College of Nursing, Research Institute of Nursing Science (Dr. Lee); and Colorectal Cancer Center, Kyungpook National University Chilgok Hospital, School of Medicine (Drs Park), Kyungpook National University, Daegu, South Korea.
Eur J Oncol Nurs. 2024 Jun;70:102593. doi: 10.1016/j.ejon.2024.102593. Epub 2024 Apr 17.
The present study aims to assess the efficacy of stage-matched, self-managed Return to Work (RTW) interventions in enhancing RTW outcomes among colorectal cancer (CRC) survivors.
This trial, conducted in South Korea, enrolled 58 unemployed survivors of colorectal cancer. Participants were randomly assigned to either an experimental or a control group. The experimental group received a self-managed return-to-work intervention based on the trans-theoretical model, while the control group received an educational booklet. Assessments were conducted at baseline and at 3, 6, and 12 months to measure changes in various factors including return-to-work status and HRQOL.
In the experimental group, 28 participants were randomly assigned, while 30 individuals were allocated to the control group. The experimental group exhibited a higher proportion of individuals achieving RTW (64.5% vs 39.3%, p = 0.013) and demonstrated greater improvements in work ability (p = 0.001), RTW self-efficacy (p = 0.035), readiness for RTW in the prepared-for-action (p < 00.0001), uncertain maintenance (p = 0.033), and proactive maintenance (p < 00.0001) stages, quality of working life (p = 0.003), HRQOL (p < 0.05), and illness perception (p < 0.05) compared to the control group at the 12-month follow-up.
Stage-matched self-managed RTW interventions incorporating TTM principles may effectively enhance RTW outcomes and work ability among CRC survivors.
本研究旨在评估基于阶段匹配的自我管理的重返工作岗位（RTW）干预措施在提高结直肠癌（CRC）幸存者 RTW 结果方面的效果。
这项在韩国进行的试验招募了 58 名失业的结直肠癌幸存者。参与者被随机分配到实验组或对照组。实验组接受基于跨理论模型的自我管理的重返工作岗位干预，而对照组接受教育手册。在基线和 3、6 和 12 个月时进行评估，以衡量包括重返工作岗位状态和 HRQOL 在内的各种因素的变化。
在实验组中，随机分配了 28 名参与者，而对照组分配了 30 名参与者。实验组中实现 RTW 的比例更高（64.5%比 39.3%，p=0.013），并且在工作能力（p=0.001）、重返工作岗位自我效能感（p=0.035）、准备好采取行动（p<00.0001）、不确定维持（p=0.033）和主动维持（p<00.0001）阶段、工作生活质量（p=0.003）、HRQOL（p<0.05）和疾病认知（p<0.05）方面的改善更为显著，与对照组相比，在 12 个月随访时。
纳入 TTM 原则的基于阶段匹配的自我管理的 RTW 干预措施可能会有效提高 CRC 幸存者的 RTW 结果和工作能力。
