癌症幸存者在耻辱和适应能力之间调解和调节因素,以重返工作
Xiao-Qin Su1, Ting-Ting Wu1, Hai-Yin Zhang2
1School of Nursing and Rehabilitation, Nantong University, Nantong, 226001, Jiangsu, China.
Scientific reports
|December 28, 2024
概括
癌症幸存者的癌症幸存者
科学领域:
- 在瘤学瘤学.
- 职业健康 职业健康 职业健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在癌症治疗后返回工作对幸存者来说是一个挑战.
- 诸如耻辱感,财务毒性和社会支持等因素影响了返回工作的适应能力.
- 将这些因素与适应能力联系在一起的确切机制尚不清楚.
研究的目的:
- 对癌症幸存者中,调节调解途径的研究,将耻辱与适应能力联系在一起,以恢复工作.
- 检查金融毒性和社会支持的调解作用.
- 为了探索健康素养的温和效应.
主要方法:
- 使用了一个调节的调解模型,用R的PROCESS宏分析R.
- 从238名癌症幸存者 (年龄18-60岁) 收集数据.
- 评估了恢复工作的适应能力 (ARTWS),耻辱感 (SIS),财务毒性 (COST-PROM),社会支持 (SSRS) 和健康素养 (HeLMS).
主要成果:
- 耻辱感与恢复工作适应能力负面相关.
- 财务毒性和社会支持调解了耻辱和适应能力之间的关系.
- 健康素养减轻了耻辱的直接影响和通过财务毒性的间接影响,减轻了负面影响.
结论:
- 健康素养显著提高了癌症幸存者的适应能力,通过减轻耻辱和财务毒性来恢复工作.
- 社会支持有助于缓冲财务毒性,提高工作适应能力.
- 干预措施应侧重于提高癌症幸存者恢复工作的健康素养和社会支持.
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