Returning to work after treatment for haematological cancer: findings from Australia

Returning to work after treatment for haematological cancer: findings from Australia
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DOI:
10.1007/s00520-011-1298-2
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发表时间:
2012-09-01
影响因子:
3.1
通讯作者:
Skarparis, Maryanne
Skarparis, Maryanne
中科院分区:
医学2区
文献类型:
--
作者:
McGrath, Pam D.;Hartigan, Barbara;Skarparis, Maryanne

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尽管癌症治疗后重返工作岗位的问题对个人和经济都很重要,但关于这一主题的研究文献存在重大局限性。事实上,关于本文的重点,澳大利亚血液病患者返回工作的经验,几乎没有可用的研究。返回工作的结果是一个子集,从一个研究生存问题进行了深入,定性访谈与全州样本(n = 50)的个人谁是至少1年后,在就业方面,确定了三个群体:(1)已经退休,工作不成问题的人;(2)已成功重返劳动力市场的人;(3)想工作但发现重返工作岗位过程困难的人。第三组是本文件的主要重点,有明确迹象表明,第三组需要协助重返工作岗位,并且由于无法重返工作岗位而容易受到一系列心理社会困扰。提供支持性护理战略,以帮助返回就业。手稿的相关性,为研究,政策和/或方案提供信息目前癌症治疗的改进不仅增加了癌症幸存者的数量,而且提高了人们在治疗期间和治疗后的工作能力。最大限度地增加癌症患者重返工作岗位的机会不仅是个人和雇主的重大关切,也是社会经济的重大关切。本文中报告的研究结果探讨了一系列血液恶性肿瘤患者的个人故事,这些个人故事与他们重返工作岗位的愿望和努力有关。重要的是,调查结果不仅提供了对这些人面临的重新就业挑战的见解,而且还提供了支持性的护理服务提供解决方案,以帮助那些在寻找就业方面处于弱势和受挫的人。
Despite the personal and economic importance of the issue of returning to work after cancer treatment, there are major limitations in the research literature on the topic. Indeed, in relation to the focus of the present article, the experience of return to work for Australian haematology patients, there is little research available.The return-to-work findings are a sub-set from a study examining survivorship issues conducted through in-depth, qualitative interviews with a state-wide sample (n = 50) of individuals who were at least 1 year post-treatment for haematological malignancy.There were three groups identified in relation to employment: (1) those who were retired and work was not an issue, (2) those who had successfully re-entered the workforce and (3) those who wanted to work but were finding the process of return-to-work difficult. It is the third group that is the major focus for this paper.The clear indications are that group 3 requires assistance with return-to-work and were vulnerable to a range of psychosocial distress caused by inability to return to employment. Supportive care strategies to assist return to employment are provided.Relevance of manuscript to inform research, policies and/or programsCurrent improvements in cancer treatments have not only increased the number of cancer survivors but also peoples' ability to work during and following treatment. Maximising opportunities for cancer patients to return to work is a significant concern not only for individuals and employers but also economically for society. The findings reported in this article explored the individual story of a range of individuals with haematological malignancies in relation to their desire and efforts to return to work. Importantly, the findings not only provide insights on the work re-entry challenges faced by such individuals but also posit supportive care service delivery solutions to assist those who are vulnerable and frustrated in their efforts to find employment.