Afshari Saleh Lahya, Khorashadizadeh Mohammad Taha, Shahid Sales Soodabeh, Tabesh Hamed, Rafeemanesh Ehsan, Zakeri Hossein
Division of Sleep Medicine, Department of Occupational Medicine, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
Int J Hematol Oncol Stem Cell Res. 2025 Apr 1;19(2):118-125. doi: 10.18502/ijhoscr.v19i2.18549.
Return to work (RTW) significantly impacts the quality of life of cancer survivors and carries substantial economic and social implications. This study investigates the RTW rate among colorectal cancer patients post-surgery. Colorectal cancer patients referred to the Mashhad University of Medical Sciences oncology clinics were enrolled based on inclusion criteria and after obtaining oral consent. Each participant completed a checklist and a questionnaire on the quality of working life for colorectal cancer patients. The checklist included age, gender, insurance type, annual income, marital status, occupation, hospitalization duration, medical history, occupational profile, health status, and disease stage. Data analysis was performed using SPSS software. A total of 57 patients were included, with 54 (94.7%) males. Forty-four patients (77.2%) returned to work in their previous or new roles. Among these, 27 (47.4%) worked full-time, 17 (29.8%) part-time, and 13 (22.8%) did not RTW. No significant relationship was found between RTW and factors such as age (p=0.116), gender (p=0.547), residence (p=0.333), insurance type (p=0.083), job type (p=0.526), history of chronic diseases (p=0.432), or cancer treatment method (p>0.999). However, significant correlations were observed between RTW and the quality of life questionnaire score (p=0.001), length of hospitalization (p=0.041), and annual income (p<0.001). Approximately 77% of colorectal cancer patients returned to work following treatment. Shorter hospital stays and higher income were associated with greater RTW rates. Additionally, the quality of working life questionnaire score was strongly correlated with RTW (p=0.001).
重返工作岗位（RTW）对癌症幸存者的生活质量有重大影响，并具有重大的经济和社会意义。本研究调查了结直肠癌患者术后的RTW率。根据纳入标准并获得口头同意后，招募了转诊至马什哈德医科大学肿瘤诊所的结直肠癌患者。每位参与者完成了一份针对结直肠癌患者工作生活质量的清单和问卷。清单包括年龄、性别、保险类型、年收入、婚姻状况、职业、住院时间、病史、职业概况、健康状况和疾病阶段。使用SPSS软件进行数据分析。共纳入57例患者，其中54例（94.7%）为男性。44例患者（77.2%）重返原工作岗位或新工作岗位。其中，27例（47.4%）全职工作，17例（29.8%）兼职工作，13例（22.8%）未重返工作岗位。未发现RTW与年龄（p = 0.116）、性别（p = 0.547）、居住地（p = 0.333）、保险类型（p = 0.083）、工作类型（p = 0.526）、慢性病病史（p = 0.432）或癌症治疗方法（p>0.999）等因素之间存在显著关系。然而，观察到RTW与生活质量问卷得分（p = 0.001）、住院时间（p = 0.041）和年收入（p<0.001）之间存在显著相关性。约77%的结直肠癌患者在治疗后重返工作岗位。住院时间较短和收入较高与更高的RTW率相关。此外，工作生活质量问卷得分与RTW密切相关（p = 0.001）。
