Maintenance of Employment on Dialysis

Rasgon, Scott; James-Rogers, Annette; Chemleski, Brenda; Ledezma, Matthew; Mercado, Lucille; Besario, Melrose; Trivedi, Jay; Miller, Mary; Dee, Lea; Pryor, Linda; Yeoh, Hock H.

doi:10.1016/s1073-4449(97)70042-6

Cited by 22 publications

(20 citation statements)

References 9 publications

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“…The present study confirms earlier findings that ratio of employment was low in MHD working-age patients [8,10,12,14,15]. In our study, only 117 (50.65%) were employed one year before dialysis inception, and additional 16 patients quitted jobs before dialysis.…”

Section: Discussionsupporting

confidence: 92%

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Low employment and low willingness of being reemployed in Chinese working-age maintained hemodialysis patients

Huang

Lai

et al. 2017

Renal Failure

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Aim: Returning to society plays an important role in improving the quality of life in maintenance hemodialysis (MHD) patients, and retention of employment is one of the core enablers. The study is to assess the employment status and to determine the variables for unemployment in Chinese MHD patients. Methods: Prevalent MHD patients from four dialysis centers in Shanghai China were enrolled. We assessed patients' employment status, current social functioning, hemodialysis modality, annual income and general health condition. Among current unemployed working-age patients, the reasons of quitting jobs and willingness of being reemployed were evaluated. Results: A total of 231 patients were studied, among which 114 patients were unemployed 1 year before hemodialysis. Among 117 employed patients, 16 patients quitted jobs before dialysis inception, while 49 patients quitted jobs at the initiation of HD, and 26 patients followed after a few months' HD. The main reasons for ceasing employment were physical insufficiency, conflict between dialysis and work schedules, lack of support from employers and resistance from family members. Among the 166 patients who were in their working age, 26 patients were employed. The unemployed patients had the characters of elder age, lower education level, higher annual family income, higher female ratio, lower blood flow, lower physical functioning, and social functioning and lower frequency of weekend hemodialysis and HDF/HF. Among the 140 unemployed patients, only 47 patients had the willingness of being reemployed. Their unemployment status was positively associated with elder age ((OR) 3.13, 95% CI, 1.08-9.1), lower education level ((OR) 1.97, 95% CI, 1.05-5.92), and higher family income ((OR) 7.75, 95% CI, 2.49-24.14).

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Section: Discussionsupporting

confidence: 92%

“…Staying on job can benefit the patients in many ways such as a source of social support, a higher quality of life, increased self-esteem, more stable or higher financial situation. Moreover, maintenance of work is also important for healthy society in preventing loss of production [10,12,13].…”

Section: Discussionmentioning

confidence: 99%

Low employment and low willingness of being reemployed in Chinese working-age maintained hemodialysis patients

Huang

Lai

et al. 2017

Renal Failure

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“…Similar to unemployment, lower income and lower level of education were associated with lower scores of MCS, role-emotional, and mental health. These data give support to a greater emphasis on multidisciplinary efforts to promote continuation of employment and formal education during the course of chronic kidney disease [20,28,30]. Besides those socioeconomic characteristics, only psychiatric disease was significantly and independently associated with lower scores in MCS and mental health after adjustments for multiple comparisons.…”

Section: Discussionmentioning

confidence: 70%

Factors associated with health-related quality of life among hemodialysis patients in the DOPPS

et al. 2007

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“…Health professionals could offer intervention programs to improve social support based on the patient needs, such as recommendations to appropriate programs like self-help groups (27) or educational programs for psychological improvement (28). Unemployment is common in patients; therefore, a job can be a source of social support, and having a job contributes to increased self-esteem (29). Finding a job can help patients.…”

Section: Discussionmentioning

confidence: 99%

Content Analysis and Qualitative Study of Hemodialysis Patients, Family Experience and Perceived Social Support

Aghakhani¹,

Sharif²,

Molazem³

et al. 2014

Iran Red Crescent Med J

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Background:Various treatments such as hemodialysis prolong the life of chronic renal failure disease patients who must tolerate many physical, emotional, social and economic difficulties. Therefore, social support is considered as a vital area of investigation for such patients.Objectives:In this qualitative research, a grounded theory approach was used and written as a content analysis form to study hemodialysis patients and family experience of perceived social support.Patients and Methods:Three nurses, 4 general practitioners, a specialist and two family members who participated were interviewed from April to September 2012 in Urmia, Iran. Interviews were guided to divulge the perception of changes in their lives, needs for social support for disease complications, and the type of treatment process. Purposive sampling continued up to data saturation. Data analysis was performed based on Strauss and Corbin Method. Constant comparison analysis was performed until data saturation.Results:The research results are shown in 3 steps. In the first step, 113 categories and four main themes from 993 first codes were explored. Social support was explored based on the implications of five general themes including “Perceived Threats Caused by Disease Complications”, “Searching for Social Support”, “Accessible Social Support”, “Beliefs and Values”, and “Perceived Social Support”.Conclusions:The core variable of our research is acceptance of the reality of the conditions caused by the disease. The research finalized our knowledge about patient problems regarding social support and revealed many problems of supporting patients by Health Team Members, family members and organizations. The findings suggest that individual aspects of patient experiences must be considered if social support is to be given and Healthcare Providers have to facilitate positive health services.

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Maintenance of Employment on Dialysis

Cited by 22 publications

References 9 publications

Low employment and low willingness of being reemployed in Chinese working-age maintained hemodialysis patients

Low employment and low willingness of being reemployed in Chinese working-age maintained hemodialysis patients

Factors associated with health-related quality of life among hemodialysis patients in the DOPPS

Content Analysis and Qualitative Study of Hemodialysis Patients, Family Experience and Perceived Social Support

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