Camejo-Martínez Natalia, Castillo-Leska Cecilia, Hernández-Ibero Ana Laura, Artagaveytia-Cóppola Nora Amelia, Amarillo-Hernández Dahiana Lourdes, Krygier-Waltier Gabriel David
Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Servicio de Oncología. Montevideo, Uruguay.
Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Departamento de Psicologia Médica. Montevideo, Uruguay.
Rev Med Inst Mex Seguro Soc. 2022 Aug 31;60(5):487-494.
Returning to work and performing housework tasks (HWT) is the final step in overcoming breast cancer (BC).
To assess whether clinical characteristics and type of treatment impact employment status and performance of HWT.
A total of 119 patients diagnosed with early BC were enrolled. Occupational and HWT-related variables were measured.
At diagnosis, most of the patients were employed and performed HWT. Two years after the end of treatment, 50% of the patients who were working continued to work and 68.6% of these had issues returning to work. Patients who did not return to work were diagnosed at more advanced stages and had more postoperative complications (p < 0.005). Regarding the execution of HWT, 83.3% had some degree of difficulty to perform them. Patients who underwent axillary nodal removal, those who received more frequent psychological support, and those who had more postoperative complications performed HWT with greater difficulty (p < 0.005).
Once treatment had finished, 50% of patients did not come back to their work. In this case, the stage negative effect and the postoperative complications materialized. These data reveal that returning to work after BC diagnosis and treatment is complicated.
重返工作岗位并承担家务劳动是战胜乳腺癌（BC）的最后一步。
评估临床特征和治疗类型是否会影响就业状况和家务劳动表现。
共纳入119例诊断为早期乳腺癌的患者。测量了职业和与家务劳动相关的变量。
诊断时，大多数患者有工作且承担家务劳动。治疗结束两年后，仍在工作的患者中有50%继续工作，其中68.6%的人在重返工作岗位时遇到问题。未重返工作岗位的患者诊断时分期更晚，术后并发症更多（p<0.005）。关于家务劳动的执行情况，83.3%的患者在进行家务劳动时有一定程度的困难。接受腋窝淋巴结清扫的患者、接受更频繁心理支持的患者以及术后并发症更多的患者进行家务劳动时困难更大（p<0.005）。
治疗结束后，50%的患者未重返工作岗位。在这种情况下，分期的负面影响和术后并发症显现出来。这些数据表明，乳腺癌诊断和治疗后重返工作岗位是复杂的。
