造血干细胞移植幸存者重返工作体验的质性研究

Return to work experience of hematopoietic stem cell transplantation survivors:a qualitative study

目的了解经历造血干细胞移植的血液系统恶性肿瘤幸存者重返工作的体验与感受,旨在为造血干细胞移植幸存者再就业提供参考依据。方法采用描述性质性研究方法,于2021年6月至2022年4月,基于病历记录,目的抽样曾在浙江省1家三级甲等医院接受造血干细胞移植后的13例幸存者进行半结构式访谈,通过传统内容分析法进行资料分析、归纳及提炼主题。结果造血干细胞移植幸存者重返工作体验可归纳为4个主题,分别为:重返职场的时机、回归职场考虑的就业类别、再次踏入职场工作付出改变、返回职场的益处。结论造血干细胞移植幸存者重返职场需求与体验复杂,应从多方面对幸存者重返职场体验予以关注和支持,以提高幸存者重返职场的应对能力,改善其工作体验。

Objective To gain insights into the experiences of returning to work among hematological cancer survivors who received hematopoietic stem cell transplantation,and to provide references for developing returning to work interventions for hematopoietic stem cell transplantation survivors.Methods A descriptive qualitative research was used.Purposive sampling was performed from June 2021 to April 2022 based on medical records.Thirteen hematopoietic stem cell transplantation survivors who received treatment at one tertiary first-class hospital in Zhejiang Province were recruited.Semi-structured interviews were used to collect data,and conventional content analysis was selected to analyze data.Results Four themes of returning to work experiences of hematopoietic stem cell transplantation survivors were summarized as follows:returning to work at appropriate time,considering suitable job types while returning to work,changing job involvement while returning to work,and gaining advantages of returning to work.Conclusion The returning to work experiences of hematopoietic stem cell transplantation survivors are complicated,and suvivors'needs are various.Attention from several aspects should be paid,thus to enhance the ability of returning to work among hematopoietic stem cell transplantation survivors and meanwhile improve their working experiences.