A qualitative study on the barriers to returning to work for middle-aged and young colorectal cancer survivors based on the theory of planned behavior
Objective To explore the barriers to returning to work for middle-aged and young colorectal cancer(CRC)survi-vors based on the theory of planned behavior(TPB),aiming to provide a reference for formulating support programs for this population.Methods Using purposive sampling,postoperative CRC patients from the Department of Gastrointestinal Sur-gery at The First Affiliated Hospital of Chongqing Medical University from March to May 2023 were selected.A semi-structured interview guide based on the TPB was carried out,and 16 middle-aged and young CRC survivors were inter-viewed.Data were analyzed using Colaizzi's seven-step method.Results Barriers to returning to work for middle-aged and young CRC survivors were categorized into three categories and ten themes:Behavioral Attitude(cognitive bias,negative e-motions,reinforced patient role);Subjective Norms(lack of family support,poor social inclusion,impact of negative e-vents);Perceived Behavioral Control(poor physical condition,cognitive dysfunction,lack of knowledge about returning to work,insufficient self-care ability).Conclusion Medical staff should help middle-aged and young CRC survivors correct misconceptions about returning to work,alleviate negative emotions,integrate various resources,strengthen social support,and provide vocational rehabilitation guidance to facilitate their smooth return to work and overall social function recovery.
Colorectal cancer survivorsReturning to workQualitative researchTheory of planned behavior