[癌症后重返工作 - - 德国预测者的系统审查]
Clara Breidenbach1,2, Nicole Ernstmann2,3, Sophie Schellack1
1Deutsche Krebsgesellschaft eV, Berlin.
Die Rehabilitation
|June 25, 2024
概括
在德国,癌症后恢复工作的预测因素包括社会人口统计学,疾病相关和心理社会因素. 识别这些可能有助于开发针对性支持可工作年龄的癌症幸存者.
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:
- 超过三分之一的癌症幸存者处于工作年龄,这使得重返工作 (RTW) 成为一个重大问题.
- 癌症幸存者在治疗后恢复工作时面临许多挑战.
- 了解RTW的预测因素对于支持这一群体至关重要.
研究的目的:
- 系统地审查和识别癌症后返回工作的预测因素.
- 专注于德国的背景,并按时间顺序分析癌症治疗过程中的因素.
主要方法:
- 在2022年6月使用PubMed进行了系统的文献搜索.
- 包含的研究是在2000年至2022年间发表的,以德语或英语出版,并专注于德国样本.
- 从8,381个初次访问中,选出了30个出版物进行综合.
主要成果:
- 与RTW可能性较低相关的因素包括较高的年龄,较低的教育/社会经济地位,晚期疾病阶段,严重的副作用,疲劳和心理痛苦.
- 对工作环境的负面看法,工作意愿较低,自我评价较差的就业能力也预测了较低的RTW率.
- 治疗类型,康复使用,职业地位 (蓝领/手工劳动) 和以前的失业也被确定为重要的预测因素.
结论:
- 确定了社会人口统计学,疾病相关,心理社会和与工作相关的预测因素,可以为德国的癌症幸存者提供有针对性的支持措施.
- 研究中的运行和方法的异质性限制了可比性.
- 在定义和测量RTW预测器方面需要进一步标准化.
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