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目的 旨在调查女性乳腺癌患者的就业准备度和重返工作岗位现况,并分析其相关因素.方法 本研究采用混合研究方法.2018年12月—2019年6月在湖南省某医院乳腺科共招募乳腺癌患者300例,最终有192例乳腺癌患者参与量性研究.采用患者一般情况问卷、认知症状量表(Cognitive Symptom Checklist,CSC)、患者健康问卷(the nine-item Patient Health Questionnaire,PHQ-9),简易疲劳量表(Brief Fatigue Inventory,BFI)、工作能力指数(Work Ability Index,WAI)量表和林氏就业准备(Lam Assessment of Employment Readiness,LASER)量表对乳腺癌患者进行调查.其中返回工作岗位的41例乳腺癌患者参与质性研究,通过一组开放式问题对其进行访谈,收集重返工作岗位的相关因素.结果 结果显示,41例(21.35％)乳腺癌患者在治疗后重返工作岗位.乳腺癌患者CSC得分为9.00(6.00,15.25)分,WAI的得分为5.00(3.50,9.75)分,BFI总分为26.00(14.75,42.00)分,PHQ-9总分为8.00(5.25,17.00)分,LASER总分为(50.35±11.90)分.多元回归分析显示,癌症晚期、认知受损、抑郁、疲劳和工作能力水平低是乳腺癌患者工作准备情况的影响因素(P＜0.05).质性研究结果提炼出两个方面主题:促进乳腺癌患者重返工作岗位的因素包括较高的职业技能水平、更有力的社会支持和灵活的工作时间安排;乳腺癌患者重返工作岗位的障碍因素包括压力、对工作技能缺乏信心、抑郁和身体疲劳.结论 乳腺癌患者的就业准备度水平较低.护士和其他医疗保健提供者可协助制订相关干预措施,以提高乳腺癌患者的就业准备度水平并最终实现重返工作岗位.“,”Objective:To investigate the employment status,employment readiness,and other factors affecting the ease or difficulty with which breast cancer patients effect their return to work(RTW).Methods:This study adopted a mixed-method design,recruiting participants from among breast cancer patients in a cancer hospital in Hunan from December 2018 to June 2019.We approached 300 in-dividuals,192 of whom ultimately participated in this study.The quantitative part of the study involved several scales:the Patient Health Questionnaire-9(PHQ-9),the Brief Fatigue Inventory(BFI),the Work Ability Index(WAI),and the Lam Assessment of Employment Readiness(LASER).The qualitative part involved a set of open-ended questions and written responses collected from 41 participants who had already returned to work at the time of data collection.Their written responses mainly concerned factors influencing RTW.Results:Forty-one breast cancer patients had returned to work.The results reported a median total Cognitive Symptom Checklist score of 9.00(6.00,15.25),a median WAI score of 5.00(3.50,9.75),a median BFI score of 26.00(14.75,42.00),a median total PHQ-9 score of 8.00(5.25,17.00),and a LASER score of 50.35±11.90.Multiple regression analysis showed that the participants\'cancer stage,cognitive limitations,depression,fatigue,and work ability were significant predictors of employment readiness(P＜0.05).Exploring the qualitative data,we found that higher skill levels,better social support,and a flexible work schedule facilitated RTW;stress,lack of confidence in one\'s work skills,depression,and fatigue are all possible barriers to RTW.Conclusion:The findings indicate that breast cancer patients have a low level of employment readiness.Nurses and other healthcare providers can develop relevant interventions to promote employment readiness and ultimately achieve RTW in this study population.