Factors Facilitating or Creating Barriers to Returning to Work in Head and Neck Cancer Patients Within the First 6 Months After Treatment

Author:

Chiu Su-Erh1,Cho Kuei-An1,Huang Bing-Shen23,Lin Chien-Yu23,Chung Ching-Fang1,Chang Ya-Lan1,Chen Shu-Ching245ORCID

Affiliation:

1. Department of Nursing, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan

2. Department of Radiation Oncology and Proton and Radiation Therapy Center, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan

3. Department of Medical Imaging and Radiological Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan

4. School of Nursing and Geriatric and Long-Term Care Research Center, College of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan

5. School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan

Abstract

Head and neck cancer (HNC) patients who are unable to return to work after completing treatment might face financial loss and reduced self-esteem. The aim of this study was to identify factors influencing a return to work in HNC cancer patients in the first 6 months after treatment. This cross-sectional study examined HNC patients who completed treatment from the outpatient radiation department of a single cancer center in northern Taiwan. Patients were assessed according to psychological distress, patient-perceived health status, barriers to returning to work, and facilitators of returning to work. Of the 106 HNC patients surveyed, 54.7% successfully returned to work. Barriers to returning to work included poor self-perception of health, greater psychological distress, and age ≥50 years. Patients who had higher psychological distress, returned to work after start of the pandemic, or received reconstruction surgery were less likely to experience a positive environment facilitating a return to work.

Funder

Chang Gung Medical Foundation

chang gung university

Publisher

SAGE Publications

Subject

General Nursing

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