Factors Affecting Employment of Gynecological Cancer Survivors

DOI 1 Citations
  • Kimata Akiko
    Division of Cancer Survivorship Research, Center for Cancer Control and Information Services, National Cancer Center
  • Ochiai Ryota
    School of Medicine, Yokohama City University
  • Matsuoka Shiho
    Section of Liaison Psychiatry and Palliative Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
  • Makaya Miyuki
    School of Nursing, Kitasato University

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  • 婦人科がんサバイバーの就労に影響を及ぼす要因

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Abstract

<p>This study aimed to examine the challenges faced at work by survivors of gynecological cancer and the factors determining their decision to continue or end their employment. The participants were 26 survivors who had been working when they were initially diagnosed with gynecological cancer. Of these, 20 participants continued employment, while six had ended employment at the time of the study. Semi-structured interviews were conducted for data collection, and Krippendorff’s content analysis method was used to analyze the data.</p><p>The results suggested that the challenges for continued employment among survivors of gynecological cancer were “obstacles due to adverse events and the after-effects of treatment”, “difficulty of self-management”, “anxiety about uncertain prospects”, “psychological damage due to changes in self-image and femininity”, and “lack of employment status support by medical staff/institutions”. Furthermore, the factors determining end of employment were “lack of employee support in the workplace”, “anxiety about recurrence”, and “onset of mental illness”. Similarly, the factors determining continuity of employment were “searching for information on adverse events and the after-effects of treatment”, “self-management for adverse events and the after-effects of treatment”, and “disclosure of disease and treatment plans in the workplace”, in addition to the support received through “workplace environments with resources for medical conditions”, “high motivation to work”, and “employment status support by medical staff”. Comprehensive employment support through multi-professional collaboration is necessary for the continued employment of survivors of gynecological cancer. This collaboration should happen primarily with nurses due to their constant involvement in the patients’ life and treatment from the initial diagnosis.</p>

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