Soejima Takafumi, Tokita Masahito, Kitao Mari
Graduate School of Health Sciences, Kobe University, 7-10-2 Tomogaoka, Suma-ku, Kobe 654-0142, Hyogo, Japan.
Keio Research Institute at SFC, Keio University, 5322 Endo, Fujisawa 252-0882, Kanagawa, Japan.
Cancers (Basel). 2025 May 22;17(11):1742. doi: 10.3390/cancers17111742.
BACKGROUND/OBJECTIVES: Background: Cancer survivors were at higher risk of poor job performance.
We aimed to identify differences in the relationship between patient activation, cancer-related symptoms, and job performance among young adult cancer survivors with low and high workplace support.
Study Design: Our cross-sectional observational study was conducted using an online survey across Japan in January 2022. Measurement and Statistical Analysis: The survey was designed to assess demographic and clinical characteristics, patient activation, physical fatigue, depression, cognitive impairments, and job performance. Multiple-group structural equation modeling (SEM) was conducted using data from 202 survivors.
Of participants, 53% were aged 35-39 years and 78% were female. Patient activation was positively associated with job performance (β = 0.28, < 0.01) and negatively related to cancer-related symptoms (β = -0.30, = 0.01), and cancer-related symptoms were negatively associated with job performance (β = -0.29, = 0.01), only among young adult cancer survivors with low workplace support. On the other hand, in the high support group, the path coefficients from patient activation to cancer-related symptoms (β = -0.06, = 0.76), cancer-related symptoms to job performance (β = -0.12, = 0.37), and patient activation to job performance (β = 0.20, = 0.21) were not significant.
Patient activation plays an important role in improving job performance, especially among young adult cancer survivors who lack workplace support. Even if obtaining workplace support is difficult for young adult cancer survivors, activation of self-management can improve their job performance.
背景/目的：背景：癌症幸存者工作表现不佳的风险更高。
我们旨在确定工作场所支持程度低和高的年轻成年癌症幸存者在患者激活、癌症相关症状和工作表现之间的关系上存在的差异。
研究设计：我们于2022年1月在日本全国范围内通过在线调查进行了横断面观察研究。测量与统计分析：该调查旨在评估人口统计学和临床特征、患者激活、身体疲劳、抑郁、认知障碍和工作表现。使用202名幸存者的数据进行了多组结构方程模型（SEM）分析。
参与者中，53%的年龄在35 - 39岁之间，78%为女性。仅在工作场所支持程度低的年轻成年癌症幸存者中，患者激活与工作表现呈正相关（β = 0.28，< 0.01），与癌症相关症状呈负相关（β = -0.30，= 0.01），且癌症相关症状与工作表现呈负相关（β = -0.29，= 0.01）。另一方面，在支持程度高的组中，从患者激活到癌症相关症状（β = -0.06，= 0.76）、从癌症相关症状到工作表现（β = -0.12，= 0.37）以及从患者激活到工作表现（β = 0.20，= 0.21）的路径系数均不显著。
患者激活在改善工作表现方面发挥着重要作用，尤其是在缺乏工作场所支持的年轻成年癌症幸存者中。即使年轻成年癌症幸存者难以获得工作场所支持，自我管理的激活也可以改善他们的工作表现。
