癌友重返職場經驗之研究──日常生活經驗與挑戰

Returning to Work Following Cancer: Cancer Survivors' Daily Life and Challenges

癌症的發展呈現年輕化與慢性化的趨勢，愈來愈多人在職涯發展過程中，遭遇與癌病共存的職涯轉折|相對於重返職場對癌友預後的正向助益性，癌友在重返職場的過程中，也存在著各式的需求和困境。本研究以質性訪談的方式，目的是探討癌友回歸職場的經驗，期望瞭解癌友生活與就業歷程中的實況，以作為制度及服務設計的參考|研究透過主責社工以及受訪癌友轉介的方式，取得8位癌友同意參與研究訪談。研究發現癌友重返職場的經濟需求具有文化多元性的意涵，需勞動、不能停滯、依賴，是癌友對日常經濟壓力的具體詮釋|而有助於癌友回歸的職場條件，除了制度的彈性與保障之外，既有的職場人際品質，以及出自於彼此認識及尊重的接納，是支持癌友持續工作的重要力量|繼續工作的好處，為癌友帶來身體與人際的復健資源，也讓癌友在規律的作息中體會正常的生活感受，幫助自己與調適中的身體共存。有鑑於重返職場的正向經驗與挑戰，工作者必須以更貼近癌友生活的方式，理解癌友的需求，在服務設計上，建立以協助癌友重返職場為目的之介入管理計畫，以癌友需求為中心，落實需求評估、跨專業個案管理服務，以及無障礙職場環境的倡導。

The age in cancer incidence has dropped and cancer has become more chronic. More and more people might confront a turning point in their working life to co-exist with cancer. Relative to positive impact on cancer survivors, there are still all sorts of demands and unfavorable situations after they return to work. Through conducting qualitative interviews, the purpose of this study is to look into cancer survivors' experience in returning to work in order to understand the reality of cancer survivors' daily life to serve as a reference in making policies and offering relevant services. A total of 8 cancer survivors consented to participate in the research. They were referred by social workers and other cancer survivors. The findings in this study points out the significance of diversity and inclusion in cancer survivors' financial needs. Manual labor, reluctance of career stagnation and dependence are their daily sources of stress. Secondly, apart from supportive policies, the existing quality of mutual understanding and respect in a workplace relationship affects cancer survivors' will to remain in the workforce. Thirdly, the benefits of returning to work and staying in work include provide rehabilitation resources in physical function and interpersonal relationship. This helps cancer survivors adapt to the normality of everyday life, and co-exist with their recovering body. Bearing in mind the positive effects and challenges in returning to work, clinical staff must work closely to meet the needs and lifestyle of cancer survivors. In designing relevant services, they should offer interdisciplinary case management services which focus on helping cancer survivors to return to work.