作业疗法联合职业康复对结直肠癌患者术后重返工作岗位的效果研究

doi:10.3761/j.issn.0254-1769.2026.08.010

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (8): 1080-1087.DOI: 10.3761/j.issn.0254-1769.2026.08.010

作业疗法联合职业康复对结直肠癌患者术后重返工作岗位的效果研究

杜倩¹(), 胡恒瑜², 李珍¹^,^*(), 曹静文³, 刘星歌⁴, 刘林莉¹

¹ 河南省人民医院肿瘤医学部郑州市 450003
² 河南省人民医院老年医学科郑州市 450003
³ 河南省人民医院神经内科ICU 郑州市 450003
⁴ 河南大学护理与健康学院开封市 475004

收稿日期:2025-04-25 出版日期:2026-04-20 发布日期:2026-04-22
*通讯作者: 李珍，E-mail：653852519@qq.com
作者简介:杜倩：女，本科，主管护师，E-mail：372345388@qq.com
第一联系人：作者贡献声明
杜倩：研究选题和设计、研究实施、论文撰写；胡恒瑜、曹静文：研究设计与实施、资料收集、统计学分析；李珍：研究设计与实施、论文审阅与修改；刘星歌、刘林莉：研究实施、数据收集与整理
基金资助:
2022年度河南省医学科技攻关省部共建重点项目(SBGJ202102002)

A study of the effect of occupational therapy combined with vocational rehabilitation on the return to work of postoperative colorectal cancer patients

DU Qian¹(), HU Hengyu², LI Zhen¹^,^*(), CAO Jingwen³, LIU Xingge⁴, LIU Linli¹

¹ Department of Oncology， Henan Provincial People’s Hospital， Zhengzhou 450003， China
² Geriatrics Department， Henan Provincial People’s Hospital， Zhengzhou 450003， China
³ Neurological ICU， Henan Provincial People’s Hospital， Zhengzhou 450003， China
⁴ School of Nursing and Health， Henan University， Kaifeng 475004， China.

Received:2025-04-25 Online:2026-04-20 Published:2026-04-22
* Corresponding author: LI Zhen，E-mail：653852519@qq.com
Funding program:
Key Project of Henan Provincial Medical Science and Technology Research for Provincial-Ministerial Coconstruction in 2022(SBGJ202102002)

摘要/Abstract

摘要：

目的探讨作业疗法联合职业康复对结直肠癌患者术后重返工作岗位的影响，旨在为临床护理实践中支持患者顺利重返工作提供参考依据。方法采用便利抽样法，选取2024年4月—2025年2月在郑州市某三级甲等医院肿瘤中心及胃肠外科门诊收治的60例结直肠癌患者作为研究对象，采用随机数字表法，将其分为试验组和对照组，每组各30例，试验组在常规健康宣教的基础上予以作业疗法联合职业康复干预，对照组实施常规健康宣教。干预12周后，比较两组干预前后在重返工作率、重返工作自我效能、疲乏程度、生活质量的差异。结果共有55例结直肠癌患者完成该研究，试验组27例，对照组28例。干预后，试验组的重返工作率、重返工作自我效能、生活质量均优于对照组，疲乏水平低于对照组，两组比较，差异有统计学意义（P<0.05）。结论作业疗法联合职业康复可对结直肠癌患者术后的重返工作率、重返工作自我效能、生活质量产生积极影响，并能降低患者的疲乏水平。

关键词: 结直肠癌, 作业疗法, 职业康复, 重返工作岗位, 生活质量, 护理

Abstract:

Objective To evaluate the effects of occupational therapy combined with vocational rehabilitation on return-to-work rate，return-to-work self-efficacy，fatigue，and quality of life in postoperative colorectal cancer patients，with the aim of providing evidence-based guidance for clinical nursing practice in facilitating patients’ return to work. Methods 60 postoperative colorectal cancer patients admitted to the Oncology Center and Gastrointestinal Surgery Outpatient Department of a tertiary hospital in Zhengzhou between April 2024 and February 2025 were selected using convenience sampling. Participants were randomly assigned to an experimental group or a control group （n=30 each） using a random number table. The control group received routine health education，while the experimental group received additional occupational therapy combined with vocational rehabilitation. After a 12-week intervention，outcomes were assessed and compared between groups，including return-to-work rate，return-to-work self-efficacy，fatigue level，and quality of life. Results Post-intervention，the experimental group showed significantly higher return-to-work rates，greater self-efficacy，improved quality of life，and lower fatigue levels compared to the control group（P<0.05）. Conclusion Occupational therapy combined with vocational rehabilitation significantly enhances return-to-work outcomes，self-efficacy，and quality of life，while effectively reducing fatigue in postoperative colorectal cancer patients.

Key words: Colorectal Cancer, Occupational Therapy, Vocational Rehabilitation, Return to Work, Quality of Life, Nursing Care

杜倩, 胡恒瑜, 李珍, 曹静文, 刘星歌, 刘林莉. 作业疗法联合职业康复对结直肠癌患者术后重返工作岗位的效果研究[J]. 中华护理杂志, 2026, 61(8): 1080-1087.

DU Qian, HU Hengyu, LI Zhen, CAO Jingwen, LIU Xingge, LIU Linli. A study of the effect of occupational therapy combined with vocational rehabilitation on the return to work of postoperative colorectal cancer patients[J]. Chinese Journal of Nursing, 2026, 61(8): 1080-1087.

图/表 4

表1 作业疗法联合职业康复干预方案

Table 1 Occupational therapy combined with vocational rehabilitation intervention programme

表2 两组一般资料的比较[例（百分比，%）]

Table 2 Comparison of general information between 2 groups[case（percentage，%）]

表3 两组干预前后重返工作自我效能得分和疲乏得分比较（分，$\bar{x}\pm s$）

Table 3 Comparison of RTW-SE and RPFS scores before and afterintervention between 2 groups（score，$\bar{x}\pm s$）

表4 两组干预前后功能领域和症状领域得分的比较（分，$\bar{x}\pm s$）

Table 4 Comparison of EORTC QLQ-C30 score before and after intervention between 2 groups（score，$\bar{x}\pm s$）

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作业疗法联合职业康复对结直肠癌患者术后重返工作岗位的效果研究

A study of the effect of occupational therapy combined with vocational rehabilitation on the return to work of postoperative colorectal cancer patients

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