De Pasquale C, Veroux M, Pistorio M L, Papotto A, Basile G, Patanè M, Veroux P, Giaquinta A, Sciacca F
Department of Formative Science, University of Catania, Italy; Vascular Surgery and Organ Transplant Unit, Department of Surgery, Transplantation and Advanced Technologies GF Ingrassia, University Hospital of Catania, Italy.
Vascular Surgery and Organ Transplant Unit, Department of Surgery, Transplantation and Advanced Technologies GF Ingrassia, University Hospital of Catania, Italy.
Transplant Proc. 2019 Jan-Feb;51(1):153-156. doi: 10.1016/j.transproceed.2018.04.083. Epub 2018 Jun 30.
The main goals of kidney transplantation are to recreate a condition of psychophysical well-being and to improve the quality of life of the patient, including going back to work after transplant. Returning to work after a kidney transplant is an important health care indicator. The aim of the study was to assess the psychophysical well-being and work condition in kidney transplant recipients and to identify possible predictors of return to work.
A total of 81 patients (mean age, 46.3; SD, 11.47) were selected among patients undergoing 1 or more kidney transplants during follow-up 12 months after transplant. Pre- and post-transplant employment were evaluated using a sociodemographic schedule. Short Form Health Survey 36 was used for the quality of life study.
Only 38.3% of patients were back to work 12 months after transplant compared with 67.90% of pretransplant patients (P = .004). The unemployment rate increased from 32.1% to 61.7% (P = .005) after kidney transplant. The reasons for not returning to work included the type of work (eg, factory) and the disability pension. The sociodemographic characteristics of the study population was significantly correlated with the dimensions of the Short Form Health Survey 36.
Kidney transplant recipients should be encouraged to go back to work until it is a risk to physical health. In this regard, there is a need for multidisciplinary collaboration with the psychologist and the psychiatrist on the team, which provides psychological support and cures any psychological fragility in the post-transplant condition.
肾移植的主要目标是重建身心健康状况，提高患者的生活质量，包括移植后重返工作岗位。肾移植后重返工作岗位是一项重要的医疗保健指标。本研究的目的是评估肾移植受者的身心健康状况和工作条件，并确定可能的重返工作岗位的预测因素。
在移植后12个月的随访期间，从接受1次或多次肾移植的患者中选取了81例患者（平均年龄46.3岁；标准差11.47）。使用社会人口统计学调查表评估移植前后的就业情况。采用简短健康调查问卷36对生活质量进行研究。
移植后12个月，只有38.3%的患者重返工作岗位，而移植前这一比例为67.90%（P = .004）。肾移植后失业率从32.1%上升至61.7%（P = .005）。未重返工作岗位的原因包括工作类型（如工厂工作）和残疾抚恤金。研究人群的社会人口统计学特征与简短健康调查问卷36的各项维度显著相关。
应鼓励肾移植受者重返工作岗位，除非对身体健康构成风险。在这方面，需要团队中的心理学家和精神科医生进行多学科协作，提供心理支持并治愈移植后状况下的任何心理脆弱性。
