Winterling J, Johansson E, Wennman-Larsen A, Petersson L-M, Ljungman P, Alexanderson K
Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
1] Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden [2] Division of Haematology, Department of Medicine, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.
Bone Marrow Transplant. 2014 Jun;49(6):836-42. doi: 10.1038/bmt.2014.26. Epub 2014 Mar 10.
Being in work or the equivalent is an important goal after allo-SCT and is used as an indicator of recovery. The aim was to elucidate occupational status and factors associated with work among SCT survivors. Adults in working age with a haematological disease (n=177) were followed up within a median of 8 (range 28) years post allo-SCT. Predictors of not being in work at all or working part-time because of sick leave, disability pension or early old-age pension were analyzed using logistic regression analyses. At diagnosis, 82% of the participants were working full-time and 2% were on sick leave or old-age pension. At follow-up, 52% were working full-time, 27% were working part-time and 17% were on sick leave, disability pension or old-age pension. Not working at all was associated with multi-morbidity (P=0.01) and poorer health (P=0.00). Working part-time was associated with a higher age at diagnosis (P=0.00), being a woman (P=0.03), being born abroad (P=0.03) and multi-morbidity (P=0.00). In conclusion, the majority of survivors were in paid work at follow-up; however, a substantial number were not working or worked part-time.
在异基因造血干细胞移植(allo-SCT)后恢复工作或从事同等工作是一个重要目标,并且被用作恢复的一项指标。本研究旨在阐明造血干细胞移植幸存者的职业状况以及与工作相关的因素。对患有血液系统疾病的工作年龄成年人(n = 177)在allo-SCT后中位8年(范围2 - 8年)进行随访。使用逻辑回归分析对因病假、残疾抚恤金或提前养老金而完全不工作或从事兼职工作的预测因素进行分析。在诊断时,82%的参与者全职工作,2%休病假或领取养老金。在随访时,52%的人全职工作,27%的人兼职工作,17%的人休病假、领取残疾抚恤金或养老金。完全不工作与多种疾病并存(P = 0.01)和健康状况较差(P = 0.00)相关。从事兼职工作与诊断时年龄较大(P = 0.00)、女性(P = 0.03)、出生在国外(P = 0.03)和多种疾病并存(P = 0.00)相关。总之,大多数幸存者在随访时从事有薪工作;然而,相当一部分人不工作或从事兼职工作。 (注:原文中range 28可能有误,根据语境推测应为2 - 8年,译文已修正)