乳腺癌后的恢复工作和心理社会轨迹:一种纵向和顺序的方法
Elise Rubion1, Marianne Bourdon2,3, Véronique Sébille3
1Inserm, Univ Angers, Univ Rennes, EHESP, Irset (Institut de Recherche en Santé, Environnement Et Travail) - UMR_S 1085, 49000, Angers, France.
概括
恢复全职工作的乳腺癌幸存者表现出更好的心理社会调整和生活质量. 那些回到兼职工作的人的生活质量下降,症状增加.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 恢复工作 (RTW) 是乳腺癌幸存者 (BCS) 康复的关键方面.
- 了解RTW轨迹的时间和顺序性质对于评估心理社会调整至关重要.
- 以前的研究还没有充分探索与不同RTW模式相关的长期心理社会结果.
研究的目的:
- 描述乳腺癌幸存者的心理社会调整,基于他们返回工作轨迹.
- 使用顺序和时间方法来分析RTW模式及其对幸存者的福祉的影响.
- 确定RTW轨迹的不同集群及其相关的心理社会结果.
主要方法:
- 利用了来自ELCCA队列的数据 (2015年2月至2016年4月).
- 采用序列分析和聚类来确定RTW轨迹.
- 使用经过验证的问卷 (HADS,EORTC QLQ-C30) 评估焦虑,抑郁和与健康相关的生活质量 (HRQoL).
主要成果:
- 确定了四个RTW轨迹集群:快速RTW (N=27),缓慢RTW (N=10),部分RTW (N=8),兼职工作 (N=7).
- 快速和慢速RTW集群报告了较低的基线焦虑和更高的HRQoL.
- 快速RTW集群中的BCS在4年内具有更高的HRQoL和更少的疼痛/疲劳症状;部分RTW在大多数维度中显示了更低的HRQoL.
结论:
- 乳腺癌幸存者回到全职工作 (缓慢和快速模式) 显示出更好的康复和心理社会调整.
- 兼职工作模式 (兼职和兼职RTW) 与较差的HRQoL结果有关.
- 支持全职RTW的干预措施可能会增强乳腺癌幸存者的长期福祉.
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