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http://dx.doi.org/10.22722/KJPM.2020.28.2.126

Needs and Related Factors for Return-to-Work Support in Cancer Survivors  

Lee, Sungwon (Department of Neuropsychiatry, Seoul National University Hospital)
Lee, Kwang-Min (Mind Lab the Place)
Oh, Gyu-Han (Department of Public Health Medical Service, Seoul National University Hospital)
Yeom, Chan-Woo (Department of Psychiatry, National Rehabilitation Center)
Jung, Sanghyup (Department of Neuropsychiatry, Seoul National University Hospital)
Hahm, Bong-Jin (Department of Neuropsychiatry, Seoul National University Hospital)
Publication Information
Korean Journal of Psychosomatic Medicine / v.28, no.2, 2020 , pp. 126-134 More about this Journal
Abstract
Objectives : The purpose of this study was to investigate the needs for return-to-work support of cancer survivors and related factors in patients with cancer and their caregivers. Methods : 182 patients and 114 caregivers were recruited. Distress Thermometer and Problem List and scale ranging 0~10 measuring the degree of needs for return-to-work support were utilized. The needs for return-to-work support between the patient group and caregiver group (patient's needs evaluated by the caregiver) were compared, and related factors were investigated using logistic regression analysis. Results : 34.6% and 28.1% of patients and caregivers reported return-to-work support of cancer survivors is "very necessary". The degree of needs was 6.60±3.365 points in the patient group and 6.17±3.454 points in the caregiver group, with no significant difference (p=0.282). The needs for return-to-work support evaluated by patients was high when they underwent surgery (OR=2.592, p=0.007), has fertility problems (OR=6.137, p=0.025), has appearance problems (OR=2.081, p=0.041), or has fatigue (OR=2.330, p=0.020). The needs for return-to-work support of patients evaluated by caregivers was high when patients treated with breast cancer (vs respiratory cancer, OR=13.038, p=0.022 ; vs leukemia/lymphoma, OR=4.517, p=0.025 ; vs other cancer, OR=13.102, p=0.019), has work/school problems (OR=4.578, p=0.005), or has depression (OR=3.213, p=0.022). Conclusions : The degree of needs for return-to-work support of cancer survivors was high, and factors related to the needs were different between the two groups. This suggests that return-to-work support of cancer survivors is required, and clinical characteristics, the distress of patients, and differences between patients and their caregivers should be considered in establishing a support plan.
Keywords
Cancer survivors; Needs; Psychological distress; Return-to-work;
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