Background/Objectives: Background: Cancer survivors were at higher risk of poor job performance. Objectives: We aimed to identify differences in the relationship between patient activation, cancer-related symptoms, and job performance among young adult cancer survivors with low and high workplace support. Methods: Study Design: Our cross-sectional observational study was conducted using an online survey across Japan in January 2022. Measurement and Statistical Analysis: The survey was designed to assess demographic and clinical characteristics, patient activation, physical fatigue, depression, cognitive impairments, and job performance. Multiple-group structural equation modeling (SEM) was conducted using data from 202 survivors. Results: Of participants, 53% were aged 35–39 years and 78% were female. Patient activation was positively associated with job performance (β = 0.28,p< 0.01) and negatively related to cancer-related symptoms (β = −0.30,p= 0.01), and cancer-related symptoms were negatively associated with job performance (β = −0.29,p= 0.01), only among young adult cancer survivors with low workplace support. On the other hand, in the high support group, the path coefficients from patient activation to cancer-related symptoms (β = −0.06,p= 0.76), cancer-related symptoms to job performance (β = −0.12,p= 0.37), and patient activation to job performance (β = 0.20,p= 0.21) were not significant. Conclusions: Patient activation plays an important role in improving job performance, especially among young adult cancer survivors who lack workplace support. Even if obtaining workplace support is difficult for young adult cancer survivors, activation of self-management can improve their job performance.
背景/目的：背景：癌症幸存者面临工作表现不佳的较高风险。目的：本研究旨在探讨工作场所支持水平不同的年轻成年癌症幸存者中，患者自我管理能力、癌症相关症状与工作表现之间关系的差异。方法：研究设计：我们于2022年1月在日本开展了一项基于在线调查的横断面观察性研究。测量与统计分析：调查内容涵盖人口统计学特征、临床特征、患者自我管理能力、躯体疲劳、抑郁症状、认知功能障碍及工作表现。采用多群组结构方程模型对202名幸存者的数据进行分析。结果：参与者中53%年龄在35-39岁之间，78%为女性。仅在低工作场所支持组的年轻成年癌症幸存者中，患者自我管理能力与工作表现呈正相关（β=0.28，p<0.01），与癌症相关症状呈负相关（β=-0.30，p=0.01），且癌症相关症状与工作表现呈负相关（β=-0.29，p=0.01）。而在高支持组中，患者自我管理能力至癌症相关症状（β=-0.06，p=0.76）、癌症相关症状至工作表现（β=-0.12，p=0.37）以及患者自我管理能力至工作表现（β=0.20，p=0.21）的路径系数均未达到统计学显著性。结论：患者自我管理能力对改善工作表现具有重要作用，尤其对于缺乏工作场所支持的年轻成年癌症幸存者。即使难以获得工作场所支持，通过激活自我管理能力仍可提升其工作表现。
肿瘤(癌症)患者之家