Exploring return to work for patients with head and neck cancer

Article type: Research Article

Authors: Lee, Li-Hung^a | Yang, Cheng-I^a | Chen, Mu-Kuan^{b; c} | Hsieh, Ming-Yu^{b; c} | Chen, Yen-Ju^{d; *}

Affiliations: [a] Department of Nursing, Hung Kuang University, Taichung, Taiwan | [b] Department of Otorhinolaryngology – Head and Neck Surgery, Changhua Christian Hospital, Changhua, Taiwan | [c] Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan | [d] Department of Nursing, Da-Yeh University, Changhua, Taiwan

Correspondence: [*] Address for correspondence: Yen-Ju Chen, PhD, Department of Nursing, Da-Yeh University, Changhua, Taiwan. E-mail: [email protected]; ORCID: 0000-0001-6100-3940.

Abstract: BACKGROUND: The number of survivors of head and neck cancer (HNC) has steadily increased due to major advances in cancer care. However, cancer survivors who experience job loss face different challenges regarding return to work (RTW). Relatively few studies have integrated the experience encountered by patients. OBJECTIVE: This mixed-methods study aimed to explore the experience and challenges of RTW in patients with HNC. METHODS: Data were collected with structured questionnaires (n = 120) and semi-structured face-to-face interviews (n = 12). RESULTS: Relationships were found between patient’s physical status, perceived stress, and social support. Patients who continued work, or not, had significant differences in reported physical function and stress. Four themes emerged from the qualitative data, including the perceived meaning of work, challenges for RTW, preparing for RTW, and social support. After diagnosis and treatment, patients perceived the meaning of work, such as personal value, responsibility, and financial need. They faced many challenges to RTW, including declining physical strength, workload, schedule rearrangement, speech difficulty, and changed appearance. In order to RTW, they prepared extensively and needed support from family and friends. CONCLUSION: This study revealed the experiences and challenges of RTW patients with HNC. The results allowed us to identify patients’ concerns and ways that healthcare providers could improve the RTW process. Future studies may develop tailored approaches for RTW in healthcare and government policies.

Keywords: Cancer survivorship, employment, mixed-method, rehabilitation, work resumption

DOI: 10.3233/WOR-220707

Journal: Work, vol. 77, no. 1, pp. 231-241, 2024