Tabata Aki, Yabe Hiroki, Katogi Takehide, Mitake Yuya, Oono Shunta, Yamaguchi Tomoya, Fujii Takayuki
Department of Rehabilitation, Seirei Sakura Citizen Hospital, Sakura, Japan.
Department of Physical Therapy, School of Rehabilitation Sciences, Seirei Christopher University, Hamamatsu, Japan.
Prog Rehabil Med. 2024 Dec 14;9:20240040. doi: 10.2490/prm.20240040. eCollection 2024.
Managing presenteeism among patients with chronic kidney disease (CKD) is important for balancing disease management and employment. This study aimed to investigate presenteeism, exercise self-efficacy (SE), and physical function indices in workers with CKD and to examine the factors that influence presenteeism in this patient group.
This cross-sectional study included 36 workers with stage 3-5 pre-dialysis CKD. Presenteeism was quantified using the Work Functioning Impairment Scale (WFun). Other factors to be evaluated included exercise SE, physical function, anemia, and renal function. Exercise SE was assessed using Oka's scale. Physical function was measured through grip strength, the 10-m walk test, the short physical performance battery, the 6-min walk test, and skeletal muscle mass index. The χ and independent t-tests were used to compare patient characteristics between those with and without presenteeism. The WFun score was used as the dependent variable in the multiple regression analysis.
Fourteen (38.9%) patients exhibited presenteeism. Comparisons between the two groups demonstrated significant differences in creatinine (Cr), exercise SE, and WFun and in the prevalences of CKD stage 3 and CKD stage 5 (P < 0.05). The WFun score was significantly correlated with Cr (r = 0.36) and exercise SE (r = -0.41) in a single correlation analysis. Multiple regression analysis showed that WFun was significantly related only to exercise SE (β = -0.34).
Presenteeism was significantly correlated with exercise SE in working patients with predialysis CKD. Our findings provide evidence to support the development of interventions for the prevention of presenteeism in predialysis CKD patients.
管理慢性肾脏病（CKD）患者的带病工作现象对于平衡疾病管理和就业至关重要。本研究旨在调查CKD患者的带病工作情况、运动自我效能（SE）和身体功能指标，并探讨影响该患者群体带病工作的因素。
这项横断面研究纳入了36名3 - 5期透析前CKD患者。使用工作功能损害量表（WFun）对带病工作情况进行量化。其他待评估因素包括运动SE、身体功能、贫血和肾功能。运动SE使用冈田量表进行评估。通过握力、10米步行试验、简短身体性能测试、6分钟步行试验和骨骼肌质量指数来测量身体功能。采用χ检验和独立t检验比较有无带病工作情况的患者特征。在多元回归分析中，将WFun评分用作因变量。
14名（38.9%）患者存在带病工作现象。两组之间的比较显示，肌酐（Cr）、运动SE、WFun以及CKD 3期和CKD 5期的患病率存在显著差异（P < 0.05）。在单因素相关分析中，WFun评分与Cr（r = 0.36）和运动SE（r = -0.41）显著相关。多元回归分析表明，WFun仅与运动SE显著相关（β = -0.34）。
在透析前CKD在职患者中，带病工作现象与运动SE显著相关。我们的研究结果为支持制定干预措施以预防透析前CKD患者的带病工作现象提供了证据。
