癌症幸存者重返工作岗位的促进因素和障碍：一项系统综述。
Facilitators and barriers associated with returning to work for cancer survivors: A systematic review.
作者信息
Liu Jiayi, Xiao Jinnan, Ou Suqi, Chen Jiarui, Tang Siyuan
机构信息
Xiangya School of Nursing, Central South University, Changsha, China.
Xiangya Research Center of Evidence-based Healthcare, Central South University, Changsha, China.
出版信息
Asia Pac J Oncol Nurs. 2025 May 31;12:100734. doi: 10.1016/j.apjon.2025.100734. eCollection 2025 Dec.
OBJECTIVE
To analyze facilitators and barriers affecting cancer survivors' return to work based on the views of survivors and various stakeholders, using the social ecological model.
METHODS
Five electronic databases were searched in April 2025. Relevant studies and extracted data were selected by two researchers independently. Qualitative synthesis followed the Joanna Briggs Institute three-step process and drew on the five interrelated layers of the social ecological model.
RESULTS
Of 5535 initial studies, 13 qualitative studies were included. Intrapersonal factors consisted of personal characteristics, disease diagnosis, post-treatment physical symptoms, post-treatment emotional states, the perceived impacts of the disease and treatments on work, understanding of and attitudes toward work, and strategies for coping with return-to-work issues. Interpersonal factors included the opinions of employers and interpersonal relations at work, as well as interpersonal support. Organizational factors consisted of occupational return-to-work arrangements and occupational support. Community factors included community support and public cognition and atmosphere. Public policy factors included the dissemination of related policies, the deficiency of related legislation, and the impacts and implementation criteria of welfare policies. The differences between cancer survivors' and stakeholders' perspectives were compared.
CONCLUSIONS
Multiple factors directly or indirectly influence cancer survivors' return-to-work decisions and experience. Cancer survivors should develop their awareness and learn more strategies in dealing with return-to-work problems. Stakeholders should care about the health status of cancer survivors, offering increased understanding and collaboration. Further studies should explore the relationships among the factors. Multi-component interventions are recommended to address return-to-work issues.
SYSTEMATIC REVIEW REGISTRATION
PROSPERO CRD42024555929.
目的
运用社会生态模型，基于癌症幸存者及各类利益相关者的观点，分析影响癌症幸存者重返工作岗位的促进因素和障碍。
方法
于2025年4月检索了五个电子数据库。两名研究人员独立筛选相关研究并提取数据。定性综合分析遵循乔安娜·布里格斯研究所的三步流程，并借鉴社会生态模型的五个相互关联层面。
结果
在5535项初始研究中，纳入了13项定性研究。个体层面因素包括个人特征、疾病诊断、治疗后身体症状、治疗后情绪状态、疾病和治疗对工作的感知影响、对工作的理解和态度，以及应对重返工作问题的策略。人际层面因素包括雇主意见、工作中的人际关系以及人际支持。组织层面因素包括职业重返工作安排和职业支持。社区层面因素包括社区支持、公众认知和氛围。公共政策层面因素包括相关政策的传播、相关立法的不足，以及福利政策的影响和实施标准。比较了癌症幸存者与利益相关者观点之间的差异。
结论
多种因素直接或间接影响癌症幸存者重返工作的决策和经历。癌症幸存者应提高意识，学习更多应对重返工作问题的策略。利益相关者应关注癌症幸存者的健康状况，给予更多理解与合作。进一步研究应探索各因素之间的关系。建议采用多成分干预措施来解决重返工作问题。
系统评价注册
PROSPERO CRD42024555929。
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