School of Nursing and Rehabilitation, Nantong University, Nantong, 226001, Jiangsu Province, China.
BMC Cancer. 2024 May 13;24(1):581. doi: 10.1186/s12885-024-12305-7.
To explore the effects of a 'Rebuilding Myself' intervention on enhancing the adaptability of cancer patients to return to work.
A single-center, single-blind, randomized controlled trial design was used. Eligible patients who were receiving routine hospital treatment were recruited from the university-affiliated hospital in our city. Patients in the control group only received usual care, while patients in the intervention group received additional 'Rebuilding Myself' intervention. Adaptability to return to work, self-efficacy of returning to work, mental resilience, quality of life and work ability were measured at baseline, the 6th and 12th of the intervention. The general estimation equations were used to compare the overall changes of each outcome index between the two groups at different time points. Considering that there may be patient shedding and rejection, Per-Protocol and Intention-to-Treat analysis were used to analyze the data in this study.
There were statistically significant differences between the two groups of patients in the cancer patients' adaptability to return to work, self-efficacy to return to work, mental resilience, work abilities, the physical, emotional, cognitive function, fatigue, insomnia and overall health status dimensions of quality of life (P < 0.05). And no significant difference was found in other dimensions (P > 0.05). The group effect, time effect, and interaction effect of patients' return to work adaptability and return to work self-efficacy were statistically significant in both groups (P < 0.05). Mental resilience, working ability, and quality of life had obvious time effect and interaction effect (P < 0.05).
This intervention could improve cancer patients' adaptability to return to work, self-efficacy to return to work, mental resilience, work abilities and quality of life. And it can be further expanded to improve the adaptability of patients to return to work, then to help patients achieve comprehensive rehabilitation.
The application of 'Rebuilding Myself' interventions can effectively improve the adaptability of cancer patients returning to work.
This study was registered at the Chinese Clinical Trial Registry (Registration number: ChiCTR2200057943) on 23 March, 2022.
探讨“重塑自我”干预对提高癌症患者工作适应能力的效果。
采用单中心、单盲、随机对照试验设计。从我市大学附属医院招募正在接受常规医院治疗的符合条件的患者。对照组仅接受常规护理，干预组在常规护理的基础上增加“重塑自我”干预。在干预前、第 6 天和第 12 天分别测量患者的工作适应能力、工作自我效能感、心理弹性、生活质量和工作能力。采用广义估计方程比较两组在不同时间点各结局指标的总体变化。考虑到可能存在患者脱落和拒绝，本研究采用意向治疗和符合方案集分析数据。
两组患者在癌症患者工作适应能力、工作自我效能感、心理弹性、工作能力、生理、情绪、认知功能、疲劳、失眠和总体健康状况维度的生活质量方面存在统计学差异（P<0.05）。其他维度差异无统计学意义（P>0.05）。两组患者的工作适应能力和工作自我效能感的组间效应、时间效应和交互效应均有统计学意义（P<0.05）。心理弹性和工作能力以及生活质量具有明显的时间效应和交互效应（P<0.05）。
该干预措施可提高癌症患者的工作适应能力、工作自我效能感、心理弹性、工作能力和生活质量。并可进一步扩大应用，以提高患者的工作适应能力，进而帮助患者实现全面康复。
“重塑自我”干预的应用可有效提高癌症患者的工作适应能力。
本研究于 2022 年 3 月 23 日在中国临床试验注册中心（注册号：ChiCTR2200057943）注册。
