Factors Related to Return to Work by Women with Breast Cancer in Northern France
Factors Related to Return to Work by Women with Breast Cancer in Northern France
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DOI：
10.1007/s10926-009-9215-y
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发表时间：
2010-03-01
影响因子：
3.3
通讯作者：
Leroyer, Ariane
中科院分区：
文献类型：
--
作者：
Fantoni, Sophie Quinton;Peugniez, Charlotte;Leroyer, Ariane
早期诊断和更好的治疗提高了乳腺癌患者的生存率。这就需要对癌症幸存者重返工作进行研究，特别是关于主观因素，因为它们影响重返工作的心理愿望。此外，法国对这一问题的了解非常有限。目的本研究旨在探讨影响乳腺癌患者是否以及何时重返工作岗位的主客观因素。方法对379例18-60岁的乳腺癌患者进行问卷调查。问卷包括个人特征、疾病相关特征和工作相关特征。进行多变量logistic回归分析，以确定这些因素与重返工作和重返工作时间的相关性。结果在中位随访36个月期间，379名在诊断前工作过的妇女中有82.1%在中位病假10.8个月后重返工作岗位。年龄较大、教育水平较低、化疗、放疗、淋巴水肿、与前一份工作有关的心理或组织自我感知的限制以及缺乏同事的精神支持都限制和延迟重返工作岗位。结论乳腺癌妇女能否恢复工作取决于多种因素，并非都是医疗因素。必须考虑到自我感觉的因素：第一，在这些妇女休病假期间帮助她们，同时考虑到可能阻碍她们早日重返工作的因素;第二，启动一个恢复工作的支助进程，既考虑到个人，也考虑到她的环境。
Introduction Earlier diagnosis and better treatment have increased the survival rates of breast cancer patients. This warrants research on return to work of cancer survivors, especially about subjective factors because they affect the mental desire to return to work. Moreover, knowledge in this issue is very limited in France. Objectives This study aims to explore the objective and subjective factors that affect whether and when women with breast cancer return to work. Methods 379 women with breast cancer aged 18-60 years who were working at the time of diagnosis responded to a 45 item questionnaire. The questionnaire had personal characteristics, disease-related characteristics and work-related ones. Multivariate logistic regressions were run to determine the association of these factors and return to work and time until return to work. Results During a median follow-up of 36 months, 82.1% of the 379 women who had worked before their diagnosis returned to work after a median sick leave of 10.8 months. Older age, lower educational level, chemotherapy, radiotherapy, lymphoedema, psychological or organizational self-perceived constraints related to their former job, and the lack of moral support from work colleagues both limited and delayed return to work. Conclusion The resumption of work by women with breast cancer depends on many factors, not all of them medical. The self-perceived factors must be considered: first to help support these women during their sick leave, while taking into account elements that may hinder early return to work; second to initiate a work resumption support process which takes into account both the person and her environment.