Current status and influencing factors of work readiness in lung cancer patients returning to work after surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

YIN Yuanyuan , LONG Xingxia , ZHANG Jie , JI Yanli , ZHU Ying , HE Lijun ,  YANG Mei

Department of Thoracic Surgery, West China School of Nursing/West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;

Corresponding author：

YANG Mei, Email: yangmei69@126.com

Keywords：

Post-lung cancer surgery; middle-aged and young adults; returning to work; influencing factors

DOI：

10.7507/1007-4848.202407012

Video：

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Objective To investigate the current status of work readiness and its influencing factors among postoperative lung cancer patients returning to work. Methods A retrospective study was conducted on young and middle-aged postoperative lung cancer patients who were treated at the Department of Thoracic Surgery, West China Hospital, Sichuan University from March to September 2023 and had returned to their jobs. Data were collected through a general information questionnaire, return-to-work readiness scale (RRTW), general self-efficacy scale (GSES), and stress coping style questionnaire (SCSQ). Univariate and multivariate logistic regression analyses were used to explore the factors affecting the work adaptation of returning patients. Results A total of 219 patients were included, with 59 males and 160 females aged 18-60 years. Among the postoperative lung cancer patients returning to work, 73.1% were in the active maintenance stage of return-to-work readiness (17.59±1.48) points, and 26.9% were in the uncertain maintenance stage (16.22±1.50) points. Bivariate logistic regression analysis showed that patients aged≤30 years (OR=52.381), employees of enterprises and institutions (OR=7.682), agricultural, pastoral, fishery, forestry laborers (OR=15.665), and those with higher self-efficacy (OR=1.157) had higher return-to-work readiness, while patients with≥2 children (OR=0.055), positive coping (OR=0.022), and out-of-pocket expenses (OR=0.044) had lower return-to-work readiness. Conclusion The return-to-work readiness of young and middle-aged postoperative lung cancer patients needs to be improved, and occupation, job nature, main coping styles, and general self-efficacy are associated with return-to-work readiness.

1.	刘新亚, 毛宏凯, 赵婷, 等. 新疆医科大学第三附属医院11333例肺癌患者随访生存状况分析. 临床军医杂志, 2023, 51(12): 1313-1316,1320.Liu XY, Mao HK, Zhao T, et al. Analysis of follow-up survival status of 11, 333 lung cancer patients in the Third Affiliated Hospital of Xinjiang Medical University. J Clinical Med Off, 2023, 51(12): 1313-1316,1320.
2.	张梦瑶, 董诗奇, 王娟, 等. 中青年淋巴瘤患者重返工作准备度及相关因素. 中国心理卫生杂志, 2022, 36(9): 750-756.Zhang MY, Dong SQ, Wang J, et al. Readiness of return-to-work and its related factors among young and middle-aged patients with lymphoma. Chin Ment Health J, 2022, 36(9): 750-756.
3.	Stergiou-Kita M, Pritlove C, Holness DL, et al. Am I ready to return to work? Assisting cancer survivors to determine work readiness. J Cancer Surviv, 2016, 10(4): 699-710.
4.	Franche RL, Corbière M, Lee H, et al. The Readiness for Return-To-Work (RRTW) scale: Development and validation of a self-report staging scale in lost-time claimants with musculoskeletal disorders. J Occup Rehabil, 2007, 17(3): 450-472.
5.	曹慧丽. 重返工作准备度量表的汉化及在乳腺癌患者中的初步应用. 郑州大学, 2018.Cao HL. The Chinese localization of the readiness for return to work scale and the application in breast cancer patients. Zhengzhou University, 2018.
6.	王才康, 胡中锋, 刘勇. 一般自我效能感量表的信度和效度研究. 应用心理学, 2001, 7(1): 37-40.Wang CK, Hu ZF, Liu Y. Research on the reliability and validity of the general self-efficacy scale. Chin J Appl Psychol, 2001, 7(1): 37-40.
7.	解亚宁. 简易应付方式量表信度和效度的初步研究. 中国临床心理学杂志, 1998(2): 114-115.Xie YN. A preliminary study on the reliability and validity of the simple coping style scale. Chin J Clin Psychol, 1998(2): 114-115.
8.	周帅, 覃彦珠, 张玲, 等. 妇科癌症术后化疗病人身体意象现状及其影响因素研究. 护理研究, 2021, 35(2): 306-310.Zhou S, Qin YZ, Zhang L, et al. Study on status quo of body image of gynecological cancer patients undergoing chemotherapy after surgery and its influencing factors. Chin Nurs Res, 2021, 35(2): 306-310.
9.	Ghasempour M, Shabanloei R, Rahmani A, et al. The relation of readiness for return to work and return to work among iranian cancer survivors. J Cancer Educ, 2020, 35(6): 1237-1242.
10.	王仁秀. 冠脉支架植入术后患者重返工作准备度现状及影响因素研究. 山东中医药大学, 2021.Wang RX. Study on the current status and influencing factors of return-to-work readiness among patients after coronary stent implantation. Shandong University of Traditional Chinese Medicine, 2021.
11.	戴建娟, 王薇, 颜波儿, 等. 重返工作岗位肺癌患者工作生活质量现状及影响因素分析. 中华全科医学, 2024, 22(3): 513-516.Dai JJ, Wang W, Yan BE, et al. Analysis of the current status and influencing factors of work-life quality among lung cancer patients returning to work. Chin J Gen Pract, 2024, 22(3): 513-516.
12.	李伟东, 裴祺, 林春梅. 直肠癌永久性肠造口患者重返工作准备度及影响因素分析. 中国社会医学杂志, 2020, 37(4): 397-400.Li WD, Pei Q, Lin CM. Analysis of readiness for return to work and its influencing factors among patients with permanent intestinal stoma due to rectal cancer. Chin J Soc Med, 2020, 37(4): 397-400.
13.	So N, McDowell LJ, Lu L, et al. The Prevalence and Determinants of Return to Work in Nasopharyngeal Carcinoma Survivors. Int J Radiat Oncol Biol Phys, 2020, 106(1): 134-145.
14.	Cavanna L, Monfredo M, Citterio C. Job loss and return to work of patients with cancer. A prospective observational study on 416 cancer patients. Recenti Prog Med, 2019, 110(7): 356-363.
15.	Mersni M, Belfkih H, Bani M, et al. Predictive factors of maintain of employment and return to work after cancer. Bull Cancer, 2021, 108(3): 272-283.
16.	杨申申, 刘均娥, 苏娅丽, 等. 乳腺癌患者重返工作现状及其影响因素分析. 中国护理管理, 2020, 20(6): 821-825.Yang SS, Liu JE, Su YL, et al. Analysis of the current status and influencing factors of return to work among breast cancer patients. Chin Nurs Manage, 2020, 20(6): 821-825.
17.	唐珏, 郭瑜洁, 阙文倩, 等. “重建自我”癌症患者重返工作适应性干预方案构建. 军事护理, 2022, 39(12): 18-21.Tang J, Guo YJ, Que WQ, et al. Construction of an adaptive intervention program for "rebuilding self" and returning to work among cancer patients. Milit Nurs, 2022, 39(12): 18-21.
18.	Fitch MI, Nicoll I. Returning to work after cancer: Survivors', caregivers', and employers' perspectives. Psychooncology, 2019, 28(4): 792-798.
19.	Teramatsu H, Yamato H, Jiang Y, et al. Pre-operative physical performance is associated with early return to work in peri-operative lung cancer patients. J UOEH, 2022, 44(4): 341-351.
20.	de Jong M, Tamminga SJ, van Es RJJ, et al. The quality of working life questionnaire for cancer survivors (QWLQ-CS): Factorial structure, internal consistency, construct validity and reproducibility. BMC Cancer, 2018, 18(1): 66.
21.	Zegers AD, Coenen P, Bültmann U, et al. Supporting participation in paid work of cancer survivors and their partners in the Netherlands: Protocol of the SusTained Employability in cancer Patients and their partnerS (STEPS) multi-centre randomized controlled trial and cohort study. BMC Public Health, 2021, 21(1): 1844.
22.	韩芳, 郭瑜洁, 戴琴, 等. 康复期癌症病人重返工作准备度现况及其影响因素. 解放军护理杂志, 2021, 38(6): 34-37.Han F, Guo YJ, Dai Q, et al. Current status and influencing factors of readiness for return to work among cancer patients during recovery. J Nurs PLA, 2021, 38(6): 34-37.
23.	应笑, 魏清风, 李第芬, 等. 肺癌幸存者癌症恐惧疾病进展与癌症死亡焦虑、癌症自我效能感的关系研究. 护理管理杂志, 2022, 22(6): 392-397.Ying X, Wei QF, Li DF, et al. The relationship among cancer fear disease progression, cancer death anxiety and cancer self-efficacy in lung cancer survivors. J Nurs Adm, 2022, 22(6): 392-397.

1. 刘新亚, 毛宏凯, 赵婷, 等. 新疆医科大学第三附属医院11333例肺癌患者随访生存状况分析. 临床军医杂志, 2023, 51(12): 1313-1316,1320.Liu XY, Mao HK, Zhao T, et al. Analysis of follow-up survival status of 11, 333 lung cancer patients in the Third Affiliated Hospital of Xinjiang Medical University. J Clinical Med Off, 2023, 51(12): 1313-1316,1320.
2. 张梦瑶, 董诗奇, 王娟, 等. 中青年淋巴瘤患者重返工作准备度及相关因素. 中国心理卫生杂志, 2022, 36(9): 750-756.Zhang MY, Dong SQ, Wang J, et al. Readiness of return-to-work and its related factors among young and middle-aged patients with lymphoma. Chin Ment Health J, 2022, 36(9): 750-756.
3. Stergiou-Kita M, Pritlove C, Holness DL, et al. Am I ready to return to work? Assisting cancer survivors to determine work readiness. J Cancer Surviv, 2016, 10(4): 699-710.
4. Franche RL, Corbière M, Lee H, et al. The Readiness for Return-To-Work (RRTW) scale: Development and validation of a self-report staging scale in lost-time claimants with musculoskeletal disorders. J Occup Rehabil, 2007, 17(3): 450-472.
5. 曹慧丽. 重返工作准备度量表的汉化及在乳腺癌患者中的初步应用. 郑州大学, 2018.Cao HL. The Chinese localization of the readiness for return to work scale and the application in breast cancer patients. Zhengzhou University, 2018.
6. 王才康, 胡中锋, 刘勇. 一般自我效能感量表的信度和效度研究. 应用心理学, 2001, 7(1): 37-40.Wang CK, Hu ZF, Liu Y. Research on the reliability and validity of the general self-efficacy scale. Chin J Appl Psychol, 2001, 7(1): 37-40.
7. 解亚宁. 简易应付方式量表信度和效度的初步研究. 中国临床心理学杂志, 1998(2): 114-115.Xie YN. A preliminary study on the reliability and validity of the simple coping style scale. Chin J Clin Psychol, 1998(2): 114-115.
8. 周帅, 覃彦珠, 张玲, 等. 妇科癌症术后化疗病人身体意象现状及其影响因素研究. 护理研究, 2021, 35(2): 306-310.Zhou S, Qin YZ, Zhang L, et al. Study on status quo of body image of gynecological cancer patients undergoing chemotherapy after surgery and its influencing factors. Chin Nurs Res, 2021, 35(2): 306-310.
9. Ghasempour M, Shabanloei R, Rahmani A, et al. The relation of readiness for return to work and return to work among iranian cancer survivors. J Cancer Educ, 2020, 35(6): 1237-1242.
10. 王仁秀. 冠脉支架植入术后患者重返工作准备度现状及影响因素研究. 山东中医药大学, 2021.Wang RX. Study on the current status and influencing factors of return-to-work readiness among patients after coronary stent implantation. Shandong University of Traditional Chinese Medicine, 2021.
11. 戴建娟, 王薇, 颜波儿, 等. 重返工作岗位肺癌患者工作生活质量现状及影响因素分析. 中华全科医学, 2024, 22(3): 513-516.Dai JJ, Wang W, Yan BE, et al. Analysis of the current status and influencing factors of work-life quality among lung cancer patients returning to work. Chin J Gen Pract, 2024, 22(3): 513-516.
12. 李伟东, 裴祺, 林春梅. 直肠癌永久性肠造口患者重返工作准备度及影响因素分析. 中国社会医学杂志, 2020, 37(4): 397-400.Li WD, Pei Q, Lin CM. Analysis of readiness for return to work and its influencing factors among patients with permanent intestinal stoma due to rectal cancer. Chin J Soc Med, 2020, 37(4): 397-400.
13. So N, McDowell LJ, Lu L, et al. The Prevalence and Determinants of Return to Work in Nasopharyngeal Carcinoma Survivors. Int J Radiat Oncol Biol Phys, 2020, 106(1): 134-145.
14. Cavanna L, Monfredo M, Citterio C. Job loss and return to work of patients with cancer. A prospective observational study on 416 cancer patients. Recenti Prog Med, 2019, 110(7): 356-363.
15. Mersni M, Belfkih H, Bani M, et al. Predictive factors of maintain of employment and return to work after cancer. Bull Cancer, 2021, 108(3): 272-283.
16. 杨申申, 刘均娥, 苏娅丽, 等. 乳腺癌患者重返工作现状及其影响因素分析. 中国护理管理, 2020, 20(6): 821-825.Yang SS, Liu JE, Su YL, et al. Analysis of the current status and influencing factors of return to work among breast cancer patients. Chin Nurs Manage, 2020, 20(6): 821-825.
17. 唐珏, 郭瑜洁, 阙文倩, 等. “重建自我”癌症患者重返工作适应性干预方案构建. 军事护理, 2022, 39(12): 18-21.Tang J, Guo YJ, Que WQ, et al. Construction of an adaptive intervention program for "rebuilding self" and returning to work among cancer patients. Milit Nurs, 2022, 39(12): 18-21.
18. Fitch MI, Nicoll I. Returning to work after cancer: Survivors', caregivers', and employers' perspectives. Psychooncology, 2019, 28(4): 792-798.
19. Teramatsu H, Yamato H, Jiang Y, et al. Pre-operative physical performance is associated with early return to work in peri-operative lung cancer patients. J UOEH, 2022, 44(4): 341-351.
20. de Jong M, Tamminga SJ, van Es RJJ, et al. The quality of working life questionnaire for cancer survivors (QWLQ-CS): Factorial structure, internal consistency, construct validity and reproducibility. BMC Cancer, 2018, 18(1): 66.
21. Zegers AD, Coenen P, Bültmann U, et al. Supporting participation in paid work of cancer survivors and their partners in the Netherlands: Protocol of the SusTained Employability in cancer Patients and their partnerS (STEPS) multi-centre randomized controlled trial and cohort study. BMC Public Health, 2021, 21(1): 1844.
22. 韩芳, 郭瑜洁, 戴琴, 等. 康复期癌症病人重返工作准备度现况及其影响因素. 解放军护理杂志, 2021, 38(6): 34-37.Han F, Guo YJ, Dai Q, et al. Current status and influencing factors of readiness for return to work among cancer patients during recovery. J Nurs PLA, 2021, 38(6): 34-37.
23. 应笑, 魏清风, 李第芬, 等. 肺癌幸存者癌症恐惧疾病进展与癌症死亡焦虑、癌症自我效能感的关系研究. 护理管理杂志, 2022, 22(6): 392-397.Ying X, Wei QF, Li DF, et al. The relationship among cancer fear disease progression, cancer death anxiety and cancer self-efficacy in lung cancer survivors. J Nurs Adm, 2022, 22(6): 392-397.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

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