2019).ĭescriptive statistics for the QLQ-C30 and primary data were used to analyze the non-working and working groups, respectively. Thus, there is a mismatch between the expertise of healthcare providers and the self-perceived needs of patients ( Junko et al. However, while patients seek information related to changes in their work and life, nurses, as providers, deliver solutions and information related to symptoms ( Junko et al. Various measures have been implemented in response to the financial and employment problems experienced by patients with cancer, including the development of guidelines, measures to ensure that patients with cancer are supported to continue working (including working hours adjustments and flexible working arrangements), and support with medical fees. For patients with cancer, the issue of returning to work is an important one, with several risk factors and interventions identified in the recent literature ( Bhatt 2022 Kobayashi et al. 2009), which is a critical social concern that may damage the quality of life (QOL) of patients and their families. In addition, those unemployed for more than 6 months have difficulty returning to work ( Sakurai et al. The annual loss of labor force due to cancer among these workers is 1.8 trillion yen ( Ministry of Health, Labour and Welfare 2004). In particular, psychological, social, and physical support to adolescents and young adults with cancer and those with economic problems are essential.Ĭurrently, in Japan, 325,000 patients with cancer are receiving treatment while holding a job ( Ministry of Health, Labour and Welfare 2010), and one in three patients is forced to quit, close their business, or take a leave of absence ( Sakurai et al. Our findings suggest that, to support the continuation of work, it is crucial to alleviate symptoms, such as fatigue and breathing difficulties, for patients with cancer, and provide support to ensure that their leave of absence does not exceed 7 months. Factors that increased the likelihood of working were household income of 10 million yen or more, absenteeism of less than 7 months, and role functions. The factors that decreased the likelihood of working were being an adolescent or young adult, long-term absenteeism, fatigue, dyspnea, and economic problems. A total of 515 patients who were diagnosed with cancer within the last five years and who were willing to work were included. This study aimed to identify the factors affecting the continuation of work in patients with cancer who expressed a willingness to work. Cancer patients, while receiving treatment, face several challenges with respect to their jobs and are sometimes forced to quit them.
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