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受教育程度越高,囊性纤维化患者成年后从事全职工作的比例就越高。

Higher Levels of Education Are Associated With Full-Time Work in Adults With Cystic Fibrosis.

机构信息

School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Perth, Western Australia.

Institute for Respiratory Health, Sir Charles Gairdner Hospital, Nedlands, Western Australia.

出版信息

Respir Care. 2019 Sep;64(9):1116-1122. doi: 10.4187/respcare.06607. Epub 2019 Mar 19.

DOI:10.4187/respcare.06607
PMID:30890629
Abstract

BACKGROUND

This study sought to explore factors in adults with cystic fibrosis (CF) that predicted whether (i) someone was engaged in full-time paid work, and (ii) those engaged in paid work reported problems with absenteeism and/or presenteeism.

METHODS

Adults with cystic fibrosis who live in Western Australia completed absenteeism and presenteeism questions from the World Health Organization's Health Performance Questionnaire. The participants were grouped by work status (full time vs part time or unemployed) and by self-reported absenteeism and presenteeism (evidence of vs no evidence of). We explored whether factors such as air-flow obstruction, level of education, health-related quality of life (measured by using the Cystic Fibrosis Questionnaire-Revised), and treatment adherence predicted group membership.

RESULTS

Of the 50 participants for whom data were available (median [interquartile range] age 30 [25-36] y; mean ± SD FEV% predicted, 60 ± 18%); 34 (68%) worked full time. A higher education level increased the odds of working full time (odds ratio 1.74, 95% CI 1.36-1.89). Among the employed participants, problems with absenteeism and presenteeism were reported by 20 (47%) and 7 (16%), respectively. Both those who reported problems with absenteeism or presenteeism were characterized only by lower scores on the role domain of the Cystic Fibrosis Questionnaire-Revised ( = .02).

CONCLUSIONS

In this study, the majority of adults with cystic fibrosis worked full time and a low percentage of the sample reported problems with absenteeism and presenteeism.

摘要

背景

本研究旨在探讨囊性纤维化(CF)成年人的相关因素,以预测(i)他们是否从事全职有偿工作,以及(ii)从事有偿工作的人是否存在缺勤和/或在职病假问题。

方法

居住在西澳大利亚的囊性纤维化成年人完成了世界卫生组织健康绩效问卷的缺勤和在职病假问题。参与者按工作状态(全职与兼职或失业)和自我报告的缺勤和在职病假(有或无证据)分组。我们探讨了气流阻塞等因素、教育程度、健康相关生活质量(采用修订后的囊性纤维化问卷衡量)和治疗依从性是否预测了群体归属。

结果

在 50 名可提供数据的参与者中(中位数[四分位距]年龄 30 [25-36]岁;平均±标准差 FEV%预测值,60 ± 18%),34 人(68%)全职工作。较高的教育程度增加了全职工作的可能性(优势比 1.74,95%置信区间 1.36-1.89)。在就业参与者中,分别有 20 人(47%)和 7 人(16%)报告存在缺勤和在职病假问题。报告缺勤或在职病假问题的参与者的囊性纤维化问卷修订版角色领域得分均较低( =.02)。

结论

在这项研究中,大多数囊性纤维化成年人全职工作,样本中报告缺勤和在职病假问题的比例较低。

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