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癌症幸存者重返工作岗位的工作与生活平衡措施及合理便利干预:一项范围综述

Measures of Work-life Balance and Interventions of Reasonable Accommodations for the Return to Work of Cancer Survivors: A Scoping Review.

作者信息

Buresti Giuliana, Rondinone Bruna Maria, Valenti Antonio, Boccuni Fabio, Fortuna Grazia, Iavicoli Sergio, Cristina Dentici Maria, Persechino Benedetta

机构信息

Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers' Compensation Authority (INAIL), Monte Porzio Catone, Rome, Italy.

Ministry of Health, Rome, Italy.

出版信息

Saf Health Work. 2024 Sep;15(3):255-262. doi: 10.1016/j.shaw.2024.07.001. Epub 2024 Jul 27.

Abstract

BACKGROUND

Nearly half of patients diagnosed with cancer are in the middle of their traditional working age. The return to work after cancer entails challenges because of the cancer or treatments and associated with the workplace. The study aimed at providing more insight into the occupational outcomes encountered by workers with cancer and to provide interventions, programs, and practices to support their return to work.

METHODS

A scoping review was conducted using the Arksey and O'Malley framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for scoping review guidelines. Relevant studies were systematically searched in PubMed/MEDLINE, SCOPUS and Grey literature from 01 January 2000 to 22 February 2024.

RESULTS

The literature search generated 3,017 articles; 53 studies were considered eligible for this review. Most of the studies were longitudinal and conducted in Europe. Three macroarea were identified: studies on the impact of cancer on workers in terms of sick leave, employment, return to work, etc.; studies reporting wider issues that may affect workers, such as the compatibility of treatment and work and employment; studies reporting interventions or policies aiming to promote the return to work.

CONCLUSION

There is a lack in the literature in defining multidisciplinary interventions combining physical, psycho-behavioural, educational, and vocational components that could increase the return-to-work rates. Future studies should focus on interdisciplinary return to work efforts with multiple stakeholders with the involvement of an interdisciplinary teamwork (healthcare workers and employers) to combine these multidisciplinary interventions at the beginning of sick leave period.

摘要

背景

近一半被诊断患有癌症的患者处于传统工作年龄阶段。癌症患者康复后重返工作岗位面临诸多挑战,这些挑战既源于癌症本身或治疗过程,也与工作场所相关。本研究旨在更深入了解癌症患者在职业方面的结局,并提供干预措施、项目和实践方法以支持他们重返工作岗位。

方法

采用阿克斯和奥马利框架以及系统评价与荟萃分析优先报告条目扩展版指南进行范围综述。在2000年1月1日至2024年2月22日期间,在PubMed/MEDLINE、SCOPUS以及灰色文献中系统检索相关研究。

结果

文献检索共得到3017篇文章;53项研究被认为符合本综述的要求。大多数研究为纵向研究,且在欧洲开展。确定了三个主要领域:关于癌症对员工病假、就业、重返工作岗位等方面影响的研究;报告可能影响员工的更广泛问题(如治疗与工作的兼容性及就业)的研究;报告旨在促进重返工作岗位的干预措施或政策的研究。

结论

文献中缺乏对结合身体、心理行为、教育和职业等多方面因素的多学科干预措施的定义,而这些措施可能会提高重返工作岗位的比例。未来的研究应聚焦于多利益相关方参与的跨学科重返工作努力,由跨学科团队(医护人员和雇主)在病假开始阶段就参与进来,整合这些多学科干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6d3/11410488/f2563359574b/gr1.jpg

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