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1.
Artigo em Inglês | MEDLINE | ID: mdl-27334307

RESUMO

This longitudinal study was designed to assess patients' desire for early retirement and investigate which cancer-related and psychosocial characteristics are associated with early retirement. We assessed 750 cancer patients at the beginning (t0 ) and end (t1 ) of, and 12 months after (t2 ) inpatient cancer rehabilitation. At t0 , 22% had a desire to retire early. These patients reported significantly longer sick leave periods, less favourable workplace environments, lower work ability, higher psychological distress and lower quality of life than other patients. At t2 , 12.5% of patients received temporary or permanent early retirement pensions. Of all patients with a desire for early retirement at t0 , 43% had returned to work at t2 . This subgroup had a significantly lower physical quality of life than other patients returning to work. The most influential predictors of early retirement were being on sick leave (OR = 6.50, 95% CI = 1.97-21.47) and a desire for early retirement (OR = 5.61, 95% CI = 2.73-11.52). Inverse predictors of early retirement were cancer remission (OR = 0.23, 95% CI = 0.10-0.53), perceived productivity (OR = 0.38, 95% CI = 0.18-0.83), work satisfaction (OR = 0.36, 95% CI = 0.17-0.77) and mental quality of life (OR = 0.94, 95% CI = 0.91-0.98). This underlines the need for cancer-specific multi-professional rehabilitation and occupational therapy programmes.


Assuntos
Neoplasias/reabilitação , Qualidade de Vida , Aposentadoria/estatística & dados numéricos , Retorno ao Trabalho/estatística & dados numéricos , Estresse Psicológico/epidemiologia , Local de Trabalho , Adulto , Fatores Etários , Atitude , Eficiência , Feminino , Humanos , Satisfação no Emprego , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Neoplasias/psicologia , Razão de Chances , Pensões , Aposentadoria/psicologia , Retorno ao Trabalho/psicologia , Fatores de Risco , Licença Médica/estatística & dados numéricos , Estresse Psicológico/psicologia , Adulto Jovem
2.
Rehabilitation (Stuttg) ; 55(3): 150-6, 2016 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-27284730

RESUMO

AIMS OF THE STUDY: The knowledge about contents and arrangement of work-related measures in oncological rehabilitation is limited. The aim of the study was to develop a multimodal work-related module called Perspective Job for the oncological rehabilitation as well as to evaluate the process of development and the module itself. METHODS: Perspective Job was developed within a rehabilitation team. For an examination of the process of development and of the module expert interviews with clinic employees and group interviews with patients were conducted. Group interviews were conducted before as well as after the implementation of Perspective Job to demonstrate changes in the rehabilitation from the patients point of view. Participants were oncological patients with substantial work-related problems. RESULTS: The module Perspective Job consists of work-related therapies as well as job trainings. The expert interviews illustrates: The process of development is valued as positive and meaningful by the rehabilitation team. Furthermore synergetic effects were used and the exchange of information and the communication within the team were promoted. The interviews with the patient emphasized that most perspective job therapies were classified as work-related and that an individual occupation-oriented care took place. The promoting exchanges of experience between the participants has been positively evaluated. In addition, they seemed to be well-prepared for the return to work. CONCLUSION: The development of a work-related module in the rehabilitation team is possible. The process was valued by the team members positively and promoted the multiprofessional cooperation. An occupationally oriented arrangement of the rehabilitation was solely perceived by the participants of Perspective Job, which felt better prepared to reintegrate into working life. The results emphasize the importance of teamwork for the development and implementation of work-related therapy modules for the oncological rehabilitation.


Assuntos
Modelos Organizacionais , Neoplasias/reabilitação , Terapia Ocupacional/organização & administração , Objetivos Organizacionais , Reabilitação Vocacional/métodos , Retorno ao Trabalho , Pessoas com Deficiência/reabilitação , Alemanha , Humanos , Planejamento de Assistência ao Paciente , Avaliação de Programas e Projetos de Saúde
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