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Return to Work in Multi-ethnic Breast Cancer Survivors - A Qualitative Inquiry

  • Tan, Foo Lan (Institute of Postgraduate Studies, Kuala Lumpur Hospital, University of Malaya) ;
  • Loh, Siew Yim (Department of Rehabilitation Medicine, Faculty of Medicine, Kuala Lumpur Hospital, University of Malaya) ;
  • Su, TinTin (Department of Social Preventive Medicine, Faculty of Medicine, Kuala Lumpur Hospital, University of Malaya) ;
  • Veloo, V.W. (Faculty of Languages and Linguistic, Kuala Lumpur Hospital, University of Malaya) ;
  • Ng, Lee Luan (Department of Occupational Therapy, Kuala Lumpur Hospital, University of Malaya)
  • 발행 : 2012.11.30

초록

Introduction: Return-to-work (RTW) can be a problematic occupational issue with detrimental impact on the quality of life of previously-employed breast cancer survivors. This study explored barriers and facilitators encountered during the RTW process in the area of cancer survivorship. Materials and Methods: Six focus groups were conducted using a semi-structured interview guide on 40 informants (employed multiethnic survivors). Survivors were stratified into three groups for successfully RTW, and another three groups of survivors who were unable to return to work. Each of the three groups was ethnically homogeneous. Thematic analysis using a constant comparative approach was aided by in vivo software. Results: Participants shared numerous barriers and facilitators which directly or interactively affect RTW. Key barriers were physical-psychological after-effects of treatment, fear of potential environment hazards, high physical job demand, intrusive negative thoughts and overprotective family. Key facilitators were social support, employer support, and regard for financial independence. Across ethnic groups, the main facilitators were financial-independence (for Chinese), and socialisation opportunity (for Malay). A key barrier was after-effects of treatment, expressed across all ethnic groups. Conclusions: Numerous barriers were identified in the non-RTW survivors. Health professionals and especially occupational therapists should be consulted to assist the increasing survivors by providing occupational rehabilitation to enhance RTW amongst employed survivors. Future research to identify prognostic factors can guide clinical efforts to restore cancer survivors to their desired level/type of occupational functioning for productivity and wellbeing.

키워드

참고문헌

  1. Ahn E, Cho J, Shin DW, et al (2009). Impact of breast cancer diagnosis and treatment on work-related life and factors affecting them. Breast Cancer Res and Treatment, 116, 609-16. https://doi.org/10.1007/s10549-008-0209-9
  2. Balak F, Roelen C, Koopmans P, Berge E, Groothoff JW (2008). Return to work after early stage breast cancer: a cohort study into the effects of treatment and cancer related symptoms. J Occupational Rehabilitation, 18, 267-72. https://doi.org/10.1007/s10926-008-9146-z
  3. Biegler KA, Chaoul MA, Cohen L (2009). Cancer, cognitive impairment, and meditation. Acta Oncologica, 48, 18-26. https://doi.org/10.1080/02841860802415535
  4. Bouknight RR, Bradley CJ, Luo Z (2006). Correlates of return to work for breast cancer survivors. J Clin Oncol, 24, 345-53 https://doi.org/10.1200/JCO.2004.00.4929
  5. Bowen GA (2008). Naturalistic inquiry and the saturation concept: a research note. Glenn A Bowen, 8, 137-52.
  6. Carlsen K, Dalton SO, Diderichsen F, Johansen C (2008). Risk for unemployment of cancer survivors: A Danish cohort study. Eur J Cancer, 44, 1866-74. https://doi.org/10.1016/j.ejca.2008.05.020
  7. Carlsen K, Dalton SO, Frederiksen K, Diderichsen F, Johansen C (2008). Cancer and the risk for taking early retirement pension: a danish cohort study. Scandinavian J Public Hlth, 36, 117-25. https://doi.org/10.1177/1403494807085192
  8. Elizabeth M, Brisson C, Dubois L, Lauzier S, Fraser A (1999). Work problem after breast cancer : an exploratory qualitative. Psychooncology, 6, 467-73.
  9. Eversley R, Estrin D (2001). Return to work after breast cancer surgery. Women's Cancer Resource Center.
  10. Fantoni SQ, Peugniez C, Duhamel A, et al (2009). Factors related to return to work by women with breast cancer in Nothern France. J Occupational Rehabilitation, 20, 49-58.
  11. Hassett MJ, Malley JO, Keating N (2009). Factors influencing changes in women diognosed with breast cancer. Cancer.
  12. Johnsson A, Fornander T, Olsson M, et al (2007). Factors associated with return to work after breast cancer treatment. Acta Oncologica, 46, 90-6. https://doi.org/10.1080/02841860600857318
  13. Johnsson A, Fornander T, Rutqvist LE, et al (2009). Predictors of return to work ten months after primary breast cancer surgery. Acta Oncologica, 48, 93-8. https://doi.org/10.1080/02841860802477899
  14. Johnsson A, Fornander T, Rutqvist LE, Olsson M (2010). Factors influencing return to work: a narrative study of women treated for breast cancer. Eur J Cancer Care, 19, 317-23. https://doi.org/10.1111/j.1365-2354.2008.01043.x
  15. Krueger JI (2008). Rationality and social responsiity; Essays in Honor of Robyn Mason Dawes (Modern Pioneers in Psychological Science: An APS-Psychology Press Series).
  16. Labour Force Malaysia (2011). Principal Statistics of Labour Force Malaysia 2010. Vol. 02/2011, p1. Retrived on Aug 2012 from -http://www.statistics.gov.my/portal/images/stories/files/LatestReleases/employment/Labour_Force_Indicator_Malaysia_Sept2010BI.pdf.
  17. Labriola M, Lund T, Christensen KB, et al (2007). Does selfefficacy predict return-to-work after sickness absence? A prospective study among 930 employees with sickness absence for three weeks or more. Assessment and Rehabilitation, 29, 233-8.
  18. Lagerveld SE, Blonk RWB, Brenninkmeijer V, Schaufeli WB (2010). Return to work among employees with mental health problems: development and validation of a self-efficacy questionnaire. Work and Stress, 24, 359-75 https://doi.org/10.1080/02678373.2010.532644
  19. Lim GCC, Sanjay R, Yahaya H (2008). Cancer Incidence in Peninsular Malaysia 2003-2005 In M. The Third Report of the National Cancer Registry, Ministry of Health (Ed.): National Cancer Registry.
  20. Lindlof TR (1995). Qualitative communication research methods: Sage Publications.
  21. Loh SY, Yip Ch (2006). Breast cacer as a chronic illness; implication for rehabilitation and medical education. J University of Malaya Med Centre, 9, 3-11.
  22. Loh SY, Packer T, Yip Ch, Low WY (2007). Perceived barriers to self-management in Malaysian women with breast cancer. Asia Pac J Public Hlth, 19, 52-7. https://doi.org/10.1177/101053950701900309
  23. Maunsell E, Brisson C, Dubois L, Lauzier S, Fraser A (1999). Work problems after breast cancer: an exploratory qualitative study. Psycho-Oncology, 8, 467-73. https://doi.org/10.1002/(SICI)1099-1611(199911/12)8:6<467::AID-PON400>3.0.CO;2-P
  24. Maunsell E, Drolet M, Brisson J, et al (2004). Work situation after breast cancer: result from population based study. National Cancer Institute, 96, 1813-22. https://doi.org/10.1093/jnci/djh335
  25. Myhren H, Ekeberg O, Stokland O (2010). Health-related quality of life and return to work after critical illness in general intensive care unit patients: A 1-year follow-up study. Critical Care Med, 38, 1554-61. https://doi.org/10.1097/CCM.0b013e3181e2c8b1
  26. Nenty HJ (2009). Writing a quantitative research thesis. Int J Edu Sci, 1, 19-32.
  27. Park JH, Park EC, Park JH, Kim SG, Lee SY. (2008). Job loss and re-employment of cancer patients in Korean employees: A nationwide retrospective cohort study. J Clinical Oncology, 26, 1302-9 https://doi.org/10.1200/JCO.2007.14.2984
  28. Patton MQ (1990). Qualitative Evaluation and Research Methods. Newbury park,CA: SAGE Publications.
  29. Steiner JF, Nowels CT, Main DS (2010). Returning to work after cancer: quantitative studies and prototypical narratives. Psycho-Oncology, 19, 115-24. https://doi.org/10.1002/pon.1591
  30. Tamminga SJ, de Boer A, Verbeek JH, Frings-Dresen MH (2010). Return-to-work interventions integrated into cancer care: a systematic review. Occupational and Environmental Med, 67, 639-48. https://doi.org/10.1136/oem.2009.050070
  31. Taskila T, Lindbohm ML (2007). Factors affecting cancer survivors' employment and work ability. Acta Oncologica, 46, 446-51. https://doi.org/10.1080/02841860701355048
  32. Taskila T, Martikainen R, Hietanen P, Lindbohm ML (2007). Comparative study of work ability between cancer survivors and their referents. Eur J Cancer, 43, 914-20 https://doi.org/10.1016/j.ejca.2007.01.012
  33. Vockins H (2004). Occupational therapy intervention with patient with breast cancer : a survay. Eur J Cancer Care, 13, 45-52. https://doi.org/10.1111/j.1365-2354.2004.00443.x
  34. Whittemore R, Chase SK, Mandle CL (2001). Validity in qualitave research. Qualitative Hlth Res, 11, 522-36. https://doi.org/10.1177/104973201129119299

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