| Objective:Based on the Resource-Gain-Development perspective and International Classification of Functioning(ICF)theoretical framework,this study aimed to know the status of work engagement and influencing factors of young and middle-aged breast cancer patients who returned to work,explore the mediating effect of family-work enrichment on the relationship between family resilience and work engagement,as well as the moderating effect of cancerrelated fatigue on the relationship of family resilience and work engagement,which could provide a theoretical basis for formulating intervention programs to improve work engagement of young and middle-aged breast cancer patients who returned to work.Methods:In this cross-sectional study 205 young and middle-aged breast cancer patients who returned to work were investigated with a convenient sampling method and by using online or offline questionnaire in three third-class A hospitals in Jinan,Shandong Province from November 2021 to December 2022.The sociodemographic questionnaire,Shortened Chinese Version of the Family Resilience Assessment Scale(FRAS-C),Work-Family Enrichment Questionnaire(WFEQ),Chinese Version of Cancer Fatigue Scale(CFS-C),and Utrecht Work Engagement Scale(UWES)were used to measure the general information,family resilience,family-work enrichment,cancer-related fatigue and work engagement,respectively.The statistical software SPSS 23.0 was used for statistical analysis.The main statistical methods included descriptive analysis,t-test,one-way analysis of variance,Pearson correlation analysis,mediating effect analysis and moderating effect analysis.Results:1.The total mean score of work engagement of young and middle-aged breast cancer patients who returned to work was(53.68±14.40),the mean score of items was(3.58±0.96).The mean score of dimensions of dedication,vigor and absorption were(3.78±1.07),(3.62±0.93),and(3.37±1.09),respectively.2.The univariate analysis results showed that the score of vigor dimension was significantly different in years of working(F=2.932,P<0.05)%daily working hours(F=4.892,P<0.01)、job satisfaction(F=6.986,P=0.001);the score of dedication dimension was significantly different in years of working(F=3.853,P<0.01)、position level(F=3.972,P<0.05)、employment nature(F=-3.936,P<0.05)、work nature(F=4.430,P<0.05)、job satisfaction(F=11.813,P<0.001);the score of absorption dimension was significantly different in years of working(F=4.226,P<0.01)、daily working hours(F=3.254,P<0.05)、job satisfaction(F=4.792,P<0.01);the total score of work engagement was significantly different in years of working(F=4.084,P<0.01)、daily working hours(F=4.026,P<0.05)、job satisfaction(F=8.289,P<0.001).3.The correlation analysis results showed that family resilience and family-work enrichment were significantly positively correlated with work engagement(r=0.266～0.343,all P<0.01),respectively.While cancer-related fatigue was negatively correlated with family resilience(r=-0.250,P<0.01)and work engagement(r=-0.268,P<0.01).4.In the mediating effect analysis,family-work enrichment played a partial mediating role in the relationship between family resilience and work engagement,with an indirect effect value of 0.091,Bootstrap 95%CI[0.035,0.173],accounting for 29.07%of the total effect.5.In the moderating effect analysis,cancer-related fatigue played a negative moderating role in the relationship between family resilience and work engagement,with the moderating effect of-0.092,Bootstrap 95%CI[-0.117,-0.067].Conclusions:1.Young and middle-aged breast cancer patients who returned to work had the moderate level of work engagement.2.Years of working,position level,employment nature,work nature,daily working hours,job satisfaction significantly affected the work engagement of middle-aged breast cancer patients who returned to work.3.Family resilience increased the work engagement of middle-aged breast cancer patients who returned to work by positively affecting family-work enrichment;Cancer-related fatigue moderated the effect of family resilience on work engagement,the relationship between family resilience and work engagement varied with the level of cancer-related fatigue. |
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