中青年乳腺癌生存者重返工作体验的质性研究OA

Objective To explore the experience of return to work of young and middle-aged breast cancer survivors,and to provide evidence for the development of vocational rehabilitation support programs for this group of population.Methods Based on Roy Adaptation Model,a descriptive qualitative study was conducted.A purposive sampling was used to select 14 young and middle-aged breast cancer survivors who were follow-up patients at the breast surgery department of a tertiary grade-A hospital in Guilin and had returned to work between July and October 2025.Semi-structured interviews were conducted,and data were analyzed using directed content analysis to extract themes.Results Four themes and twelve sub-themes were identified:impaired occupational capacity(treatment side effects affecting work performance,decline in cognitive function limiting work efficiency,and physical decline con-straining work intensity);psychological adaptation disorders(body image disturbance reducing work confidence,fear of recurrence disrupting career planning,and stigma hindering workplace integration);social support needs(family support alleviating return to work stress,colleague understanding facilitating workplace adaptation,and medical guidance ensuring work safety);and institutional environ-mental constraints(institutional barriers increasing return-to-work barriers,lack of insurance exacerbating financial pressure,and flexible work arrangements facing multiple challenges).Conclusion Young and middle-aged breast cancer survivors face multiple challenges when returning to work,including physical dysfunction,psychological adaptation,social support,and institutional environ-ment.It is recommended that medical institutions collaborate with employers to establish a comprehensive rehabilitation system encom-passing occupational assessment,psychological support,workplace adaptation training,and institutional safeguards,thereby promoting the full recovery of social function in breast cancer survivors.