摘要
目的系统分析乳腺癌生存者重返工作岗位干预方案的相关研究,识别干预的具体内容、结局指标和干预效果,以期为医护人员开展相关干预提供参考。方法根据范围综述的研究方法,计算机检索中国知网、万方数据库、维普网、中国生物医学文献数据、CINAHL、PubMed、Embase、Web of Science等国内外数据库,检索时限为建库至2022年6月22日。对纳入文献进行归类和分析。结果共纳入12篇文献,11篇为RCT,1篇为前瞻性纵向研究。重返工作岗位干预方案包括职业康复干预、运动干预和多学科团队职业康复干预。干预形式包括线下干预、线上干预以及线上线下结合干预。干预频率多为1~3次/周。干预时长多为6或12个月。干预对重返工作结局、心理状态、临床结局等有不同程度的影响。结论目前的重返工作岗位干预具有综合性、个性化、干预效果尚不明确的特点。未来研究应明确更有效的干预策略、制定统一规范的评价标准,依据乳腺癌生存者的身体功能状态和返岗意愿,制定科学、合适的干预方案。
Objective To systematically analyze studies in return to work(RTW)intervention for breast cancer survivors,to identify specific contents,outcomes and effects of intervention,so as to provide guidance for medical staff.Methods A literature search was performed in the CNKI,Wanfang,VIP,CBM,CINAHL,Pubmed,Embase,Web of Science to identify relevant studies published during the establishment of the database to June 22,2022.The included studies were summarized and analyzed.Results Totally 12 studies were included,of which 11 were randomized controlled trial and 1 was prospective longitudinal study.RTW intervention plans included vocational rehabilitation,exercises and multidisciplinary team-based vocational rehabilitation interventions.Intervention forms included offline interventions,online interventions and a combination of online and offline interventions.The frequency of interventions tended to be 1-3 times per week,with a duration of 6 or 12 months.The results showed that interventions had varying degrees of influence on RTW related outcomes,psychological status,and clinical outcomes.Conclusion RTW intervention is holistic,individualized and the effects are not yet clear.Future research should focus on exploring more effective interventions strategies,developing standardized and uniform evaluation criteria,and formulating scientific and applicable programs based on the physical status and willingness of breast cancer survivors.
作者
杨湘君
邱星
曾琪雅
严谨
Yang Xiangjun;Qiu Xing;Zeng Qiya;Yan Jin(Nur-sing Department,The Third XiangYa Hospital of Central South University,Changsha 410000,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第11期117-121,共5页
Journal of Nursing Science
关键词
乳腺癌
幸存者
干预
重返工作岗位
康复护理
职业康复
范围综述
breast cancer
survivor
intervention
return to work
rehabilitation nursing
occupational rehabilitation
scoping review
