Wesolowska-Gorniak K, Gierus J, Wojtowicz M, Bugajska J, Czarkowska-Paczek B
Department of Clinical Nursing, Medical University of Warsaw, Warsaw, Poland.
Psychiatric Clinic, Medical University of Warsaw, Pruszkow, Poland.
Transplant Proc. 2019 Apr;51(3):651-664. doi: 10.1016/j.transproceed.2018.12.001. Epub 2018 Dec 6.
Organ transplantation is currently the treatment of choice in end-stage organ failure. Organ replacement therapy compensates for most of organ function loss and offers recipients the potential for an independent life; nevertheless, the employment rate after kidney or liver transplant is low vs the general population. The purpose of this study was to create a questionnaire for kidney and liver transplant patients that comprehensively assesses factors affecting employment among these people including demographic, physical, and psychosocial variables.
The study was based on a self-prepared questionnaire developed by a team of specialists in the field of medicine, rehabilitation, psychology, and employment. The questionnaire contained 5 parts: demographic data, professional factors, medical factors, physical factors, and psychological factors. The normalization sample consisted of 64 individuals (women and men) aged between 18 to 45 years 1 to 5 years after kidney or liver transplant. The Determinants of Professional Activity after Kidney and Liver Transplantation Questionnaire (DPATQ) was developed based on descriptive statistics, Spearman ρ coefficient, principal component analysis, Cronbach α, and item response theory analysis.
The Cronbach α reliability coefficient for the psychological part reached 0.88.
The DPATQ is a new method for measuring post-transplant adaptation and other factors influencing employment status. It offers good psychometric reliability. The DPATQ may be useful in the preparation process of vocational rehabilitation programs or in research studying problems with employment after solid organ transplant.
器官移植是目前终末期器官衰竭的首选治疗方法。器官替代疗法可弥补大部分器官功能丧失，并为接受者提供独立生活的可能性；然而，与普通人群相比，肾移植或肝移植后的就业率较低。本研究的目的是为肾移植和肝移植患者创建一份问卷，全面评估影响这些人就业的因素，包括人口统计学、身体和心理社会变量。
本研究基于由医学、康复、心理学和就业领域的专家团队自行编制的问卷。问卷包含5个部分：人口统计学数据、职业因素、医学因素、身体因素和心理因素。标准化样本由64名年龄在18至45岁之间、肾移植或肝移植后1至5年的个体（男性和女性）组成。肾移植和肝移植后职业活动的决定因素问卷（DPATQ）是基于描述性统计、斯皮尔曼ρ系数、主成分分析、克朗巴赫α系数和项目反应理论分析编制的。
心理部分的克朗巴赫α信度系数达到0.88。
DPATQ是一种测量移植后适应性和其他影响就业状况因素的新方法。它具有良好的心理测量信度。DPATQ可能有助于职业康复计划的准备过程或研究实体器官移植后就业问题的研究。
