Beder Joan
Yeshiva University, Wurzweiler School of Social Work, New York, NY 10033, USA.
Soc Work Health Care. 2008;47(1):1-13. doi: 10.1080/00981380801970590.
This study examined the impact of social worker staffing on depression and health-related quality of life (QOL) of end-stage renal disease patients on hemodialysis. Social workers in most dialysis units work a 5-day week. Patients are usually dialyzed three times per week. Patients on a Monday-Wednesday-Friday schedule have access to their social worker 3 days a week, while the Tuesday-Thursday-Saturday schedule patients have only 2 days; that is, contact with the social worker is reduced by one third for those patients. Findings demonstrated that those patients who had access to the social workers one third less time had statistically significant poorer QOL on 4 of the 5 domains measured, and had clinically indicated levels of depression. Findings reinforce the importance of the social worker in the life of the dialysis patient.
本研究考察了社会工作者配备情况对接受血液透析的终末期肾病患者的抑郁状况及健康相关生活质量（QOL）的影响。大多数透析单位的社会工作者每周工作5天。患者通常每周接受3次透析。按照周一至周三至周五时间表接受透析的患者每周有3天能见到他们的社会工作者，而按照周二至周四至周六时间表接受透析的患者每周只能见到2天；也就是说，那些患者与社会工作者的接触时间减少了三分之一。研究结果表明，那些与社会工作者接触时间少三分之一的患者，在所测量的5个领域中的4个领域，其生活质量在统计学上显著较差，且有临床指征的抑郁水平。研究结果强化了社会工作者在透析患者生活中的重要性。
