Tam remisyonda izlenen opere meme, kolorektal ve akciğer kanserli veya lenfomalı hastaların işe dönüşü, iş doyumu ve bunu etkileyen faktörler

Year 2022, Volume: 55 Issue: 3, 148 - 151, 31.12.2022

Olgun Deniz Fikri İçli Filiz Çay Şenler

https://doi.org/10.20492/aeahtd.1164158

Abstract

Amaç:
Kanser ve çalışma hayatı üzerine yapılan araştırmalar, artan sayıda kanser hastasının tedavi sonrası işe dönebildiğini göstermiştir. İşe geri dönüş sonrası bozulmuş ve azalmış çalışma yeteneği ile ilişkili birçok faktör tanımlanmıştır. Ancak nadir çalışmalar çalışanların iş doyumunu değerlendirmektedir. Pilot çalışmanın amacı, kanserden kurtulanların iş doyumu düzeylerini ve etkileyen faktörleri değerlendirmektir.
Gereç ve Yöntem:
Çalışma kesitsel olarak tasarlandı ve üniversite hastanesinde gerçekleştirildi. Kısa formlu Minnesota Memnuniyet Anketi (MSQ) Türkçe versiyonu, tedavilerinden sonra işe geri dönen tam remisyondaki kanserden kurtulan hastalara yüz yüze görüşmeler sırasında uygulandı. Analizler için SPSS 15 for Windows kullanılmıştır.
Bulgular:
Çalışma kriterlerine uyan 60 hasta değerlendirildi. Çalışma popülasyonunun medyan MSQ skoru 74 (22-95) idi. 1 (%1.7) hastada düşük MSQ skoru, 30 (%50) hastada orta MSQ skoru ve 29 (%48.3) hastada yüksek MSQ skoru kaydedildi. MSQ skorları ile ilişkili faktörlerin analizi lise/üniversite eğitimi alan hastaların işlerinden daha az memnun olduklarını gösterdi. Cinsiyet, medeni durum, ikamet, hastalık süresi ve tedavi yöntemlerinin analizinde istatistiksel olarak anlamlı bir fark saptanmadı. Hastaların öznel iş doyum analizi, 6 (%10) hastanın hastalık sürecinden önce memnun olmadığını ve 13 (%21.7) hastanın işe döndükten sonra memnun olmadığını gösterdi. Aynı işyerine dönen hastalar daha az memnundu (64 (22-78) vs 75 (29-95), p=0.03). İşe döndükten sonra öznel olarak daha iyi/benzer çalışma koşullarına sahip olan hastalar, daha kötü olanlara göre (75 (38-95)'e karşı 58 (22-83), p=0.03) daha memnundu.
Sonuç:
Kanserden kurtulanların orta düzeyde iş tatmini yaşadıklarını öne sürdüğü belirlenmiştir. Çeşitli kanser türlerine sahip kanserden kurtulanlar, işe geri dönme kararlarını etkileyen farklı bireysel fiziksel ve duygusal özelliklere sahiptir.
Anahtar kelimeler: kanser, iş doyumu, lenfoma

Keywords

kanser, iş doyumu, lenfoma

Job Satisfaction and Related Factors of Patients with Breast, Colorectal, and Lung Cancer or Lymphoma Who Have Survived and Being Followed in Remission

Abstract

Aim:
Studies on cancer and work life have shown that an increasing number of cancer survivors were able to return to work after their treatment. Many factors associated with employment and impaired work ability were defined. Nevertheless, rare studies evaluated the job satisfaction of the employees. This pilot study aims to evaluate the job satisfaction levels and factors affecting
job satisfaction of cancer survivors.
Material and Method:
The study was designed as a cross-sectional survey in a university hospital. The short-form Minnesota Satisfaction Questionnaire (MSQ) Turkish version was administered during face-to-face interviews to the cancer survivors in complete remission who had returned to work after their treatment. The SPSS 15 for Windows was used for the analyses.
Results:
Sixty patients were evaluated. The Median MSQ score of the study population was 74 (22-95). Low MSQ score in 1 (1.7%), intermediate MSQ scores in 30 (50%) and high MSQ scores in 29 (48.3%) patients were recorded. The analysis of factors associated with MSQ scores showed that high school/university education patients were less satisfied with their jobs. There was no statistically significant difference in the analysis of sex, marital status, residence, duration of disease, and treatment modalities. The analysis of patients' subjective satisfaction with jobs showed that 6 (10%) patients were not satisfied before the disease process, and 13 (21.7%) patients were not satisfied after returning to work. Patients who returned to the same workplace were more satisfied [75 (29-95) vs. 64 (22-78) vs., p=0.03] than those who changed workplaces. Patients who had subjectively better/similar working conditions after returning to work were more satisfied than those who had worse [75 (38-95) vs. 58 (22-83), p=0.03]. Multivariate analysis revealed that high school/university education [OR=0.115 (0.022-0.601), p= 0.010] was independently associated with worse job satisfaction.

Conclusion:
It was determined that the cancer survivors experienced moderate levels of job satisfaction. Cancer survivors with various types of cancer have different individual physical and emotional characteristics that influence their decision to return to work.

Keywords

cancer, job satisfaction, lymphoma

References

• 1. Main DS, Nowels CT, Cavender TA, Etschmaier M, Steiner JF. A qualitative study of work and work return in cancer survivors. Psycho-oncology. 2005;14(11):992-1004.
• 2. Verdecchia A, Guzzinati S, Francisci S, De Angelis R, Bray F, Allemani C, et al. Survival trends in European cancer patients diagnosed from 1988 to 1999. European journal of cancer. 2009;45(6):1042-66.
• 3. Roelen C, Koopmans P, Groothoff J, van der Klink J, Bültmann U. Return to work after cancer diagnosed in 2002, 2005 and 2008. Journal of occupational rehabilitation. 2011;21(3):335-41.
• 4. Taskila T, Lindbohm M. Factors affecting cancer survivors' employment and work ability. Acta Oncologica. 2007;46(4):446-51.
• 5. Bradley CJ, Bednarek HL. Employment patterns of long‐term cancer survivors. Psycho‐Oncology. 2002;11(3):188-98.
• 6. Short PF, Vasey JJ, Tunceli K. Employment pathways in a large cohort of adult cancer survivors. Cancer. 2005;103(6):1292-301.
• 7. Taskila T, Martikainen R, Hietanen P, Lindbohm M-L. Comparative study of work ability between cancer survivors and their referents. European Journal of Cancer. 2007;43(5):914-20.
• 8. Bednarek HL, Bradley CJ. Work and retirement after cancer diagnosis. Research in nursing & health. 2005;28(2):126-35.
• 9. Pryce J, Munir F, Haslam C. Cancer survivorship and work: symptoms, supervisor response, co-worker disclosure and work adjustment. Journal of occupational rehabilitation. 2007;17(1):83-92.
• 10. Schultz PN, Beck ML, Stava C, Sellin RV. Cancer survivors. Work related issues. AAOHN journal : official journal of the American Association of Occupational Health Nurses. 2002;50(5):220-6.
• 11. Eğinli AT. Çalişanlarda Iş Doyumu: Kamu Ve Özel Sektör Çalişanlarinin Iş Doyumuna Yönelik Bir Araştirma. Atatürk Üniversitesi İktisadi ve İdari Bilimler Dergisi. 2009;23(3).
• 12. Johnsson A, Fornander T, Rutqvist LE, Olsson M. Work status and life changes in the first year after breast cancer diagnosis. Work. 2011;38(4):337-46.
• 13. Mahar KK, BrintzenhofeSzoc K, Shields JJ. The impact of changes in employment status on psychosocial well-being: a study of breast cancer survivors. Journal of psychosocial oncology. 2008;26(3):1-17.
• 14. Steiner JF, Cavender TA, Nowels CT, Beaty BL, Bradley CJ, Fairclough DL, et al. The impact of physical and psychosocial factors on work characteristics after cancer. Psycho-oncology. 2008;17(2):138-47.
• 15. Torp S, Nielsen RA, Gudbergsson SB, Dahl AA. Worksite adjustments and work ability among employed cancer survivors. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 2012;20(9):2149-56.
• 16. Mehnert A, Koch U. Work satisfaction and quality of life in cancer survivors in the first year after oncological rehabilitation. Work. 2013;46(4):407-15.
• 17. Baycan A. An analysis of the several aspects of job satisfaction between different occupational groups. Boğaziçi Üniversitesi SBE Doktora Tezi, İstanbul. 1985:72-3.
• 18. Roelen CA, Koopmans PC, Groothoff JW, van der Klink JJ, Bultmann U. Return to work after cancer diagnosed in 2002, 2005 and 2008. Journal of occupational rehabilitation. 2011;21(3):335-41.
• 19. Mehnert A. Employment and work-related issues in cancer survivors. Critical reviews in oncology/hematology. 2011;77(2):109-30.
• 20. Kennedy F, Haslam C, Munir F, Pryce J. Returning to work following cancer: a qualitative exploratory study into the experience of returning to work following cancer. European journal of cancer care. 2007;16(1):17-25.