中青年癌症生存者重返工作干预方案的系统评价
张媛媛, 吴安琪, 吴捷, 朱雅琪, 李梦瑶, 闫德修, 章雅青, 侯黎莉

Interventions to enhance return-to-work among young and middle-aged cancer survivors: a systematic review
ZHANG Yuanyuan, WU Anqi, WU Jie, ZHU Yaqi, LI Mengyao, YAN Dexiu, ZHANG Yaqing, HOU Lili
表2 重返工作干预方案的相关特征
Tab 2 Characteristics of return-to-work interventions
StudyIntervention groupControl groupOutcome
ContentTypeWhoHow longWhere
BJÖRNEKLETT et al, 2013[8]

Information-based support program:

information about cancer illnesses, aetiology, risk factors, etc;

physical exercise, relaxation training, qi-gong and nonverbal communication;

social activities such as concerts, and visits to museums and restaurants

A

Oncologists (n=4), social workers

(n=2), art therapists (n=2), masseuses

(n=2), a person trained in qi-gong and mental visualization (n=1)

7 d followed by a 4-day follow-up

2 months after the initial visit

ResortStandard follow-up routineb

FAUSER

et al, 2019[9-10]

Work-related medical rehabilitation:

work-related diagnostics (at least 60 min),

and multiprofessional team meetings;

work-related functional capacity training (at least 360 min),

work-related psychosocial groups (at least 240 min),

and intensified social counseling (at least 90 min)

A, BPhysician, psychologist, occupational therapist, physiotherapist, social worker25 d in averageRehabilitation centerTraditional medical rehabilitation programa, c

LEENSEN

et al, 2017[11]

Multidisciplinary intervention:

personal counselling on work-related issues (1‒3 sessions),

and supervised physical exercise (2 times per week, 12 weeks)

B

Oncological occupational physician,

sport physician,

physiotherapist

4 months in averageHospitalWithout controla, d, e, f, g

OLDERVOLL

et al, 2013[12]

Inpatient rehabilitation program:

physical exercise (twice a day, 100 h during 4 weeks),

patient education (each day),

group discussion (each day).

The focus of patient education and group discussion session:

cancer treatment and side effect, physical activity, nutrition, economy and work situation, factors of return-to-work, partnership and sexuality, and psychological reaction

AMultiprofessional team4 weeksRehabilitation centerOutpatient rehabilitation program: delivered at an academic cancer hospital, lasted for seven weeks. The focus were the sameh

MOURGUES

et al, 2014[13]

Thermal water treatment:

physiotherapy (2 h/d, supervised by physiotherapist),

thermal water treatment (30 min/d),

and basic dietary follow-up (each day)

A

Physician,

nutritionist,

physiotherapist

15 dResortStandard follow-up routinea, d

RUSBRIDGE

et al, 2013[14]

Occupational rehabilitation program:

patients-based symptom management (fatigue management, psychological support, and cognitive rehabilitation),

work place intervention involving employers

BOccupational therapist and/or neuropsychologist11 h sessions over 5 monthsHospitalWithout controla
STAPELFELDT et al, 2021[15]

Early, individualized vocational rehabilitation intervention:

return-to-work readiness and need assessment by social worker,

tailored return to work plan development by social worker,

coordinating the return-to-work plan with the participant′s employer,

assessing participants′ rehabilitation needs other than vocational

BSocial worker trained by psychologistContinued until the participants returned to work or for 1 yearHospitalMunicipal sickness benefit management by Danish Sickness Benefit Acta

TAMMINGA

et al, 2013[16];

TAMMINGA

et al, 2019[17]

Hospital-based work support intervention:

delivering patient education and support at the hospital, as part of usual psycho-oncology care;

improving communication between the treating physician and the occupational physician;

drawing up a concrete and gradual return-to-work plan in collaboration with the cancer patient, the occupational physician, and the employer

B

Oncology nurse,

medical social worker,

occupational physician

A few weeks to 14 monthsHospitalStandard program by Dutch government

1 year follow-up: a, b, d, g;

2 year follow-up: a, b, d, g

THIJS

et al, 2012[18]

High-intensity physical training:

strength and interval training,

home-based activities

BPhysiotherapist18 weeksHospitalStandard medical care(without physical rehabilitation program)a, b, i

THORSEN

et al, 2016[19]

Rapid return-to-work program (a full day weekly):

patient education (2 h),

group discussion (1 h),

and physical activity (60‒120 min).

The first two sessions covered the topics related to cancer treatment, side effects, partnership and sexuality, economy and work situation, nutrition, physical exercise and coping strategies

B

Relevant health professionals,

physiotherapist

7 weeksOutpatientWithout controlh (36% did not improve work status)

ZAMAN

et al, 2021[20]

Early tailored work-related support intervention:

individual meetings of psychosocial work-related support (30 min each);

work related support: fatigue, pain and lack of support from family and friends (support Ⅰ); lack of support in work environment and neuropsychological problems (support Ⅱ); a combination of factors (support Ⅲ)

B

Support Ⅰ: oncological gastrointestinal nurse;

support Ⅱ: oncological occupational physicians (OOP);

support Ⅲ: multidisciplinary team (including at least a oncology nurse, a physician and a OOP)

Maximum of 9 monthsHospitalStandard psychological care provided by oncological nursea, b