首页|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

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

Quality of work and life and its influencing factors in lung cancer patients returning to work

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目的 探讨重返工作岗位肺癌患者工作生活质量的现状,并分析其影响因素,为护理管理者制定针对性干预措施提供理论依据.方法 采用横断面研究,便利选取于2022年10月—2023年10月于舟山医院心胸外科就诊的157例已重返工作岗位的肺癌患者为研究对象,使用一般情况调查问卷、癌症患者工作生活质量量表、心理适应量表及重返工作准备度量表进行问卷调查.结果 重返工作岗位肺癌患者工作生活质量得分为(75.36± 10.01)分,各维度得分中,工作的意义维度得分最高,工作环境的氛围得分次之,健康状况带来的问题得分最低;单因素分析中,性别、受教育水平、工作性质及重返工作时长在重返工作岗位肺癌患者工作生活质量得分间的差异有统计学意义(P<0.05);Pearson相关分析显示,重返工作岗位肺癌患者工作生活质量与心理适应、重返工作准备度总分及各维度得分均呈正相关关系(P<0.05);在多元逐步回归分析中,重返工作准备度、心理适应、重返工作时长及受教育水平进入回归方程,共解释总变异的36.3%.结论 重返工作岗位肺癌患者的工作生活质量水平有待提高,重返工作准备度、心理适应、重返工作时长及受教育水平能够对肺癌患者的工作生活质量产生影响,护理管理者可尽早采取积极应对措施,开展个性化的延续护理措施.
Objective To explore the status quo of quality of work and life of patients with lung cancer who returned to work,and to analyze its influencing factors,so as to provide theoretical basis for nursing managers to formulate targeted intervention measures.Methods Using a cross-sectional study,157 cases of lung cancer patients in Zhoushan hospital from October 2022 to October 2023 were selected as the research objects,using the general situation questionnaire,canc-er patients'working quality of life scale,psychological adaptation scale and return to work preparation scale.Results The quality of work and life score of lung cancer patients who returned to work was(75.36±10.01)points.Among all the dimensions,the score of work meaning was the highest,the score of work environment was the second,and the score of health condition was the lowest.In the univariate analysis,sex,education level,and length of return to work were dif-ferent in quality of work scores of patients with return to work,the difference were statistically significant(P<0.05).In Pearson's correlation analysis,the quality of work and life of return-to-work lung cancer patients was positively correlated with psychological adjustment,total score of readiness to return to work,and scores of each dimension(P<0.05).In the multiple stepwise regression analysis,readiness to return to work,psychological adjustment,the length of returning to work and education level explained 36.3%of the total variation.Conclusion The quality of work and life of lung cancer patients who return to work needs to be improved.The preparation of returning to work,psychological adaptation,the length of returning to work and education level can have an impact on the quality of work and life of lung cancer patients.Nursing managers can take active measures as soon as possible and carry out personalized continuation nursing measures.

Return to workLung cancer survivorsQuality of work and lifeInfluencing factorsReadiness for return to work

戴建娟、王薇、颜波儿、伍冬冬、袁旭晶、陈志军、章燕飞

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浙江大学医学院附属第一医院护理部,浙江杭州 310003

舟山医院胸心外科,浙江舟山 316004

重返工作岗位 肺癌生存者 工作生活质量 影响因素 重返工作准备度

浙江省医药卫生科技计划

2023KY1299

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(3)
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