The return-to-work experiences of Thai women with breast cancer-related lymphedema

Abstract

[EMBARGOED UNTIL 5/1/2024] Purpose This study aimed to examine Thai breast cancer survivors' perspectives on how BCRL affected their employment and related quality of life, as well as the culturally-influenced contextual facilitators and barriers that they faced as they returned to work in Thailand. Background and Significance: Globally, breast cancer is the most common cancer among women. Women diagnosed with breast cancer undergo breast cancer treatment, and some of them must deal with lymphedema after breast cancer treatments. BCRL may have a negative impact on employment and restrict return to work. After identifying the gaps in the literature, this qualitative research was developed, and it eventually led to the investigation of survivors' individual experiences with BCRL when they returned to work. Methods: Following informed consent procedures, 13 adult Thai breast cancer survivors with BCRL ages 43-74 were recruited from the community. A grounded theory approach included semi-structured interviews and assessments of work demographics, lymphedema-related changes, interpersonal changes in work, environmental characteristics, and final reflections on the thoughts regarding the future and enduring breast cancer survivors with BCRL. Results: Data revealed the theoretical model of Return-to-Work Experiences of Thai Women with BCRL could present either challenges or ways of maintaining hope to cope and live with BCRL. This idea of Return-to-Work Experiences of Thai Women with BCRL (Challenges vs Hope) emerged as the core category in the data analysis and emerging core aspects included: (1) changing/adjusting priorities in life after BCRL; (2) challenges of returning to work with BCRL; (3) seeking availability of resources and support for BCRL; and (4) followed by a resolution as the last core aspect, accepting and living with BCRL. Discussion and Implications: BCRL appeared to represent a dynamic process for these survivors. Using the findings of this study, future studies will develop evidence-based assessment and intervention strategies to maximize return to work by survivors with BCRL.