乳腺癌术后患者重返工作后工作生活质量及相关因素

Quality of working life and related factors in patients with breast cancer returned to work after surgery

目的:探讨乳腺癌术后患者重返工作后工作生活质量及相关因素。方法:选取316例已重返工作的乳腺癌术后患者,采用一般资料调查表、癌症患者工作生活质量量表(QWLQ-CS)、乳腺癌患者心理弹性量表(BCRS)、癌症自我管理效能感量表(SUPPH)对其进行调查,采用多重线性回归分析其工作生活质量相关因素。结果:多重线性回归分析显示,QWLQ-CS得分与受教育程度、家庭人均月收入、工作模式、重返工作时间,及BCRS的个人保护、社会保护,SUPPH的正性态度维度得分正向关联(β=1.05、1.23、2.26、0.69、0.95、1.00、0.13),与合并并发症负向关联(β=-3.83)。结论:乳腺癌术后患者重返工作后工作生活质量有待提高,心理弹性和自我效能与工作生活质量存在正向关联。

Objective:To explore the quality of working life and its related factors in patients with breast cancer returned to work after surgery.Methods:A total of 316 patients with breast cancer who had returned to work after surgery were selected,and they were investigated with the General information questionnaire.Quality of Working Life Questionnaire for Cancer Survivors(QWLQ-CS),Breast Cancer Survivors Resilience Scale(BCRS)and Strategies Used by People to Promote Health(SUPPH).Multivariate linear regression analysis was used to analyze the related factors of quality of working life.Results:Multiple linear regression analysis showed that the QWLQ-CS score was positively correlated with education level,per capita monthly income of family,work pattern,return to work time,personal protection and social protection score of BCRS,and positive attitude scores of SUPPH(ft=1.05,1.23,2.26,0.69,0.95,1.00,0.13),while negatively correlated with the complications(fi=-3.83).Conclusion:The quality of working life for patients with breast cancer after surgery needs to be improved after they return to work,psychological resilience and self-efficacy are positively correlated with quality of working life.