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Predictors of early retirement after cancer rehabilitation-a longitudinal study

机译:癌症康复后早期退休的预测因素 - 纵向研究

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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 (t(0)) and end (t(1)) of, and 12 months after (t(2)) inpatient cancer rehabilitation. At t(0), 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 t(2), 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 t(2). 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.
机译:这项纵向研究旨在评估患者对早期退休的渴望,并调查哪种癌症相关和心理社会特征与早期退休有关。我们在开始(T(0))和12个月后的开始(T(0))和12个月(T(2))入住癌症康复后,评估了750名癌症患者。在T(0)时,22%的人希望早点退休。这些患者报告的病假休假时间明显更长,工作场所环境不太有利,工作能力较低,心理困扰更高,生活质量低于其他患者。在T(2),12.5%的患者接受临时或永久性退休养老金。所有患有早期退休的患者在T0期间,43%又返回在T(2)工作。这个亚组的生活质量明显低于其他患者返回工作的患者。早期退休的最有影响力的预测因素在病假(或= 6.50,95%CI = 1.97-21.47)上以及早期退休​​的欲望(或= 5.61,95%CI = 2.73-11.52)。早期退休的反向预测因子是癌症缓解(或= 0.23,95%CI = 0.10-0.53),感知生产率(或= 0.38,95%CI = 0.18-0.83),工作满意度(或= 0.36,95%CI = 0.17 -0.77)和精神寿命(或= 0.94,95%CI = 0.91-0.98)。这强调了对癌症特异性多重康复和职业治疗方案的需求。

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