非医疗干预措施,以促进癌症患者恢复工作
Angela Gem de Boer1, Sietske J Tamminga1, Julitta S Boschman2
1Department of Public and Occupational Health, University of Amsterdam, Amsterdam Public Health Research Institute, Coronel Institute of Occupational Health, Amsterdam UMC, Location AMC, Amsterdam, Netherlands.
The Cochrane database of systematic reviews
|March 5, 2024
概括
身体和多学科干预措施可能会提高癌症幸存者的返回工作率 (RTW). 心理教育和职业干预措施对RTW和生活质量 (QoL) 的益处有限或不确定.
科学领域:
- 在瘤学瘤学.
- 职业健康 职业健康 职业健康
- 康复医学 康复医学 康复医学
背景情况:
- 与普通人口相比,癌症幸存者面临更高的失业率 (1.4倍).
- 有效的返回工作 (RTW) 计划对于癌症患者重新融入劳动力队伍至关重要.
- 这篇综述更新了前一篇关于癌症患者RTW干预措施的Cochrane分析,该分析于2011年首次发表.
研究的目的:
- 评估非医学干预措施的有效性,以提高癌症患者的RTW.
- 将这些干预措施与通常的护理或没有干预措施进行比较.
- 评估对RTW率,病假时间和生活质量 (QoL) 的影响.
主要方法:
- 包括随机对照试验 (RCT) 和集群RCT评估心理教育,职业,身体或多学科干预.
- 搜索了多个数据库 (CENTRAL,MEDLINE,Embase,CINAHL,PsycINFO) 和到2021年8月的试验注册.
- 主要结果:RTW (12个月的速率或持续时间);次要结果:QoL.
主要成果:
- 物理干预 (4项RCT) 和多学科干预 (6项RCT) 可能会增加RTW率 (中等确定性证据).
- 心理教育干预 (4项RCT) 在RTW (中度确定性证据) 中几乎没有差异.
- 职业干预 (1 RCT) 对RTW的影响非常不确定;在干预类型中,QoL的影响通常是最小的.
结论:
- 物理和多学科干预措施有效地改善了癌症患者的RTW.
- 心理教育和职业干预措施对RTW的有效性是有限的.
- 未来的研究应该专注于量身定制的多学科方法,结合身体,精神教育和职业组成部分.
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