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Meaning of work and the process of returning after head and neck cancer

Isaksson, Joakim, 1976- (author)
Umeå universitet,Institutionen för socialt arbete,Umeå Univ, Dept Social Work, SE-90187 Umeå, Sweden
Wilms, Torben (author)
Umeå universitet,Öron- näs- och halssjukdomar,Patologi,Umeå Univ, Dept Med Biosci, SE-90187 Umeå, Sweden;Umeå Univ, Dept Clin Sci Otorhinolaryngol, SE-90187 Umeå, Sweden
Laurell, Göran (author)
Uppsala universitet,Öron-, näs- och halssjukdomar
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Fransson, Per (author)
Umeå universitet,Institutionen för omvårdnad,Department of Nursing, Umeå University, Umeå, Sweden
Ehrsson, Ylva Tiblom (author)
Uppsala universitet,Öron-, näs- och halssjukdomar
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 (creator_code:org_t)
2015-05-24
2016
English.
In: Supportive Care in Cancer. - : Springer-Verlag New York. - 0941-4355 .- 1433-7339. ; 24:1, s. 205-213
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Purpose: The purposes of this study were (1) to investigate employment status at diagnosis, sick leave, and returning to work patterns in correlation to quality of life, anxiety, and depression in patients treated for head and neck cancer (HNC) and (2) to explore patients' experiences of the process of returning to work.Methods: Sixty-six patients with HNC (aged 34-66 years) were repeatedly interviewed over a period of 24 months. Interview responses that concerned the patients' experiences and ideas about work were categorised using the similarities-differences technique. Questionnaires on quality of life, anxiety, and depression were used to describe the patient characteristics and the differences between groups.Results: In total, 53 % of the patients had returned to work at 24 months after treatment, and 17 % were deceased. Several quality of life parameters were significantly worse for patients not working at 24 months after treatment. Nine categories were found to describe the return-to-work-process starting with symptoms causing sick leave, thoughts about the sick leave, and ending with the return to work and/or retirement.Conclusions: Returning to work is an important part of life because it structures everyday life and strengthens the individual's identity. The quality of life results showed significant differences between workers and non-workers at the 24 month follow-up. The patients need to be both physically and mentally prepared for the process of returning to work. It is important to take an individual rehabilitation approach to guide and support the patients in returning to work and regaining an important aspect of their everyday life. In such an approach, it is vital to understand the patients' overall life context and the patients' own perspective on the process and meaning associated with work.

Subject headings

SAMHÄLLSVETENSKAP  -- Sociologi -- Socialt arbete (hsv//swe)
SOCIAL SCIENCES  -- Sociology -- Social Work (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)

Keyword

Return to work
Sick leave
Head and neck cancer
Everyday life
Quality of life

Publication and Content Type

ref (subject category)
art (subject category)

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Isaksson, Joakim ...
Wilms, Torben
Laurell, Göran
Fransson, Per
Ehrsson, Ylva Ti ...
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SOCIAL SCIENCES
SOCIAL SCIENCES
and Sociology
and Social Work
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
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and Cancer and Oncol ...
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
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Umeå University
Uppsala University

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