目的 探索“重建自我”癌症患者重返工作适应性干预方案的应用效果。 方法 2022年4-9月，便利抽样选取某医院肿瘤化疗科的癌症患者96例，随机分为试验组、对照组。对照组实施常规护理，试验组在常规护理基础上依据干预方案开展癌症患者重返工作适应性干预。干预前、中、后分别采用癌症患者重返工作适应性、重返工作自我效能、心理弹性、生活质量和工作能力量表进行效果评定。 结果 干预后，试验组重返工作适应性、重返工作自我效能、心理弹性、工作能力、生活质量的躯体、情绪、认知功能，疲劳，失眠以及总体健康状况维度得分显著高于对照组（均P＜0.05），而生活质量中角色功能、社会功能、疼痛、气促、食欲减退等维度得分差异无统计学意义（均P＞0.05）。 结论 “重建自我”癌症患者重返工作适应性干预方案能有效促进癌症患者重返工作适应性，可为未来开展大样本多中心试验研究提供指导。

Objective To explore the application effect of an adaptation intervention of return-to-work among cancer patients to rebuild themselves. Methods From April to September 2022,96 cancer patients in the Oncology of a hospital were selected by convenience sampling method and randomly divided into an experimental group and a control group.The control group received regular nursing protocol,whereas the experimental group received an additional intervention protocol Rebuilding Oneself for cancer patients’ adaptation to return-to-work.Assessment scales of cancer patients’ adaptation to return-to-work,return-to-work self-efficacy,mental resilience,quality of life,and work ability were used to evaluate effects before,during,and after the intervention. Results This intervention protocol could significantly increase cancer patients’ adaptation to return-to-work,return-to-work self-efficacy,mental resilience,work ability,and quality of life in terms of physical functioning,emotional functioning,cognitive functioning,fatigue,insomnia and general health condition (all P＜0.05). It did not,however,significantly enhance quality of life in terms of role function,social function,pain,shortness of breath,lack of appetite,and so on.(all P＞0.05). Conclusions This Rebuilding Oneself intervention protocol is effective for cancer patients’ adaption to return-to-work,and the study provides guidance for future large-sample multicenter trials.

R473.73

国家社会科学基金项目（21BSH007）；江苏省自然科学基金面上项目（BK20191447）