Abstract：
OBJECTIVE: This study aims to investigate the Readiness for Return-to-Work (RRTW) of patients with head and neck tumours and to analyse the relationships among self-efficacy, disease uncertainty, psychosocial adaptation, and RRTW in head and neck cancer (HNC) patients.
METHODS: A cross-sectional study was conducted with 259 HNC patients with a discharge length of ≥1 month at a tertiary hospital in Liaoning Province. The research tools included a self-designed general information questionnaire, the Readiness for Return-to-Work (RRTW) Scale, the General Self-Efficacy Scale (GSES), the Mishel Uncertainty in Illness Scale (MUIS), and the Self-Reporting Psychosocial Adjustment to Illness Scale (PAIS-SR). Descriptive statistical analysis, the rank sum test, Spearman correlation analysis, and ordered multiple and dichotomous logistic regression analyses were used.
RESULTS: The overall RRTW among HNC patients was low (41.9%). HNC patients who did not return to work were mainly in the precontemplation stage (38.1%) and contemplation stage (29.9%). HNC patients who returned to work were mainly in the active maintenance stage (64.2%). Children\'s status (OR = 0.218, 95% CI 0.068-0.703), self-efficacy (OR = 1.213, 95% CI 1.012-1.454), unpredictability (OR = 0.845, 95% CI 0.720-0.990), occupational environment (OR = 0.787, 95% CI 0.625-0.990), and family environment (OR = 0.798, 95% CI 0.643-0.990) influence the RRTW of HNC patients who have not returned to work. Educational level (OR = 62.196, 95% CI 63.307-68.567), children\'s status (OR = 0.058, 95% CI 1.004-2.547), self-efficacy (OR = 1.544, 95% CI 3.010-8.715), unpredictability (OR = 0.445, 95% CI 1.271-2.280), and psychological status (OR = 0.340, 95% CI 1.141-2.401) influence the RRTW of HNC patients who have returned to work.
CONCLUSIONS: Children\'s status, education level, self-efficacy, illness uncertainty, and psychosocial adjustment are crucial to RRTW. This study provides a theoretical basis for formulating intervention measures aimed at improving the RRTW of patients.
METHODS: A cross-sectional study was conducted with 259 HNC patients with a discharge length of ≥1 month at a tertiary hospital in Liaoning Province. The research tools included a self-designed general information questionnaire, the Readiness for Return-to-Work (RRTW) Scale, the General Self-Efficacy Scale (GSES), the Mishel Uncertainty in Illness Scale (MUIS), and the Self-Reporting Psychosocial Adjustment to Illness Scale (PAIS-SR). Descriptive statistical analysis, the rank sum test, Spearman correlation analysis, and ordered multiple and dichotomous logistic regression analyses were used.
RESULTS: The overall RRTW among HNC patients was low (41.9%). HNC patients who did not return to work were mainly in the precontemplation stage (38.1%) and contemplation stage (29.9%). HNC patients who returned to work were mainly in the active maintenance stage (64.2%). Children\'s status (OR = 0.218, 95% CI 0.068-0.703), self-efficacy (OR = 1.213, 95% CI 1.012-1.454), unpredictability (OR = 0.845, 95% CI 0.720-0.990), occupational environment (OR = 0.787, 95% CI 0.625-0.990), and family environment (OR = 0.798, 95% CI 0.643-0.990) influence the RRTW of HNC patients who have not returned to work. Educational level (OR = 62.196, 95% CI 63.307-68.567), children\'s status (OR = 0.058, 95% CI 1.004-2.547), self-efficacy (OR = 1.544, 95% CI 3.010-8.715), unpredictability (OR = 0.445, 95% CI 1.271-2.280), and psychological status (OR = 0.340, 95% CI 1.141-2.401) influence the RRTW of HNC patients who have returned to work.
CONCLUSIONS: Children\'s status, education level, self-efficacy, illness uncertainty, and psychosocial adjustment are crucial to RRTW. This study provides a theoretical basis for formulating intervention measures aimed at improving the RRTW of patients.
摘要：
目的：本研究旨在调查头颈部肿瘤患者的复工准备（RRTW），并分析自我效能感之间的关系。疾病不确定性，社会心理适应,头颈癌（HNC）患者的RRTW。
方法：对辽宁省某三级医院259例出院时间≥1个月的HNC患者进行横断面研究。研究工具包括自行设计的一般信息问卷，复工准备(RRTW)量表，一般自我效能感量表(GSES)，疾病量表中的Mishel不确定性(MUIS)，和自我报告的疾病心理社会适应量表(PAIS-SR)。描述性统计分析，秩和检验，Spearman相关分析,并使用有序的多元和二分逻辑回归分析。
结果：HNC患者的整体RRTW较低（41.9%）。未恢复工作的HNC患者主要处于考虑前阶段（38.1％）和考虑阶段（29.9％）。恢复工作的HNC患者主要处于活动维持阶段（64.2％）。儿童状况(OR=0.218，95%CI0.068-0.703)，自我效能感(OR=1.213，95%CI1.012-1.454)，不可预测性(OR=0.845，95%CI0.720-0.990)，职业环境（OR=0.787，95%CI0.625-0.990），家庭环境（OR=0.798，95％CI0.643-0.990）影响未重返工作岗位的HNC患者的RRTW。教育水平（OR=62.196，95%CI63.307-68.567），儿童状况(OR=0.058，95%CI1.004-2.547)，自我效能感（OR=1.544，95%CI3.010-8.715），不可预测性(OR=0.445，95%CI1.271-2.280)，心理状态（OR=0.340，95％CI1.141-2.401）影响已重返工作岗位的HNC患者的RRTW。
结论：儿童的状态，教育水平,自我效能感,疾病不确定性，心理社会适应对RRTW至关重要。本研究为制定旨在改善患者RRTW的干预措施提供了理论依据。
方法：对辽宁省某三级医院259例出院时间≥1个月的HNC患者进行横断面研究。研究工具包括自行设计的一般信息问卷，复工准备(RRTW)量表，一般自我效能感量表(GSES)，疾病量表中的Mishel不确定性(MUIS)，和自我报告的疾病心理社会适应量表(PAIS-SR)。描述性统计分析，秩和检验，Spearman相关分析,并使用有序的多元和二分逻辑回归分析。
结果：HNC患者的整体RRTW较低（41.9%）。未恢复工作的HNC患者主要处于考虑前阶段（38.1％）和考虑阶段（29.9％）。恢复工作的HNC患者主要处于活动维持阶段（64.2％）。儿童状况(OR=0.218，95%CI0.068-0.703)，自我效能感(OR=1.213，95%CI1.012-1.454)，不可预测性(OR=0.845，95%CI0.720-0.990)，职业环境（OR=0.787，95%CI0.625-0.990），家庭环境（OR=0.798，95％CI0.643-0.990）影响未重返工作岗位的HNC患者的RRTW。教育水平（OR=62.196，95%CI63.307-68.567），儿童状况(OR=0.058，95%CI1.004-2.547)，自我效能感（OR=1.544，95%CI3.010-8.715），不可预测性(OR=0.445，95%CI1.271-2.280)，心理状态（OR=0.340，95％CI1.141-2.401）影响已重返工作岗位的HNC患者的RRTW。
结论：儿童的状态，教育水平,自我效能感,疾病不确定性，心理社会适应对RRTW至关重要。本研究为制定旨在改善患者RRTW的干预措施提供了理论依据。
