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乳腺癌患者的工作能力:意大利南部一家医院医护人员的研究。

Work Ability after Breast Cancer: Study of Healthcare Personnel Operating in a Hospital of South Italy.

机构信息

Occupational Medicine Section, Department of Clinical and Experimental Medicine, University of Catania, 95124 Catania, Italy.

Department of Sciences for Health Promotion and Mother and Child Care "Giuseppe D'Alessandro", University of Palermo, 90127 Palermo, Italy.

出版信息

Int J Environ Res Public Health. 2022 Aug 31;19(17):10835. doi: 10.3390/ijerph191710835.

DOI:10.3390/ijerph191710835
PMID:36078550
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9518308/
Abstract

Breast cancer (BrC) treatment can produce disabilities that often impact the quality of daily life and impact the social and working relationships of the patient. This paper looked into the remaining work ability in a group of female healthcare personnel (HCPs) with BrC in Southern Italy. Each HCP was subjected to a medical check, routine blood tests, and a questionnaire on the work ability index (WAI). Of 980 (100%) HCWs undergoing health control, 6% ( = 54) had experienced BRC, and only 66.6% ( = 36) agreed to take part in the study. A total of 28 (78%) were on night shifts. The WAI score was quite low in 5 (13.8%) cases, moderate in 10 (27.7%) cases, good in 14 (38.8%) cases, and excellent in 7 (19.5%) HCWs. Among all health figures, in nurses as well as technical staff, lower WAI scores were observed. HCWs reported various comorbidities, which affected WAI score, such as limited mobility in the upper limbs, arm/shoulder pain, numbness, and lymphoedema. The main complication that negatively affects any work activity is the morbidity in the upper limbs. This seems to affect the ability to perform tasks, and the re-entry to work is highlighted on sick leave days.

摘要

乳腺癌(BrC)的治疗可能会导致残疾,这些残疾常常会影响患者的日常生活质量,并影响其社会和工作关系。本文研究了意大利南部一组患有乳腺癌的女性医护人员(HCPs)的剩余工作能力。每位 HCP 都接受了体检、常规血液检查和工作能力指数(WAI)问卷。在接受健康检查的 980 名(100%)HCWs 中,有 6%(=54 名)经历过 BrC,只有 66.6%(=36 名)同意参与研究。共有 28 名(78%)值夜班。5 名(13.8%)HCPs 的 WAI 评分较低,10 名(27.7%)HCPs 的 WAI 评分中等,14 名(38.8%)HCPs 的 WAI 评分良好,7 名(19.5%)HCPs 的 WAI 评分优秀。在所有健康数据中,护士和技术人员的 WAI 评分较低。HCPs 报告了各种合并症,这些合并症影响了 WAI 评分,例如上肢活动受限、手臂/肩膀疼痛、麻木和淋巴水肿。对任何工作活动负面影响最大的主要并发症是上肢发病率。这似乎会影响执行任务的能力,而重新开始工作则在病假天数中凸显出来。

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MacroH2A1 Immunoexpression in Breast Cancer.MacroH2A1在乳腺癌中的免疫表达
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A randomized controlled trial to compare group motivational interviewing to very brief advice for the effectiveness of a workplace smoking cessation counseling intervention.一项比较团体动机性访谈与非常简短建议对工作场所戒烟咨询干预效果的随机对照试验。
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