国际护理科学（英文）2021，Vol.8Issue(4)：426-431,后插5,7.
乳腺癌患者就业准备度和重返工作岗位现况及其相关因素研究
Exploring the employment readiness and return to work status of breast cancer patients and related factors
摘要
Abstract
Objective:To investigate the employment status,employment readiness,and other factors affecting the ease or difficulty with which breast cancer patients effect their return to work(RTW).Methods:This study adopted a mixed-method design,recruiting participants from among breast cancer patients in a cancer hospital in Hunan from December 2018 to June 2019.We approached 300 in-dividuals,192 of whom ultimately participated in this study.The quantitative part of the study involved several scales:the Patient Health Questionnaire-9(PHQ-9),the Brief Fatigue Inventory(BFI),the Work Ability Index(WAI),and the Lam Assessment of Employment Readiness(LASER).The qualitative part involved a set of open-ended questions and written responses collected from 41 participants who had already returned to work at the time of data collection.Their written responses mainly concerned factors influencing RTW.Results:Forty-one breast cancer patients had returned to work.The results reported a median total Cognitive Symptom Checklist score of 9.00(6.00,15.25),a median WAI score of 5.00(3.50,9.75),a median BFI score of 26.00(14.75,42.00),a median total PHQ-9 score of 8.00(5.25,17.00),and a LASER score of 50.35±11.90.Multiple regression analysis showed that the participants'cancer stage,cognitive limitations,depression,fatigue,and work ability were significant predictors of employment readiness(P＜0.05).Exploring the qualitative data,we found that higher skill levels,better social support,and a flexible work schedule facilitated RTW;stress,lack of confidence in one's work skills,depression,and fatigue are all possible barriers to RTW.Conclusion:The findings indicate that breast cancer patients have a low level of employment readiness.Nurses and other healthcare providers can develop relevant interventions to promote employment readiness and ultimately achieve RTW in this study population.关键词
乳腺肿瘤/病人/就业准备度/重返工作岗位/精神卫生/工作能力Key words
Breast neoplasms/Employment readiness/Mental health/Patients/Return to work/Work ability引用本文复制引用
侯文敏,李巧萍,刘翔宇,曾迎春,郑树基..乳腺癌患者就业准备度和重返工作岗位现况及其相关因素研究[J].国际护理科学（英文）,2021,8(4):426-431,后插5,7.基金项目
This research was funded by the National Natural Science Foundation of China(Grant#:72004039). （Grant#:72004039）
