School of Nursing, Sun Yat-Sen University, 74, Zhongshan 2nd Rd, Guangzhou, 510080, China.
State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Support Care Cancer. 2022 Mar;30(3):2349-2357. doi: 10.1007/s00520-021-06638-3. Epub 2021 Nov 6.
The objective of this current study was to describe the status of returning to work and work ability of colorectal cancer survivors and identify the key factors associated with returning to work and work ability of Chinese colorectal cancer patients.
A cross-sectional observational study was performed in 212 colorectal cancer survivors who have worked before their colorectal cancer diagnosis. We evaluated patient's return to work (Yes/No), work ability, and factors by questionnaires of the Work Ability Index (WAI), M. D. Anderson Symptom Inventory for Gastrointestinal (MDASI-GI), and the Self-Report Psychosocial Adjustment to Illness Scale (PAIS-SR). Logistic regression analysis and linear regression were used to find the potential predictors with returning to work and work ability.
Participants mostly 145 have returned to work (68.4%). Work ability and psychosocial adjustment of colorectal cancer survivors were at a moderate level. After completing treatment, the patient still had many symptoms, and these symptoms were distress to live. In the two models, survivors with higher family monthly income per capita and lower psychosocial adjustment scores were more likely to have higher work ability and return to work. Survivors with lower symptom distress were more likely to have higher work ability (r = - 0.038, p = 0.010). Survivors with higher work ability were more likely to return to work (OR = 1.193, 95% CI = (1.116,1.274)).
This study confirmed that symptom distress and psychosocial adjustment were significantly associated with colorectal cancer survivors' returning to work and work ability, which should be considered in future intervention research.
本研究旨在描述结直肠癌幸存者重返工作岗位和工作能力的现状，并确定与中国结直肠癌患者重返工作岗位和工作能力相关的关键因素。
本研究采用横断面观察性研究，共纳入 212 名在结直肠癌诊断前有工作经历的结直肠癌幸存者。我们通过工作能力指数（WAI）、MD 安德森胃肠道症状量表（MDASI-GI）和自我报告心理社会疾病适应量表（PAIS-SR）问卷评估患者的返岗情况（是/否）、工作能力和相关因素。采用逻辑回归分析和线性回归分析寻找与返岗和工作能力相关的潜在预测因素。
参与者中 145 人（68.4%）已重返工作岗位。结直肠癌幸存者的工作能力和心理社会适应处于中等水平。完成治疗后，患者仍存在许多症状，这些症状给生活带来困扰。在两个模型中，家庭人均月收入较高和心理社会适应评分较低的幸存者更有可能具有较高的工作能力和返岗。症状困扰程度较低的幸存者更有可能具有较高的工作能力（r=−0.038，p=0.010）。工作能力较高的幸存者更有可能返岗（OR=1.193，95%CI=（1.116,1.274））。
本研究证实，症状困扰和心理社会适应与结直肠癌幸存者的返岗和工作能力显著相关，这在未来的干预研究中应予以考虑。
