Current status and influencing factors of work readiness in patients returning to work after lung cancer surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

YIN Yuanyuan , LONG Xingxia , ZHANG Jie , JI Yanli , ZHU Ying , HE Lijun ,  YANG Mei

Department of Thoracic Surgery, West China School of Nursing/West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;

Corresponding?author：

YANG Mei, Email: yangmei69@126.com

Keywords：

Lung cancer; postoperative; middle-aged and young adults; returning to work; influencing factors

DOI：

10.7507/1007-4848.202407012

Video：

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Objective To investigate the current status of work readiness and its influencing factors among patients returning to work after lung cancer surgery. Methods A retrospective study was conducted on young and middle-aged postoperative lung cancer patients who were treated at the Department of Thoracic Surgery, West China Hospital, Sichuan University from March to September 2023 and returned to their jobs. Data were collected through a general information questionnaire, readiness for return-to-work scale (RRTW), general self-efficacy scale (GSES), and simplified coping style questionnaire (SCSQ). Univariate and multivariate logistic regression analyses were used to explore the factors affecting the work readiness of patients returning to work. Results A total of 219 patients were included, with 59 males and 160 females aged 18-60 years. Among the postoperative lung cancer patients returning to work, 73.1% were in the active maintenance stage of return-to-work readiness with a RRTW score of (17.59±1.48) points, and 26.9% were in the uncertain maintenance stage with a RRTW score of (16.22±1.50) points. Multivariate logistic regression analysis showed that patients aged≤30 years (OR=52.381), employees of enterprises and institutions (OR=7.682), agricultural, pastoral, fishery, forestry laborers (OR=15.665), positive coping (OR=5.043), those with higher self-efficacy (OR=1.157) and engaged in physically demanding work (OR=2.449) had higher return-to-work readiness, while patients with≥2 children (OR=0.055), self-payment (OR=0.044), and those working more than 40 hours per week (OR=0.122) had lower return-to-work readiness. Conclusion The return-to-work readiness of young and middle-aged postoperative lung cancer patients needs to be improved, and occupation, job nature, main coping styles, general self-efficacy and other factors are associated with return-to-work readiness.

Citation： YIN Yuanyuan, LONG Xingxia, ZHANG Jie, JI Yanli, ZHU Ying, HE Lijun, YANG Mei. Current status and influencing factors of work readiness in patients returning to work after lung cancer surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2026, 33(7): 1079-1084. doi: 10.7507/1007-4848.202407012 Copy

1.	劉新亞, 毛宏凱, 趙婷, 等. 新疆醫科大學第三附屬醫院11 333例肺癌患者隨訪生存狀況分析. 臨床軍醫雜志, 2023, 51(12): 1313-1316, 1320.Liu XY, Mao HK, Zhao T, et al. Analysis of follow-up survival status of 11333 lung cancer patients in the Third Affiliated Hospital of Xinjiang Medical University. Clin J Med Offic, 2023, 51(12): 1313-1316, 1320.
2.	張夢瑤, 董詩奇, 王娟, 等. 中青年淋巴瘤患者重返工作準備度及相關因素. 中國心理衛生雜志, 2022, 36(9): 750-756.Zhang MY, Dong SQ, Wang J, et al. Readiness of return-to-work and its related factors among young and middle-aged patients with lymphoma. Chin Ment Health J, 2022, 36(9): 750-756.
3.	Stergiou-Kita M, Pritlove C, Holness DL, et al. Am I ready to return to work? Assisting cancer survivors to determine work readiness. J Cancer Surviv, 2016, 10(4): 699-710.
4.	Franche RL, Corbière M, Lee H, et al. The readiness for return-to-work (RRTW) scale: development and validation of a self-report staging scale in lost-time claimants with musculoskeletal disorders. J Occup Rehabil, 2007, 17(3): 450-472.
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7.	解亞寧. 簡易應對方式量表信度和效度的初步研究. 中國臨床心理學雜志, 1998, 6(2): 114-115.Xie YN. A preliminary study on the reliability and validity of the simple coping style scale. Chin J Clin Psychol, 1998, 6(2): 114-115.
8.	周帥, 覃彥珠, 張玲, 等. 婦科癌癥術后化療病人身體意象現狀及其影響因素研究. 護理研究, 2021, 35(2): 306-310.Zhou S, Qin YZ, Zhang L, et al. Study on status quo of body image of gynecological cancer patients undergoing chemotherapy after surgery and its influencing factors. Chin Nurs Res, 2021, 35(2): 306-310.
9.	Ghasempour M, Shabanloei R, Rahmani A, et al. The relation of readiness for return to work and return to work among iranian cancer survivors. J Cancer Educ, 2020, 35(6): 1237-1242.
10.	王仁秀. 冠脈支架植入術后患者重返工作準備度現狀及影響因素研究. 山東中醫藥大學, 2021.Wang RX. Study on the current status and influencing factors of return-to-work readiness among patients after coronary stent implantation. Shandong University of Traditional Chinese Medicine, 2021.
11.	戴建娟, 王薇, 顏波兒, 等. 重返工作崗位肺癌患者工作生活質量現狀及影響因素分析. 中華全科醫學, 2024, 22(3): 513-516.Dai JJ, Wang W, Yan BE, et al. Analysis of the current status and influencing factors of work-life quality among lung cancer patients returning to work. Chin J Gen Pract, 2024, 22(3): 513-516.
12.	李偉東, 裴祺, 林春梅. 直腸癌永久性腸造口患者重返工作準備度及影響因素分析. 中國社會醫學雜志, 2020, 37(4): 397-400.Li WD, Pei Q, Lin CM. Analysis of readiness for return to work and its influencing factors among patients with permanent intestinal stoma due to rectal cancer. Chin J Soc Med, 2020, 37(4): 397-400.
13.	So N, McDowell LJ, Lu L, et al. The prevalence and determinants of return to work in nasopharyngeal carcinoma survivors. Int J Radiat Oncol Biol Phys, 2020, 106(1): 134-145.
14.	楊申申, 劉均娥, 蘇婭麗, 等. 乳腺癌患者重返工作現狀及其影響因素分析. 中國護理管理, 2020, 20(6): 821-825.Yang SS, Liu JE, Su YL, et al. Analysis of the current status and influencing factors of return to work among breast cancer patients. Chin Nurs Manage, 2020, 20(6): 821-825.
15.	Holmberg K, Fjell M, Eklund L, et al. Returning to work is not enough for cancer survivors: vocational rehabilitation needs to consider work-related well-being. J Cancer Surviv, 2026. Epub ahead of print.
16.	Fure SCR, Howe EI, Andelic N, et al. Cognitive and vocational rehabilitation after mild-to-moderate traumatic brain injury: a randomised controlled trial. Ann Phys Rehabil Med. 2021, 64(5):101538.
17.	唐玨, 郭瑜潔, 闕文倩, 等. "重建自我" 癌癥患者重返工作適應性干預方案構建. 軍事護理, 2022, 39(12): 18-21.Tang J, Guo YJ, Que WQ, et al. Construction of an adaptive intervention program for "rebuilding self" and returning to work among cancer patients. Milit Nurs, 2022, 39(12): 18-21.
18.	Fitch MI, Nicoll I. Returning to work after cancer: survivors', caregivers', and employers' perspectives. Psychooncology, 2019, 28(4): 792-798.
19.	Teramatsu H, Yamato H, Jiang Y, et al. Pre-operative physical performance is associated with early return to work in peri-operative lung cancer patients. J UOEH, 2022, 44(4): 341-351.
20.	de Jong M, Tamminga SJ, van Es RJJ, et al. The quality of working life questionnaire for cancer survivors (QWLQ-CS): factorial structure, internal consistency, construct validity and reproducibility. BMC Cancer, 2018, 18(1): 66.
21.	Zegers AD, Coenen P, Bültmann U, et al. Supporting participation in paid work of cancer survivors and their partners in the Netherlands: protocol of the SusTained Employability in cancer Patients and their partnerS (STEPS) multi-centre randomized controlled trial and cohort study. BMC Public Health, 2021, 21(1): 1844.
22.	韓芳, 郭瑜潔, 戴琴, 等. 康復期癌癥病人重返工作準備度現況及其影響因素. 解放軍護理雜志, 2021, 38(6): 34-37.Han F, Guo YJ, Dai Q, et al. Current status and influencing factors of readiness for return to work among cancer patients during recovery. J Nurs PLA, 2021, 38(6): 34-37.
23.	應笑, 魏清風, 李第芬, 等. 肺癌幸存者癌癥恐懼疾病進展與癌癥死亡焦慮、癌癥自我效能感的關系研究. 護理管理雜志, 2022, 22(6): 392-397.Ying X, Wei QF, Li DF, et al. The relationship among cancer fear disease progression, cancer death anxiety and cancer self-efficacy in lung cancer survivors. J Nurs Adm, 2022, 22(6): 392-397.

1. 劉新亞, 毛宏凱, 趙婷, 等. 新疆醫科大學第三附屬醫院11 333例肺癌患者隨訪生存狀況分析. 臨床軍醫雜志, 2023, 51(12): 1313-1316, 1320.Liu XY, Mao HK, Zhao T, et al. Analysis of follow-up survival status of 11333 lung cancer patients in the Third Affiliated Hospital of Xinjiang Medical University. Clin J Med Offic, 2023, 51(12): 1313-1316, 1320.
2. 張夢瑤, 董詩奇, 王娟, 等. 中青年淋巴瘤患者重返工作準備度及相關因素. 中國心理衛生雜志, 2022, 36(9): 750-756.Zhang MY, Dong SQ, Wang J, et al. Readiness of return-to-work and its related factors among young and middle-aged patients with lymphoma. Chin Ment Health J, 2022, 36(9): 750-756.
3. Stergiou-Kita M, Pritlove C, Holness DL, et al. Am I ready to return to work? Assisting cancer survivors to determine work readiness. J Cancer Surviv, 2016, 10(4): 699-710.
4. Franche RL, Corbière M, Lee H, et al. The readiness for return-to-work (RRTW) scale: development and validation of a self-report staging scale in lost-time claimants with musculoskeletal disorders. J Occup Rehabil, 2007, 17(3): 450-472.
5. 曹慧麗. 重返工作準備度量表的漢化及在乳腺癌患者中的初步應用. 鄭州大學, 2018.Cao HL. The Chinese localization of the readiness for return to work scale and the application in breast cancer patients. Zhengzhou University, 2018.
6. 王才康, 胡中鋒, 劉勇. 一般自我效能感量表的信度和效度研究. 應用心理學, 2001, 7(1): 37-40.Wang CK, Hu ZF, Liu Y. Research on the reliability and validity of the general self-efficacy scale. Chin J Appl Psychol, 2001, 7(1): 37-40.
7. 解亞寧. 簡易應對方式量表信度和效度的初步研究. 中國臨床心理學雜志, 1998, 6(2): 114-115.Xie YN. A preliminary study on the reliability and validity of the simple coping style scale. Chin J Clin Psychol, 1998, 6(2): 114-115.
8. 周帥, 覃彥珠, 張玲, 等. 婦科癌癥術后化療病人身體意象現狀及其影響因素研究. 護理研究, 2021, 35(2): 306-310.Zhou S, Qin YZ, Zhang L, et al. Study on status quo of body image of gynecological cancer patients undergoing chemotherapy after surgery and its influencing factors. Chin Nurs Res, 2021, 35(2): 306-310.
9. Ghasempour M, Shabanloei R, Rahmani A, et al. The relation of readiness for return to work and return to work among iranian cancer survivors. J Cancer Educ, 2020, 35(6): 1237-1242.
10. 王仁秀. 冠脈支架植入術后患者重返工作準備度現狀及影響因素研究. 山東中醫藥大學, 2021.Wang RX. Study on the current status and influencing factors of return-to-work readiness among patients after coronary stent implantation. Shandong University of Traditional Chinese Medicine, 2021.
11. 戴建娟, 王薇, 顏波兒, 等. 重返工作崗位肺癌患者工作生活質量現狀及影響因素分析. 中華全科醫學, 2024, 22(3): 513-516.Dai JJ, Wang W, Yan BE, et al. Analysis of the current status and influencing factors of work-life quality among lung cancer patients returning to work. Chin J Gen Pract, 2024, 22(3): 513-516.
12. 李偉東, 裴祺, 林春梅. 直腸癌永久性腸造口患者重返工作準備度及影響因素分析. 中國社會醫學雜志, 2020, 37(4): 397-400.Li WD, Pei Q, Lin CM. Analysis of readiness for return to work and its influencing factors among patients with permanent intestinal stoma due to rectal cancer. Chin J Soc Med, 2020, 37(4): 397-400.
13. So N, McDowell LJ, Lu L, et al. The prevalence and determinants of return to work in nasopharyngeal carcinoma survivors. Int J Radiat Oncol Biol Phys, 2020, 106(1): 134-145.
14. 楊申申, 劉均娥, 蘇婭麗, 等. 乳腺癌患者重返工作現狀及其影響因素分析. 中國護理管理, 2020, 20(6): 821-825.Yang SS, Liu JE, Su YL, et al. Analysis of the current status and influencing factors of return to work among breast cancer patients. Chin Nurs Manage, 2020, 20(6): 821-825.
15. Holmberg K, Fjell M, Eklund L, et al. Returning to work is not enough for cancer survivors: vocational rehabilitation needs to consider work-related well-being. J Cancer Surviv, 2026. Epub ahead of print.
16. Fure SCR, Howe EI, Andelic N, et al. Cognitive and vocational rehabilitation after mild-to-moderate traumatic brain injury: a randomised controlled trial. Ann Phys Rehabil Med. 2021, 64(5):101538.
17. 唐玨, 郭瑜潔, 闕文倩, 等. "重建自我" 癌癥患者重返工作適應性干預方案構建. 軍事護理, 2022, 39(12): 18-21.Tang J, Guo YJ, Que WQ, et al. Construction of an adaptive intervention program for "rebuilding self" and returning to work among cancer patients. Milit Nurs, 2022, 39(12): 18-21.
18. Fitch MI, Nicoll I. Returning to work after cancer: survivors', caregivers', and employers' perspectives. Psychooncology, 2019, 28(4): 792-798.
19. Teramatsu H, Yamato H, Jiang Y, et al. Pre-operative physical performance is associated with early return to work in peri-operative lung cancer patients. J UOEH, 2022, 44(4): 341-351.
20. de Jong M, Tamminga SJ, van Es RJJ, et al. The quality of working life questionnaire for cancer survivors (QWLQ-CS): factorial structure, internal consistency, construct validity and reproducibility. BMC Cancer, 2018, 18(1): 66.
21. Zegers AD, Coenen P, Bültmann U, et al. Supporting participation in paid work of cancer survivors and their partners in the Netherlands: protocol of the SusTained Employability in cancer Patients and their partnerS (STEPS) multi-centre randomized controlled trial and cohort study. BMC Public Health, 2021, 21(1): 1844.
22. 韓芳, 郭瑜潔, 戴琴, 等. 康復期癌癥病人重返工作準備度現況及其影響因素. 解放軍護理雜志, 2021, 38(6): 34-37.Han F, Guo YJ, Dai Q, et al. Current status and influencing factors of readiness for return to work among cancer patients during recovery. J Nurs PLA, 2021, 38(6): 34-37.
23. 應笑, 魏清風, 李第芬, 等. 肺癌幸存者癌癥恐懼疾病進展與癌癥死亡焦慮、癌癥自我效能感的關系研究. 護理管理雜志, 2022, 22(6): 392-397.Ying X, Wei QF, Li DF, et al. The relationship among cancer fear disease progression, cancer death anxiety and cancer self-efficacy in lung cancer survivors. J Nurs Adm, 2022, 22(6): 392-397.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Current status and influencing factors of work readiness in patients returning to work after lung cancer surgery

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