Nantong University, Nantong, Jiangsu, China.
Clin Rehabil. 2021 Dec;35(12):1674-1693. doi: 10.1177/02692155211021706. Epub 2021 Jul 6.
With the increasing incidence and earlier onset of cancer, more and more cancer patients are facing the problems of return-to-work. This review is to explore the types, contents, and results of return-to-work interventions for cancer patients.
This scoping review followed Arksey and O'Malley's framework and PRISMA-ScR List. Three Chinese databases and five English databases were searched from the establishment of databases to 31 March, 2021. Article selection and data extraction were conducted by two researchers.
Thirty-two studies and 1916 cancer patients with mainly breast and gastrointestinal cancer were included. According to the contents, interventions could be divided into four types: (1) physical interventions ( = 6), including high-intensity exercise, low-to-moderate intensity exercise, yoga, and upper limb functional training, (2) psychological interventions ( = 2), including early active individualized psychosocial support and mindfulness-based recovery, (3) vocational interventions ( = 14), including making work plans, educational leaflets, vocational consultations, electronic health intervention, and interventions targeting at employers, (4) multidisciplinary interventions ( = 10), including any combination of above interventions. Physical exercises, making working plans, vocational consultations, educational leaflets, two combinations of vocational and physical interventions were validated to have positive results in enhancing cancer patients' return-to-work.
Return-to-work interventions for cancer patients are diversified and can be divided into physical, psychological, vocational, and multidisciplinary interventions. Medical staffs can utilize physical exercises, making working plans, vocational consultation, educational leaflets, combinations of vocational and physical interventions to enhance cancer patients' return-to-work. Other interventions still need to be developed and validated.
随着癌症发病率的上升和发病年龄的提前，越来越多的癌症患者面临重返工作岗位的问题。本综述旨在探讨癌症患者重返工作岗位干预措施的类型、内容和结果。
本范围综述遵循阿特塞和奥马利的框架和 PRISMA-ScR 清单。从数据库建立到 2021 年 3 月 31 日，在三个中文数据库和五个英文数据库中进行了检索。由两名研究人员进行文章选择和数据提取。
共纳入 32 项研究和 1916 名主要患有乳腺癌和胃肠道癌的癌症患者。根据内容，干预措施可分为四类：（1）物理干预（ = 6），包括高强度运动、低至中等强度运动、瑜伽和上肢功能训练，（2）心理干预（ = 2），包括早期积极的个体化心理社会支持和正念康复，（3）职业干预（ = 14），包括制定工作计划、教育传单、职业咨询、电子健康干预和针对雇主的干预，（4）多学科干预（ = 10），包括上述任何组合的干预。物理锻炼、制定工作计划、职业咨询、教育传单、职业和物理干预的两种组合被证明对提高癌症患者重返工作岗位有积极作用。
癌症患者的重返工作岗位干预措施多种多样，可分为物理、心理、职业和多学科干预。医务人员可以利用体育锻炼、制定工作计划、职业咨询、教育传单、职业和体育锻炼的组合来提高癌症患者的重返工作岗位率。还需要开发和验证其他干预措施。
