接受辅助内分泌治疗的早期乳腺癌幸存者的工作相关结果与症状之间的关系。
The relationship between work-related outcomes and symptoms in early breast cancer survivors receiving adjuvant endocrine therapy.
作者信息
Nakao Mayumi, Komatsu Hiroko, Hayashida Tetsu, Takahashi Maiko, Seki Tomoko, Yagasaki Kaori
机构信息
Keio University Graduate School of Health Management Course for Nursing, Kanagawa, Japan.
Japanese Red Cross Kyushu International College of Nursing, Munakata, Japan.
出版信息
Asia Pac J Oncol Nurs. 2022 Jan 21;9(3):174-178. doi: 10.1016/j.apjon.2022.01.003. eCollection 2022 Mar.
OBJECTIVE
This study examined the relationship between symptom burdens and work-related outcomes, including work participation and overall work impairment (OWI) among breast cancer survivors (BCS) receiving adjuvant endocrine therapy (AET).
METHODS
This was a cross-sectional study with 140 BCS of working age receiving AET. Data were collected using self-report questionnaires that included an assessment of symptoms and their employment status, and OWI. Data were analyzed using descriptive statistics and multiple logistic regression analysis.
RESULTS
A total of 111 (79%) survivors reported being employed at the time of the survey. Symptom burdens were not associated with unemployment. Of the 110 working BCS receiving AET, symptom burdens were significantly related to a higher degree of OWI (OR = 2.14, 95% CI, 1.58-2.89, ≤ 0.001).
CONCLUSIONS
Participating BCS receiving AET continued to work while experiencing symptoms, with survivors who experienced high symptom burdens being negatively affected in their work life. Healthcare providers need to assess and manage symptoms and their impact on work, with the help of employers, to improve the quality of work life of BCS receiving AET.
目的
本研究探讨了接受辅助内分泌治疗（AET）的乳腺癌幸存者（BCS）的症状负担与工作相关结果之间的关系，这些结果包括工作参与度和总体工作障碍（OWI）。
方法
这是一项横断面研究，研究对象为140名接受AET的适龄工作BCS。使用自我报告问卷收集数据，问卷包括对症状及其就业状况和OWI的评估。使用描述性统计和多元逻辑回归分析对数据进行分析。
结果
共有111名（79%）幸存者报告在调查时受雇。症状负担与失业无关。在110名接受AET的在职BCS中，症状负担与更高程度的OWI显著相关（OR = 2.14，95%CI，1.58 - 2.89，P≤0.001）。
结论
接受AET的在职BCS在出现症状时仍继续工作，症状负担较重的幸存者在工作生活中受到负面影响。医疗服务提供者需要在雇主的帮助下评估和管理症状及其对工作的影响，以提高接受AET的BCS的工作生活质量。
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