摘要
目的评价新疆地区女性教师乳腺癌患者术后重返工作适应性现状,并分析其影响因素,为女性教师癌症患者更好地重返工作岗位提供科学依据。方法采用便利抽样法,对2019—2021年乳腺癌术后复诊且已重返工作岗位的女性教师群体进行调查。调查工具包括一般资料调查表、癌症患者重返工作适应性量表、癌症患者恐惧疾病进展简化量表(FoP-Q-SF)和社会支持评定量表(SSRS),采用多元线性回归探讨患者重返工作适应性的影响因素。结果共调查200例女性教师乳腺癌术后患者,患者重返工作适应性得分为(60.19±10.98)分,恐惧疾病进展得分为(32.18±6.19)分,社会支持得分为(37.08±8.14)分。多元线性回归分析结果显示:相比专科及以下学历,大学本科、硕士学历患者的重返工作适应性得分分别增加1.063、1.156分;相比乳房切除的患者,采用保乳手术方式患者的重返工作适应性得分增加2.136分;相比行政管理患者,一线教师患者的重返工作适应性得分减少2.001分;相比公立教育机构的患者,私立教育机构患者的重返工作适应性得分减少2.249分;患者FoP-Q-SF、SSRS两个量表的得分每增加1分,重返工作适应性得分分别增加-1.241、1.456分;以上差异均有统计学意义(P<0.01)。结论新疆地区女性教师乳腺癌患者术后重返工作适应性水平有待提升,相关部门应重视对文化程度较低、乳腺切除、一线教学岗位、私立教育机构等教师群体的关爱和社会支持,提高女性教师癌症患者重返工作的适应性水平。
Objective To evaluate the adaptability of female teachers with breast cancer who returned to work after surgery in Xinjiang and to analyze the influencing factors so as to provide a scientific basis for female teachers with cancer to better return to work.Methods A convenience sampling method was used to investigate the female teachers who had returned to work after breast cancer surgery from 2019 to 2021,with the questionnaires including the general information questionnaire,the adaptation scale for returning to work for cancer patients,the simplified scale for fear of disease progression for cancer patients,and the social support scale.Multiple linear regression was used to explore the influencing factors of patients’adaptability to return to work.Results Totally 200 female teachers with breast cancer after surgery were investigated.The scores of adaptability to return-to-work and fear of disease progression were(60.19±10.98)and(32.18±6.19),respectively,while the score of social support was(37.08±8.14).The results of multiple linear regression analysis showed that the scores of adaptability to return-to-work of patients with undergraduate and master’s degree education increased by 1.063 and 1.156,respectively,compared with patients with junior college degrees and/or below.Compared with patients who underwent mastectomy,the score of adaptability to return-to-work of patients undergoing breast-conserving surgery increased by 2.136 points,and that of front-line teachers decreased by 2.001 points compared with administrative patients.Compared with patients in public education institutions,the scores of adaptability to return-towork of patients in private education institutions decreased by 2.249 points.When the scores of FoP-Q-SF and SSRS increased by 1 point,the scores of adaptability to return-to-work increased by-1.241 and 1.456 points,respectively.All differences were statistically significant(P<0.01).Conclusions The female teachers’level of adaptability to return-to-work after breast cancer surgery in Xinjiang needs to be improved,and the relevant departments should pay attention to the care and social support for female teachers with low educational levels,with mastectomy,in front-line teaching posts,or in private educational institutions,so as to improve their adaptability to return to work.
作者
谢雅
马晓琴
高晓莹
佟宛芸
XIE Ya;MA Xiaoqin;GAO Xiaoying;TONG Wanyun(Department of General Special Needs,Cancer Hospital Affiliated to Xinjiang Medical University,Urumqi,Xinjiang 830011,China)
出处
《职业卫生与应急救援》
2023年第3期271-276,共6页
Occupational Health and Emergency Rescue
关键词
女性教师
乳腺癌
重返工作适应性
恐惧疾病进展
社会支持
影响因素
female teacher
breast cancer
adaptability to return-to-work
fear of disease progression
social support
influencing factor
