乳腺癌患者重返工作准备度与家庭弹性的关系

Relationship between readiness to return to work and family resilience in patients with breast cancer

目的:探讨乳腺癌患者重返工作准备度与家庭弹性的关系。方法:采用便利抽样法,于2019年6—9月在浙江省某三级甲等医院选取乳腺癌患者158例作为研究对象。采用重返工作准备度量表、家庭弹性量表、自编人口学和临床疾病学信息调查表对其进行调查。采用有序Logistic回归分析进行影响因素分析。结果:70.3%(111/158)的患者处于重返工作准备度的较低水平(前意向和意向阶段)。有序Logistic回归显示,家庭弹性(OR=1.225,95%CI:1.160~1.294)、以脑力为主的工作性质(OR=3.016,95%CI:1.206~7.553)及低年龄组(OR=3.403~4.217,95%CI:2.588~6.234)是乳腺癌患者重返工作准备度的保护性因素;低受教育程度(OR=0.029,95%CI:0.001~0.381)及结束手术时间短(OR=0.181,95%CI:0.065~0.505)是其重返工作准备度的危险因素。结论:乳腺癌患者重返工作准备度水平较低,相关部门应关注乳腺癌患者的重新就业问题。医务人员在患者康复阶段应着重关注患者对重返工作的认知,鼓励患者在身体恢复后重新开始力所能及的工作。

Objective To explore the relationship between readiness to return to work and family resilience in patients with breast cancer.Methods Totally 158 patients with breast cancer were selected convenient sampling from a ClassⅢGrade A hospital in Zhejiang Province between June and September 2019,and investigated with Readiness for Return-To-Work Scale(RRTW),The Family Resilience Assessment Scale(FRAS),and a self-made demographic and clinical information questionnaire.Ordered logistic regression analysis was used to analyze the influencing factors.Results Totally 70.3%(111/158)of patients were at a lower level of readiness to return to work(pre-intention and intention phase).The ordered logistic regression analysis revealed that family resilience(OR=1.225;95%CI:1.160-1.294),mentally-based work(OR=3.016;95%CI:1.206-7.553)and low age group(OR=3.403-4.217;95%CI:2.588-6.234)were the protective factors for breast cancer patients'readiness to return to work;low education level(OR=0.029;95%CI:0.001-0.381)and short operation time(OR=0.181;95%CI:0.065-0.505)were the risk factors for their readiness to return to work.Conclusions Breast cancer patients have a low level of readiness to return to work,and relevant departments should pay attention to their re-employment.Medical personnel should focus on the patients'cognition of returning to work during the recovery phase,and encourage them to resume work within their ability after they recover physically.