Time to act: the challenges of working during and after cancer, initiatives in research and practice.

Time to act: the challenges of working during and after cancer, initiatives in research and practice.
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是时候采取行动了:癌症期间和之后工作的挑战、研究和实践的举措。

DOI:
10.1016/j.ejon.2014.01.001
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发表时间:
2014
期刊:
the official journal of European Oncology Nursing Society
影响因子:
--
通讯作者:
Wells M
Wells M
中科院分区:
--
文献类型:
--
作者:
Wells M

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癌症的诊断对工作和就业有重大影响。随着癌症治疗的改进,更多的人存活更长时间,并且据估计,在英国大约有700,000名工作年龄的人患有癌症(Maddams等人,2009年)。这个数字每年都在增加(Maher和McConnell,2009),尤其是因为人们在晚年工作。虽然许多人能够继续工作或重返工作岗位,但相当多的人遇到了问题:研究表明,癌症患者失业的可能性是非癌症患者的1.37倍(de Boer等人,2009年)。无论是在急性期还是在治疗后的数月和数年内,患者都缺乏及时和适当的支持。反过来,卫生保健专业人员报告说,他们感到装备不足,无法充分应对患者的工作相关困难(Amir等人,2009年)。对于癌症幸存者来说,工作能力对于维持社会关系、自尊和心理健康非常重要。最近一项关于就业和癌症定性文献的系统综述和综合合成(威尔斯等人,2013)发现一致的证据表明,个人的“重返工作”的经历受到癌症影响四个关键因素的程度的强烈影响:自我认同,工作的意义和重要性,家庭和
A diagnosis of cancer has a significant impact on work and employment. With improvements in cancer treatments more people are surviving longer, and it is estimated that there are approximately 700,000 people of working age with cancer in the UK (Maddams et al., 2009). This figure is increasing year on year (Maher and McConnell, 2009), not least because people areworking later in life. While many people are able to remain in or return to work, a sizeable number experience problems: research shows that people with cancer are 1.37 times more likely to be unemployed than those without (de Boer et al., 2009). Patients experience a lack of well-timed and appropriate support, both in the acute phase and in the months and years following treatment. Health care professionals, in turn, report that they feel ill-equipped to respond adequately to patients’ work-related difficulties (Amir et al., 2009). For cancer survivors, the ability towork is important to maintaining social relationships, self-esteem and psychological well-being. A recent systematic reviewand meta-synthesis of the qualitative literature onemployment and cancer (Wells et al., 2013) found consistent evidence that individuals’ experiences of ‘return to work’were strongly influenced by the degree to which cancer affected four key factors: self-identity, meaning and significance of work, family and
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