학술논문
Survey of employment and rehabilitation problems in patients on regular hemodialysis assessment of social support and psychological care / 維持透析患者の社会復帰
Document Type
Journal Article
Author
Akihiko Osajima; Akio Kuroiwa; Hiroshi Anai; Hisashi Takahasi; Keiko Oukita; Kinya Hiroshige; Koutaro Kimura; Kumie Kamohara; Masasuke Soejima; Masayuki Takasugi; Osamu Hasegawa; Shingo Kubo; Sung-Teh Kim; Yoshiyuki Matushima; Yui Yoshino; Yuu Kouki; 久保 晋吾; 副島 正典; 大北 啓子; 広重 欣也; 木村 耕太郎; 松島 慶幸; 由宇 宏貴; 穴井 博史; 筬島 明彦; 芳野 由以; 蒲原 くみ恵; 金 成泰; 長谷川 治; 高杉 昌幸; 高橋 尚; 黒岩 昭夫
Source
日本透析療法学会雑誌 / Journal of Japanese Society for Dialysis Therapy. 1993, 26(7):1275
Subject
Language
Japanese
ISSN
0911-5889
1884-6211
1884-6211
Abstract
To evaluate employment and rehabilitation problems faced by patients on maintenance hemodialysis, a questionnaire survey was carried out at the 7 organization facilities. Two hundred and eighty patients with CRF on maintenance HD whose ages ranged from 15 to 64 years, were examined to determine whether or not they could return to their jobs. Four different psychological tests (Y-G, CMI, SDS, MAS) were also conducted. One hundred and sixty six patients who returned to their jobs, were classified as the ‘Working group. Eighty seven patients did not return to their jobs. Among these cases, 16 patients had no desire to work again. Of these 16 patients, 15 who answered the four psychological tests completely, were especially notewarthy in this study (‘No job desire group’). Nineteen patients had the desire to work, but no appropriate jobs to which to return. For this reason, 15 of the 19 were classified as the ‘No job group’. First, the patients in the ‘No job desire group’ were compared with patients in the ‘Working group’ in terms of such social factors as sex, age, term of HD, school career and marrital status; these were speculated to be important factors in returning to their jobs. Secondly, the patients in the ‘No job desire group, and the ‘No job group’ were compared with each of the 30 patients matched and samplad from the ‘Working group with regards to the results of the four psychological tests.The results demonstrated that the percentages of male and single patients in the ‘No job desire group’ were significantly larger than those of patients in the ‘Working group’. In addition the average term of HD was comparatively shorter. School career appeared to be another factor preventing patients from returning to their jobs. Additionally, patients in the ‘No job desire group’ were significantly more neurotic, depressive and anxious, compared with matched patients from the ‘working group’ with comparable social factors. The data presented here led us to conclude that, patients on maintenance HD who lack the desire to work again need social support and psychological care.