Parajuli Sandesh, Singh Jagmeet, Sandal Shaifali, Liebman Scott E, Demme Richard A
University of Rochester Medical Center, Rochester, NY, USA Division of Nephrology, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA
University of Rochester Medical Center, Rochester, NY, USA Guthrie Robert Packer Hospital, Sayre, PA, USA.
Prog Transplant. 2016 Mar;26(1):92-8. doi: 10.1177/1526924816633956.
Kidney transplantation (KTX) is considered the treatment of choice for most individuals with end-stage kidney disease. The purpose of this study was to assess the employment status and social participation after successful KTX.
This was a retrospective cross-sectional study. Eligible participants were patients who received a transplant ≥1 year ago and who were previously on hemodialysis (HD) for ≥1 year. Two hundred individuals participated in this study.
A significant number (93.5%) of patients reported they were working prior to HD versus 35% while on HD. Only 14% reported receiving disability benefits prior to HD versus 75% receiving disability while on HD. Comparing transplant recipients with pre-HD patients, 35.5% versus 93.5% reported working, and 74.5% versus 14% reported receiving disability benefits, respectively. After transplant, patients were more likely to join recreational clubs, travel frequently, and participate in recreational/religious activities and social events than when they were on HD.
Posttransplant, these individuals are more likely to participate in social and leisure activities, but the majority did not resume employment and continued to receive disability payments. Future studies could explore barriers to employment in patients who underwent successful transplantation and the causes and factors as to why these individuals continue to receive disability benefits.
肾移植（KTX）被认为是大多数终末期肾病患者的首选治疗方法。本研究的目的是评估成功进行肾移植后的就业状况和社会参与情况。
这是一项回顾性横断面研究。符合条件的参与者是那些在1年多以前接受移植且之前接受过≥1年血液透析（HD）的患者。200人参与了本研究。
相当多（93.5%）的患者报告称他们在接受血液透析之前有工作，而在接受血液透析时这一比例为35%。只有14%的患者报告在接受血液透析之前领取残疾津贴，而在接受血液透析时这一比例为75%。将移植受者与血液透析前的患者进行比较，分别有35.5%和93.5%的人报告有工作，有74.5%和14%的人报告领取残疾津贴。移植后，与接受血液透析时相比，患者更有可能加入娱乐俱乐部、频繁旅行，并参与娱乐/宗教活动和社交活动。
移植后，这些个体更有可能参与社交和休闲活动，但大多数人没有恢复工作，而是继续领取残疾抚恤金。未来的研究可以探索成功接受移植的患者就业的障碍，以及这些个体继续领取残疾津贴的原因和因素。
