婦人科がんを抱えた就労者における離職およびQOLの関連要因
本研究の目的は，婦人科がんサバイバーの就労問題，離職に関連する要因，および就労問題が就労者のQuality of lifeに及ぼす影響を明らかにすることである。18歳以上の婦人科がんサバイバー136名に対して横断的質問紙調査を実施した。就労群と離職群を対象に多変量ロジスティック回帰分析を行った結果，離職関連要因は，進行がん，全身状態不良，末梢神経障害，嘔吐による就労への支障，既婚が統計学的に有意な変数であった。線形回帰分析の結果，就労群のQuality of lifeに関連する要因として，高いソーシャル・サポート，高いセルフマネジメント，高い自己効力感はQuality of lifeを高めるこ...
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| Published in | 労働科学 Vol. 96; no. 3-4; pp. 23 - 35 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
公益財団法人大原記念労働科学研究所
2020
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0022-443X 2187-2570 |
| DOI | 10.11355/isljsl.96.23 |
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| Abstract | 本研究の目的は，婦人科がんサバイバーの就労問題，離職に関連する要因，および就労問題が就労者のQuality of lifeに及ぼす影響を明らかにすることである。18歳以上の婦人科がんサバイバー136名に対して横断的質問紙調査を実施した。就労群と離職群を対象に多変量ロジスティック回帰分析を行った結果，離職関連要因は，進行がん，全身状態不良，末梢神経障害，嘔吐による就労への支障，既婚が統計学的に有意な変数であった。線形回帰分析の結果，就労群のQuality of lifeに関連する要因として，高いソーシャル・サポート，高いセルフマネジメント，高い自己効力感はQuality of lifeを高めることが示された。 |
|---|---|
| AbstractList | 本研究の目的は，婦人科がんサバイバーの就労問題，離職に関連する要因，および就労問題が就労者のQuality of lifeに及ぼす影響を明らかにすることである。18歳以上の婦人科がんサバイバー136名に対して横断的質問紙調査を実施した。就労群と離職群を対象に多変量ロジスティック回帰分析を行った結果，離職関連要因は，進行がん，全身状態不良，末梢神経障害，嘔吐による就労への支障，既婚が統計学的に有意な変数であった。線形回帰分析の結果，就労群のQuality of lifeに関連する要因として，高いソーシャル・サポート，高いセルフマネジメント，高い自己効力感はQuality of lifeを高めることが示された。 |
| Author | 木全, 明子 伊藤, 慎也 落合, 亮太 眞茅, みゆき |
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| Copyright | 2020 公益財団法人 労働科学研究所 |
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| References | 3) Suzuki Y, Sasaki K, Katayama K, Maeda T, Endo Y, Inada N, et al. Relationship between emotional status and living problems in the care of the operated patients with gynecological cancer. The Journal of the Yonago Medical Association 2003; 54 (3) : 97-103 (in Japanese). 19) Inoue M, Sato W. Actual status of and factors related to the quality of life of patients in the recovery phase after surgical procedures for gynecological cancer. Journal of Japanese Society of Cancer Nursing 2012; 26 (3) : 14-22 (in Japanese). 37) Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, et al. The Functional Assessment of Cancer Therapy scale: development and validation of the general measure. Journal of Clinical Oncology 1993; 11 (3) : 570-9. 1) Ministry of Health, Labour and Welfare, Japan: Materials of the 3rd study group on symbiosis with cancer. [updated 2019 October; cited 2020 October 18]. Available from: https://www.mhlw.go.jp/stf/newpage_07449.html. 24) Morii H, Kobayashi N, Higuchi K, Yamaya A, Miyakawa J, Sakuragi N. The effect of QOL in gynecological cancer patients with lower limb lymphedema through the experience of having undergone pelvic lymphadenectomy. Japanese Journal of Clinical Nursing 2012; 38 (11) : 1598-602 (in Japanese). 28) The Japan Institute for Labour Policy and Training: The fourth revision of the Job Classified Table of the Ministry of Health, Labor and Welfare. [update 2011 June; cited 2020 October 18]. Available from: http://www.jil. go.jp/institute/http://www.jil. go.jp/institute/seika/shokugyo/bunrui/index.html. 10) Dunberger G, Lind H, Steineck G, Waldenstrm AC, Nyberg T, Abany M, et al. Fecal incontinence affecting quality of life and social functioning among long-term gynecological cancer survivors. International Journal of Gynecological Cancer 2010; 20 (3) : 449-60. 35) Frazier LM, Miller VA, Horbelt DV, Delmore JE, Miller BE, Paschal AM. Comparison of focus groups on cancer and employment conducted face to face or by telephone. Qualitative Health Research 2010; 20 (5) : 617-27. 14) Hayashi A, Ando S. Related factors of self-efficacy in cancer outpatients receiving chemotherapy. Journal of Japanese Society of Cancer Nursing 2010; 24 (3) : 2-11 (in Japanese). 20) Lai BP, Tang CS, Chung TK. Age-specific correlates of quality of life in Chinese women with cervical cancer. Support Care Cancer 2009; 17 (3) : 271-8. 9) Hirose Y, Sato M, Taiencho Y, Majima T. The experiences of younger patients following gynecological cancer surgery in their relationships with others. Journal of Chiba Academy of Nursing Science 2011; 17 (1) : 43-50 (in Japanese). 17) Mols F, Thong MS, Vreugdenhil G, van de Poll-Franse LV. Long-term cancer survivors experience work changes after diagnosis: results of a population-based study. Psycho-Oncology 2009; 18 (12) : 1252-60. 13) Bains M, Munir F, Yarker J, Bowley D, Thomas A, Armitage N, et al. The impact of colorectal cancer and self-efficacy beliefs on work ability and employment status: a longitudinal study. European Journal of Cancer Care 2012; 21 (5) : 631-41. 32) Tsukamoto N. Development of a Self-Efficacy Scale for cancer patients. Nursing Research 1998; 31 (1) : 198-206 (in Japanese). 27) Japan Lymphedema Research Group. Clinical practice guideline for lymphedema, 2018 edition. Tokyo: Kanehara & Co, 2018: 1-28. 30) Ministry of Health, Labour and Welfare, Japan: Guidelines for supporting the balance of treatment and occupational life at workplaces. [updated 2020 March; cited 2020 Oct 18]. Available from: https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000115267.html. 23) Kornblith AB, Hwang HQ, Walker JL, Spirtos NM, Rotmensch J, Cella D. Quality of life of patients with endometrial cancer undergoing laparoscopic international federation of gynecology and obstetrics staging compared with laparotomy: a gynecological oncology group study. Journal of Clinical Oncology 2009; 27 (32) : 5337-42. 42) Yatagai M，Abe K，Sato M, Wakabayashi M, Kawabata H. A questionnaire survey of problems with clothing experienced after breast cancer surgery -an outline of the survey-. Journal of Home Economics of Japan 2010; 61 (6) : 365-73 (in Japanese). 2) Cancer Information Service, National Cancer Center, Japan: Cancer Registry and Statistics. [updated 2020 August; cited 2020 October 18] Available from: http://ganjoho.jp/reg_stat/statistics/dl/. 21) Dunberger G1, Lindquist H, Waldenstrom AC, Nyberg T, Steineck G, Avall-Lundqvist E. Lower limb lymphedema in gynecological cancer survivors-effect on daily life functioning. Support Care Cancer 2013; 21 (11) : 3063-70. 15) Kitamura K. Actual condition correlated with experience, self-management, self-efficacy and quality of life: findings from postoperative gastroenterological cancer patients receiving outpatient chemotherapy. Journal of Japanese Society of Cancer Nursing 2014; 28 (3) : 13-23 (in Japanese). 6) McCorkle R, Tang ST, Greenwald H, Holcombe G, Lavery M. Factors related to depressive symptoms among long-term survivors of cervical cancer. Health Care for Women International 2006; 27 (1) : 45-58. 22) Greenwald HP, Dirks SJ, Borgatta ET, McCorkle R, Nevitt MC, Yelin EH. Work disability among cancer patients. Social Science & Medicine 1989; 29 (11) : 1253-9. 40) Zhengguo H, Kodama K, Arai S. A study of participants’ evaluation of the supportive functions in community-based self-help groups for cancer survivors and the related factors. Palliative Care Research 2013; 8 (2) : 223-31. 7) Barnas E, Magierlo JS, Skret A, Bidzinski M. The quality of life of women treated for cervical cancer. European Journal of Oncology Nursing 2012; 16 (1) : 59-63. 29) Hatta H, Higashi A, Yashiro H, Ozasa K, Hayashi K, Kiyota K, et al. A validation of the Hospital Anxiety and Depression Scale. Japanese Journal of Psychosomatic Medicine 1998; 38 (5) : 309-15 (in Japanese). 39) Mehmood Q, Beardwood M, Swindell R, Greenhalgh S, Wareham T, Barraclough L, et al. Insufficiency fractures in patients treated with pelvic radiotherapy and chemotherapy for uterine and cervical cancer. European Journal of Cancer Care 2014; 23 (1) : 43-50. 5) Hirano YO, Kaku T, Hirakawa T, Noguchi Y, Hirata N, Shinkoda H, et al. Uterine cervical cancer: A holistic approach to mental health and its socio-psychological implications. Fukuoka Acta Medica 2004; 95 (8) : 183-94. 26) Nachereiner NM, Shanley R, Ghebre RG. Cancer and treatment effects on job task performance for gynecological cancer survivors. Work 2013; 46 (4) : 433-8. 8) Akimoto N, Mori K, Nakatsuka M. The decision-making process to have surgery among young women diagnosed with cervical cancer. Journal of Japanese Society of Cancer Nursing 2010; 24 (2) : 5-14 (in Japanese). 33) Fitch M, Gray RE, Franssen E. Perspectives on living with ovarian cancer: young women’s views. Canadian Oncology Nursing Journal 2000; 10 (3) : 101-8. 31) Iwasa H, Gondou K, Masui Y, Inagaki H, Kawai C, Ohtsuka R, et al. Reliability and validity of the Japanese version of Social Support Scale. Journal of Health and Welfare Statistics 2007; 54 (6) : 26-33 (in Japanese). 25) Nachereiner NM, Ghebre RG, Virnig BA, Shanley R. Early work patterns for gynecological cancer survivors in the USA. Occupational Medicine 2012; 62 (1) : 23-8. 38) Fumimoto H, Kobayashi K, Chang CH, Eremenco S, Fujiki Y, Uemura S, et al. Cross-cultural validation of an international questionnaire, the General Measure of the Functional Assessment of Cancer Therapy scale (FACT-G), for Japanese. Quality of Life Research 2001; 10: 701-9. 16) Distefano M, Riccardi S, Capelli G, Cpstantini B, Petrillo M, Ricchi C, et al. Quality of life and psychological distress in locally advanced cervical cancer patients administer pre-operative chemoradiotherapy. Gynecologic Oncology 2008; 111 (1) : 144-50. 4) Ahlberg K, Ekman T, Johansson FG. Fatigue, psychological distress, coping resources, and functional status during radiotherapy for uterine cancer. Oncology Nursing Forum 2005; 32 (3) : 633-40. 12) Kimata A, Makaya M. Status and issues of research on employment and job support of gynecological cancer survivors. The Journal of Science of Labour 2016; 92 (3/4) : 42-61 (in Japanese). 18) Yoo SH, Yun YH, Park S, Kim YA, Park SY, Ba DS, et al. The correlated of unemployment and its association with quality of life in cervical cancer survivors. Journal of Gynecologic Oncology 2013; 24 (4) : 367-75. 41) Kawamura M, Kojima E. Information needs for cancer survivors when curative cancer treatment is no longer available. Journal of Japanese Society of Cancer Nursing 2009; 23 (3) : 42-51 (in Japanese). 34) Frazier LM, Miller VA, Horbelt DV, Delmore JE, Miller BE, Averett E. Employment and quality of survivorship among women with cancer: domains not captured by quality of life instruments. Cancer Control. 2009; 16 (1) : 57-65. 11) Grunfeld EA, Cooper AF. A longitudinal qualitative study of the experience of working following treatment for gynecological cancer. Psycho-Oncology 2012; 21 (1) : 82-9. 36) Sakurai N, Ichikawa K, Goto Y. Proposal note about cancer patients to start working and employment support-hope and happy for all the cancer survivors-. The Study of Social Work 2009; 48: 177-87 (in Japanese). |
| References_xml | – reference: 38) Fumimoto H, Kobayashi K, Chang CH, Eremenco S, Fujiki Y, Uemura S, et al. Cross-cultural validation of an international questionnaire, the General Measure of the Functional Assessment of Cancer Therapy scale (FACT-G), for Japanese. Quality of Life Research 2001; 10: 701-9. – reference: 19) Inoue M, Sato W. Actual status of and factors related to the quality of life of patients in the recovery phase after surgical procedures for gynecological cancer. Journal of Japanese Society of Cancer Nursing 2012; 26 (3) : 14-22 (in Japanese). – reference: 18) Yoo SH, Yun YH, Park S, Kim YA, Park SY, Ba DS, et al. The correlated of unemployment and its association with quality of life in cervical cancer survivors. Journal of Gynecologic Oncology 2013; 24 (4) : 367-75. – reference: 42) Yatagai M，Abe K，Sato M, Wakabayashi M, Kawabata H. A questionnaire survey of problems with clothing experienced after breast cancer surgery -an outline of the survey-. Journal of Home Economics of Japan 2010; 61 (6) : 365-73 (in Japanese). – reference: 8) Akimoto N, Mori K, Nakatsuka M. The decision-making process to have surgery among young women diagnosed with cervical cancer. Journal of Japanese Society of Cancer Nursing 2010; 24 (2) : 5-14 (in Japanese). – reference: 34) Frazier LM, Miller VA, Horbelt DV, Delmore JE, Miller BE, Averett E. Employment and quality of survivorship among women with cancer: domains not captured by quality of life instruments. Cancer Control. 2009; 16 (1) : 57-65. – reference: 36) Sakurai N, Ichikawa K, Goto Y. Proposal note about cancer patients to start working and employment support-hope and happy for all the cancer survivors-. The Study of Social Work 2009; 48: 177-87 (in Japanese). – reference: 40) Zhengguo H, Kodama K, Arai S. A study of participants’ evaluation of the supportive functions in community-based self-help groups for cancer survivors and the related factors. Palliative Care Research 2013; 8 (2) : 223-31. – reference: 25) Nachereiner NM, Ghebre RG, Virnig BA, Shanley R. Early work patterns for gynecological cancer survivors in the USA. Occupational Medicine 2012; 62 (1) : 23-8. – reference: 27) Japan Lymphedema Research Group. Clinical practice guideline for lymphedema, 2018 edition. Tokyo: Kanehara & Co, 2018: 1-28. – reference: 32) Tsukamoto N. Development of a Self-Efficacy Scale for cancer patients. Nursing Research 1998; 31 (1) : 198-206 (in Japanese). – reference: 35) Frazier LM, Miller VA, Horbelt DV, Delmore JE, Miller BE, Paschal AM. Comparison of focus groups on cancer and employment conducted face to face or by telephone. Qualitative Health Research 2010; 20 (5) : 617-27. – reference: 10) Dunberger G, Lind H, Steineck G, Waldenstrm AC, Nyberg T, Abany M, et al. Fecal incontinence affecting quality of life and social functioning among long-term gynecological cancer survivors. International Journal of Gynecological Cancer 2010; 20 (3) : 449-60. – reference: 24) Morii H, Kobayashi N, Higuchi K, Yamaya A, Miyakawa J, Sakuragi N. The effect of QOL in gynecological cancer patients with lower limb lymphedema through the experience of having undergone pelvic lymphadenectomy. Japanese Journal of Clinical Nursing 2012; 38 (11) : 1598-602 (in Japanese). – reference: 16) Distefano M, Riccardi S, Capelli G, Cpstantini B, Petrillo M, Ricchi C, et al. Quality of life and psychological distress in locally advanced cervical cancer patients administer pre-operative chemoradiotherapy. Gynecologic Oncology 2008; 111 (1) : 144-50. – reference: 3) Suzuki Y, Sasaki K, Katayama K, Maeda T, Endo Y, Inada N, et al. Relationship between emotional status and living problems in the care of the operated patients with gynecological cancer. The Journal of the Yonago Medical Association 2003; 54 (3) : 97-103 (in Japanese). – reference: 20) Lai BP, Tang CS, Chung TK. Age-specific correlates of quality of life in Chinese women with cervical cancer. Support Care Cancer 2009; 17 (3) : 271-8. – reference: 6) McCorkle R, Tang ST, Greenwald H, Holcombe G, Lavery M. Factors related to depressive symptoms among long-term survivors of cervical cancer. Health Care for Women International 2006; 27 (1) : 45-58. – reference: 28) The Japan Institute for Labour Policy and Training: The fourth revision of the Job Classified Table of the Ministry of Health, Labor and Welfare. [update 2011 June; cited 2020 October 18]. Available from: http://www.jil. go.jp/institute/http://www.jil. go.jp/institute/seika/shokugyo/bunrui/index.html. – reference: 41) Kawamura M, Kojima E. Information needs for cancer survivors when curative cancer treatment is no longer available. Journal of Japanese Society of Cancer Nursing 2009; 23 (3) : 42-51 (in Japanese). – reference: 12) Kimata A, Makaya M. Status and issues of research on employment and job support of gynecological cancer survivors. The Journal of Science of Labour 2016; 92 (3/4) : 42-61 (in Japanese). – reference: 15) Kitamura K. Actual condition correlated with experience, self-management, self-efficacy and quality of life: findings from postoperative gastroenterological cancer patients receiving outpatient chemotherapy. Journal of Japanese Society of Cancer Nursing 2014; 28 (3) : 13-23 (in Japanese). – reference: 4) Ahlberg K, Ekman T, Johansson FG. Fatigue, psychological distress, coping resources, and functional status during radiotherapy for uterine cancer. Oncology Nursing Forum 2005; 32 (3) : 633-40. – reference: 29) Hatta H, Higashi A, Yashiro H, Ozasa K, Hayashi K, Kiyota K, et al. A validation of the Hospital Anxiety and Depression Scale. Japanese Journal of Psychosomatic Medicine 1998; 38 (5) : 309-15 (in Japanese). – reference: 39) Mehmood Q, Beardwood M, Swindell R, Greenhalgh S, Wareham T, Barraclough L, et al. Insufficiency fractures in patients treated with pelvic radiotherapy and chemotherapy for uterine and cervical cancer. European Journal of Cancer Care 2014; 23 (1) : 43-50. – reference: 13) Bains M, Munir F, Yarker J, Bowley D, Thomas A, Armitage N, et al. The impact of colorectal cancer and self-efficacy beliefs on work ability and employment status: a longitudinal study. European Journal of Cancer Care 2012; 21 (5) : 631-41. – reference: 5) Hirano YO, Kaku T, Hirakawa T, Noguchi Y, Hirata N, Shinkoda H, et al. Uterine cervical cancer: A holistic approach to mental health and its socio-psychological implications. Fukuoka Acta Medica 2004; 95 (8) : 183-94. – reference: 9) Hirose Y, Sato M, Taiencho Y, Majima T. The experiences of younger patients following gynecological cancer surgery in their relationships with others. Journal of Chiba Academy of Nursing Science 2011; 17 (1) : 43-50 (in Japanese). – reference: 23) Kornblith AB, Hwang HQ, Walker JL, Spirtos NM, Rotmensch J, Cella D. Quality of life of patients with endometrial cancer undergoing laparoscopic international federation of gynecology and obstetrics staging compared with laparotomy: a gynecological oncology group study. Journal of Clinical Oncology 2009; 27 (32) : 5337-42. – reference: 33) Fitch M, Gray RE, Franssen E. Perspectives on living with ovarian cancer: young women’s views. Canadian Oncology Nursing Journal 2000; 10 (3) : 101-8. – reference: 11) Grunfeld EA, Cooper AF. A longitudinal qualitative study of the experience of working following treatment for gynecological cancer. Psycho-Oncology 2012; 21 (1) : 82-9. – reference: 2) Cancer Information Service, National Cancer Center, Japan: Cancer Registry and Statistics. [updated 2020 August; cited 2020 October 18] Available from: http://ganjoho.jp/reg_stat/statistics/dl/. – reference: 21) Dunberger G1, Lindquist H, Waldenstrom AC, Nyberg T, Steineck G, Avall-Lundqvist E. Lower limb lymphedema in gynecological cancer survivors-effect on daily life functioning. Support Care Cancer 2013; 21 (11) : 3063-70. – reference: 30) Ministry of Health, Labour and Welfare, Japan: Guidelines for supporting the balance of treatment and occupational life at workplaces. [updated 2020 March; cited 2020 Oct 18]. Available from: https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000115267.html. – reference: 1) Ministry of Health, Labour and Welfare, Japan: Materials of the 3rd study group on symbiosis with cancer. [updated 2019 October; cited 2020 October 18]. Available from: https://www.mhlw.go.jp/stf/newpage_07449.html. – reference: 7) Barnas E, Magierlo JS, Skret A, Bidzinski M. The quality of life of women treated for cervical cancer. European Journal of Oncology Nursing 2012; 16 (1) : 59-63. – reference: 14) Hayashi A, Ando S. Related factors of self-efficacy in cancer outpatients receiving chemotherapy. Journal of Japanese Society of Cancer Nursing 2010; 24 (3) : 2-11 (in Japanese). – reference: 37) Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, et al. The Functional Assessment of Cancer Therapy scale: development and validation of the general measure. Journal of Clinical Oncology 1993; 11 (3) : 570-9. – reference: 17) Mols F, Thong MS, Vreugdenhil G, van de Poll-Franse LV. Long-term cancer survivors experience work changes after diagnosis: results of a population-based study. Psycho-Oncology 2009; 18 (12) : 1252-60. – reference: 22) Greenwald HP, Dirks SJ, Borgatta ET, McCorkle R, Nevitt MC, Yelin EH. Work disability among cancer patients. Social Science & Medicine 1989; 29 (11) : 1253-9. – reference: 26) Nachereiner NM, Shanley R, Ghebre RG. Cancer and treatment effects on job task performance for gynecological cancer survivors. Work 2013; 46 (4) : 433-8. – reference: 31) Iwasa H, Gondou K, Masui Y, Inagaki H, Kawai C, Ohtsuka R, et al. Reliability and validity of the Japanese version of Social Support Scale. Journal of Health and Welfare Statistics 2007; 54 (6) : 26-33 (in Japanese). |
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| Snippet | 本研究の目的は，婦人科がんサバイバーの就労問題，離職に関連する要因，および就労問題が就労者のQuality of... |
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| Title | 婦人科がんを抱えた就労者における離職およびQOLの関連要因 |
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| ispartofPNX | 労働科学, 2020, Vol.96(3-4), pp.23-35 |
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