Tabata Aki, Yabe Hiroki, Katogi Takehide, Yamaguchi Tomoya, Mitake Yuya, Shirai Tomohiro, Fujii Takayuki
Department of Rehabilitation, Seirei Sakura Citizen Hospital, 2-36-2 Ebaradai, Sakura-shi, Chiba 285-8765 Japan.
Department of Physical Therapy School of Rehabilitation Science, Seirei Christopher University, 3453 Mikatahara, Kita-ku, Hamamatsu, Shizuoka 433-8558 Japan.
Ren Replace Ther. 2022;8(1):16. doi: 10.1186/s41100-022-00403-w. Epub 2022 Apr 13.
Management of presenteeism in the context of chronic kidney disease (CKD) is essential for disease management, ensuring the workforce's availability, and reducing health-related costs. The purpose of this case study was to investigate presenteeism, physical function, and exercise habits in three working patients with CKD and discuss their effects. Case 1 was a 71-year-old male security guard; Case 2 was a 72-year-old male agricultural worker; and Case 3 was an 83-year-old male civil engineering employee. Presenteeism was measured using the work functioning impairment scale (WFun), and physical function was measured using grip strength, skeletal muscle mass index, 10 m walk test, short physical performance battery, and exercise habits. The WFun assessment showed that only Case 3 had moderate presenteeism, and the barrier to employment was fatigue. Each value of physical function was higher than the reference value, but Case 3 had the lowest physical function values. All three patients had no exercise habits and were in the interest stage of behavior change. This case report indicates the existence of workers with CKD who need care for presenteeism, even if they have no problems with physical function or activities of daily living. To ensure work productivity in workers with CKD, clinicians may need to evaluate presenteeism, physical function, and exercise habits in addition to popular treatment and care.
在慢性肾脏病（CKD）背景下对带病出勤进行管理对于疾病管理、确保劳动力可用性以及降低与健康相关的成本至关重要。本病例研究的目的是调查三名患有CKD的在职患者的带病出勤情况、身体功能和运动习惯，并讨论其影响。病例1是一名71岁的男性保安；病例2是一名72岁的男性农业工人；病例3是一名83岁的男性土木工程师雇员。使用工作功能受损量表（WFun）测量带病出勤情况，使用握力、骨骼肌质量指数、10米步行测试、简短体能表现电池测试和运动习惯来测量身体功能。WFun评估显示，只有病例3存在中度带病出勤情况，就业障碍是疲劳。身体功能的各项数值均高于参考值，但病例3的身体功能数值最低。所有三名患者均无运动习惯，且处于行为改变的兴趣阶段。本病例报告表明，存在患有CKD的工人，他们即使在身体功能或日常生活活动方面没有问题，也需要针对带病出勤接受护理。为确保患有CKD的工人的工作效率，临床医生除了进行常规治疗和护理外，可能还需要评估带病出勤情况、身体功能和运动习惯。
