康复期癌症患者重返工作准备度现况及其影响因素

Status Quo of Convalescent Cancer Patients’Readiness for Returning to Work and Its Influencing Factors

目的了解康复期癌症患者重返工作准备度现况,分析其影响因素。方法2019年12月至2020年7月,目的抽样抽取某市四所三级医院常见癌症康复期患者为研究对象,采用一般情况调查表、重返工作准备度量表、心理复原力量表、一般自我效能感量表、社会支持评定量表及中国大五人格问卷简式版对其进行调查研究。结果212例患者中前意向54例、意向72例、自我评估65例、行动21例。治疗时长、人格类型及一般自我效能感是前意向的影响因素(均P<0.05);年龄及社会支持利用度是意向的影响因素(均P<0.05)。年龄、癌种、心理复原力坚韧性以及社会支持利用度对自我评估产生影响(均P<0.05)。癌种及社会支持利用度是行动的影响因素(均P<0.05)。结论康复期癌症患者重返工作准备度偏低,护理人员应根据不同维度影响因素实施恰当的干预措施,提升患者重返工作准备度。

Objective To explore the status quo of convalescent cancer patients’readiness for returning to work,and to analyze its influencing factors.Methods From December 2019 to July 2020,212 patients with common cancer in convalescence in four tertiary hospitals of Taizhou City were selected as the research subjects by objective sampling method.Surveys were conducted with the general situation questionnaire,readiness for returning to work scale(RRTWs),Connor Davidson resilience scale(CD-RISC),psychological resilience scale(PRISC),general self-efficacy scale(GSEs),social support rating scale(SSRs)and Chinese big five personality inventory brief version(CBF-PI-B).Results Among the 212 patients,the statistics of the four dimensions of readiness for returning to work were as follows:pre intention(n=54),intention(n=72),self-assessment(n=65),action(n=21).The duration of treatment,type of personality and general self-efficacy were the influencing factors of pre intention(all P<0.05).Age and the use of social support were the influencing factors of intention(all P<0.05).Age,type of cancer,resilience and use of social support were the influencing factors of self-assessment(all P<0.05).Type of cancer and use of social support were the influencing factors of action(all P<0.05).Conclusions The preparation for returning to work of cancer patients in convalescence period is not enough.During the follow-up of patients in convalescence period,nursing staff should implement appropriate intervention measures according to the influencing factors of different dimensions,so as to help patients improve the preparation for returning to work and promote patients’preparation level to work again in the society.