van der Mei Sijrike F, van Sonderen Eric L P, van Son Willem J, de Jong Paul E, Groothoff Johan W, van den Heuvel Wim J A
Department of Health Sciences, Northern Centre for Healthcare Research (NCH), University Medical Centre Groningen (UMCG), University of Groningen, The Netherlands.
Disabil Rehabil. 2007 Mar 30;29(6):473-83. doi: 10.1080/09638280600841257.
To explore and describe the degree of social participation after kidney transplantation and to examine associated factors.
A cross-sectional study on 239 adult patients 1-7.3 years after kidney transplantation was performed via in-home interviews on participation in obligatory activities (i.e., employment, education, household tasks) and leisure activities (volunteer work, assisting others, recreation, sports, clubs/associations, socializing, going out).
Kidney transplantation patients had a lower educational level, spent less time on obligatory activities, had part-time jobs more often, and participated less in sports compared to a control group from the general population. No difference was found in socializing, church attendance, volunteer work and going out. Multivariate regression analysis showed a negative association of age and a positive association of educational status and time since transplantation with obligatory participation. Multivariate logistic regression showed positive associations of education and time since transplantation with volunteer work; age was negatively and education positively associated with sports and going out, whereas living arrangement was also associated with going out.
Although kidney transplantation patients participate less in employment and sports, they do participate in household tasks, volunteer work, going out, socializing and other leisure activities. Participation is associated with factors as age, educational status and time since transplantation.
探讨并描述肾移植后的社会参与程度，并检查相关因素。
对239例肾移植后1至7.3年的成年患者进行横断面研究，通过入户访谈了解其参与义务活动（即就业、教育、家务）和休闲活动（志愿工作、帮助他人、娱乐、运动、俱乐部/协会、社交、外出）的情况。
与来自普通人群的对照组相比，肾移植患者教育水平较低，在义务活动上花费时间较少，兼职工作更为常见，且较少参与运动。在社交、参加教会活动、志愿工作和外出方面未发现差异。多变量回归分析显示，年龄与义务参与呈负相关，教育程度和移植后的时间与义务参与呈正相关。多变量逻辑回归显示，教育程度和移植后的时间与志愿工作呈正相关；年龄与运动和外出呈负相关，教育程度与运动和外出呈正相关，而居住安排也与外出有关。
尽管肾移植患者在就业和运动方面参与较少，但他们确实参与家务、志愿工作、外出、社交和其他休闲活动。参与情况与年龄、教育程度和移植后的时间等因素有关。
