Jin Juhyun
Institute of Nursing Science, College of Nursing, Daegu Catholic University, Daegu, Republic of Korea.
Asia Pac J Oncol Nurs. 2021 Dec 25;9(2):97-104. doi: 10.1016/j.apjon.2021.11.005. eCollection 2022 Feb.
In South Korea, the incidence and survival rate of breast cancer are high, and the return-to-work rate of breast cancer survivors continues to increase. However, there are various obstacles after returning to work, which can negatively affect long-term quality of life management. Therefore, the purpose of this study is to identify factors associated with the quality of work life, which is a priority factor in managing the quality of life.
Data were collected from 169 female breast cancer survivors and participants were selected from three different hospitals in the metropolitan city and snowball sampling was used in conjunction. The participants filled out questionnaires about a variety of factors that may associated with quality of work life (QWL); the data were analyzed using descriptive statistics, -test, one-way ANOVA, Pearson's correlation coefficient, and multiple linear regression.
All participants were women with an average age of 48.9 years after diagnosis of cancer, with 65.7% married. 46.2% of them were in Cancer stage 1, 65.7% had work experience over six years, and most of them were educated managerial workers, fixed duty. Multiple regression analysis indicated perceived health status, social support of superior and colleagues and spiritual well-being were positive predictors and cancer fatigue and distress were negative predictors of QWL, explaining 49.5% (adjusted ) ( = 17,486, 0.001).
For increasing the QWL of working breast cancer survivors, decreasing cancer fatigue and distress and increasing perceived health status, social support, and spiritual wellbeing can be considered. The findings can contribute for developing effective and systematic interventions that consider the identified predictors to enhance the QWL and successful returning to work and job retaining.
在韩国，乳腺癌的发病率和生存率较高，乳腺癌幸存者的重返工作岗位率也在持续上升。然而，重返工作岗位后存在各种障碍，这可能会对长期生活质量管理产生负面影响。因此，本研究的目的是确定与工作生活质量相关的因素，而工作生活质量是生活质量管理中的一个优先因素。
从169名女性乳腺癌幸存者中收集数据，参与者从大城市的三家不同医院中选取，并结合雪球抽样法。参与者填写了关于可能与工作生活质量（QWL）相关的各种因素的问卷；数据采用描述性统计、t检验、单因素方差分析、Pearson相关系数和多元线性回归进行分析。
所有参与者均为女性，癌症诊断后的平均年龄为48.9岁，65.7%已婚。其中46.2%处于癌症1期，65.7%有六年以上工作经验，且大多数是受过教育的管理人员，从事固定工作。多元回归分析表明，感知健康状况、上级和同事的社会支持以及精神幸福感是工作生活质量的正向预测因素，而癌症疲劳和痛苦是负向预测因素，解释了49.5%（调整后）（F = 17.486，p < 0.001）。
为了提高在职乳腺癌幸存者的工作生活质量，可以考虑减少癌症疲劳和痛苦，提高感知健康状况、社会支持和精神幸福感。这些发现有助于制定有效的系统性干预措施，考虑已确定的预测因素，以提高工作生活质量，成功重返工作岗位并保持工作。
