Cicutto Lisa, Braidy Carolina, Moloney Sharon, Hutcheon Michael, Holness D Linn, Downey Gregory P
Faculty of Nursing, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
J Heart Lung Transplant. 2004 Apr;23(4):481-6. doi: 10.1016/S1053-2498(03)00226-2.
Limited data exist regarding return to or attainment of paid employment after lung transplantation. Accordingly, the purpose of our study was to identify the issues relating to paid employment after this procedure.
We conducted a mailed survey using Dillman's protocol. We mailed questionnaires to surviving Toronto General Hospital lung transplant recipients (n = 190). We used descriptive statistics, t-tests, and chi-square tests to analyze the data.
A total of 117 lung transplant recipients completed the questionnaires (70% response rate). The mean age of respondents was 51 +/- 13 years. Fifty-one percent of the sample were women and 72% were married. Cystic fibrosis and chronic obstructive pulmonary disease were the most frequent pre-transplant diagnoses. Fifty-six percent of participants had paid employment at some point before transplant. After transplant, 37% of respondents obtained employment. Individuals who obtained paid employment were more likely to be younger (p = 0.002), to have university degrees (p = 0.02), to report higher health ratings (p = 0.001), and to feel physically able to work (p = 0.01). They also were more likely to express a desire to enter the paid workforce (p < 0.0001); to describe receiving physician encouragement to work (p < 0.0001); to identify the possibility of obtaining paid employment as a primary motivator for the transplantation (p = 0.01); and to report that their previous jobs were available after transplantation (p = 0.01). All individuals who did not obtain paid employment cited personal or transplant-related factors.
Medical and social factors influence attainment of paid employment after lung transplantation. Important components of the pre-transplant assessment are discussion of expectations about attaining employment and openly exploring the recipient's motivation for employment.
关于肺移植后恢复或获得有薪工作的数据有限。因此，我们研究的目的是确定与该手术后有薪工作相关的问题。
我们采用迪尔曼协议进行邮寄调查。我们向多伦多综合医院存活的肺移植受者（n = 190）邮寄了问卷。我们使用描述性统计、t检验和卡方检验来分析数据。
共有117名肺移植受者完成了问卷（回复率为70%）。受访者的平均年龄为51±13岁。样本中51%为女性，72%已婚。囊性纤维化和慢性阻塞性肺疾病是移植前最常见的诊断。56%的参与者在移植前的某个时候有有薪工作。移植后，37%的受访者获得了工作。获得有薪工作的个体更可能较年轻（p = 0.002）、拥有大学学位（p = 0.02）、报告更高的健康评分（p = 0.001）以及感觉身体能够工作（p = 0.01）。他们也更可能表达进入有薪劳动力市场的愿望（p < 0.0001）；描述得到医生鼓励去工作（p < 0.0001）；将获得有薪工作的可能性确定为移植的主要动机（p = 0.01）；以及报告他们以前的工作在移植后仍然可用（p = 0.01）。所有未获得有薪工作的个体都列举了个人或与移植相关的因素。
医学和社会因素影响肺移植后获得有薪工作。移植前评估的重要组成部分是讨论对获得就业的期望并公开探讨受者的就业动机。
