Multi-center survey of employment status of maintenance hemodialysis patients and analysis of influencing factors_West China Medical Journal

Authors：

ZHANG Lan ,  MA Yingchun

Department of Nephrology, Beijing Bo’ai Hospital, China Rehabilitation Research Center, Rehabilitation Medical College of Capital Medical University, Beijing 100068, P. R. China;

Corresponding?author：

MA Yingchun, Email: mych323@163.com

Keywords：

Hemodialysis; obtain employment; multiple factor analysis

DOI：

10.7507/1002-0179.202304074

Video：

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Objective To investigate and analyze the employment status and related influencing factors of maintenance hemodialysis (MHD) patients. Methods MHD patients from four hemodialysis centers in Beijing between January 2020 and January 2021 were selected. The baseline data and clinical data of patients with long dialysis interval were collected. An anxiety and depression survey was conducted on the patient. Results A total of 108 MHD patients were included. Among them, 41 patients were working and 67 patients were not working. Among the 41 patients at work, there were 3 workers, 1 farmer, 14 company employees, 6 public institution employees, 11 self-employed, 5 freelancer and 1 other. Among the 67 patients who did not work, 8 patients had the ability to work but did not work. Body mass index was an independent influencing factor for employment in MHD patients [odds ratio=1.135, 95% confidence interval (1.017, 1.266), P=0.024]. Conclusion The nutritional status of MHD patients should be taken seriously to improve their employment rate.

Citation： ZHANG Lan, MA Yingchun. Multi-center survey of employment status of maintenance hemodialysis patients and analysis of influencing factors. West China Medical Journal, 2023, 38(7): 1042-1046. doi: 10.7507/1002-0179.202304074 Copy

1.	Joshi U, Subedi R, Poudel P, et al. Assessment of quality of life in patients undergoing hemodialysis using WHOQOL-BREF questionnaire: a multicenter study. Int J Nephrol Renovasc Dis, 2017, 10: 195-203.
2.	Ravindran A, Sunny A, Kunnath RP, et al. Assessment of quality of life among end-stage renal disease patients undergoing maintenance hemodialysis. Indian J Palliat Care, 2020, 26(1): 47-53.
3.	高思垚, 呂萬剛. 有氧運動對改善維持性血液透析患者生存質量有效性的 Meta 分析. 中國康復醫學雜志, 2019, 34(4): 453-459.
4.	Huang M, Lv A, Wang J, et al. Exercise training and outcomes in hemodialysis patients: systematic review and meta-analysis. Am J Nephrol, 2019, 50(4): 240-254.
5.	王欣欣, 孫超, 崔家禎, 等. 透析中遞增式抗阻運動改善維持性血液透析(MHD)患者的心肺耐力、心理狀態和健康相關生活質量. 中國血液凈化, 2014, 13(5): 390-393.
6.	Gerogianni G, Babatsikou F, Polikandrioti M, et al. Management of anxiety and depression in haemodialysis patients: the role of non-pharmacological methods. Int Urol Nephrol, 2019, 51(1): 113-118.
7.	Goldstein LH, Robinson EJ, Mellers JDC, et al. Cognitive behavioural therapy for adults with dissociative seizures (CODES): a pragmatic, multicentre, randomised controlled trial. Lancet Psychiatry, 2020, 7(6): 491-505.
8.	馬永堂. 關于就業、失業和不充分就業的國際定義與統計方法. 中國勞動, 2015(2): 21-26.
9.	Kirkeskov L, Carlsen RK, Lund T, et al. Employment of patients with kidney failure treated with dialysis or kidney transplantation-a systematic review and meta-analysis. BMC Nephrol, 2021, 22(1): 348.
10.	Helanter? I, Haapio M, Koskinen P, et al. Employment of patients receiving maintenance dialysis and after kidney transplant: a cross-sectional study from Finland. Am J Kidney Dis, 2012, 59(5): 700-706.
11.	Fan L, Sarnak MJ, Tighiouart H, et al. Depression and all-cause mortality in hemodialysis patients. Am J Nephrol, 2014, 40(1): 12-18.
12.	Bergua V, Meillon C, Potvin O, et al. The STAI-Y trait scale: psychometric properties and normative data from a large population-based study of elderly people. Int Psychogeriatr, 2012, 24(7): 1163-1171.
13.	張蘭, 孫超, 程艷嬌, 等. 維持性血液透析患者心理和認知功能調查及其影響因素分析. 中國血液凈化, 2019, 18(2): 107-109.
14.	徐文女, 翁靜靜, 姜玲燕. 維持性血液透析患者癥狀負擔及生活質量之間的相關性分析. 健康研究, 2019, 39(1): 25-28.
15.	郝艷華, 姜亞芳. 維持性血液透析患者癥狀經歷的調查研究. 中華護理雜志, 2016, 51(3): 299-303.
16.	Lakshmi BS, Kumar ACV, Reddy HK, et al. Employment status of patients receiving maintenance dialysis-peritoneal and hemodialysis: a cross-sectional study. Indian J Nephrol, 2017, 27(5): 384-388.
17.	Kutner N, Bowles T, Zhang R, et al. Dialysis facility characteristics and variation in employment rates: a national study. Clin J Am Soc Nephrol, 2008, 3(1): 111-116.
18.	Huang B, Lai B, Xu L, et al. Low employment and low willingness of being reemployed in Chinese working-age maintained hemodialysis patients. Ren Fail, 2017, 39(1): 607-612.
19.	祝延紅, 胡善聯, 陳新樂. 血液透析與腹膜透析的費用及疾病經濟負擔分析. 中華醫院管理雜志, 2003, 19(7): 413-416.
20.	吳雷云, 賈強, 張愛華. 蛋白質能量消耗與維持性血液透析患者預后的關系. 醫學研究雜志, 2021, 50(9): 32-37.
21.	王家林, 張敏, 王少艷, 等. 維持性血液透析患者瘦體質量與死亡風險相關性研究. 中國血液凈化, 2019, 18(6): 382-385.
22.	宋亦琪, 倪麗, 陳靖. 維持性血液透析患者營養評估及相關進展. 中國血液凈化, 2018, 17(1): 51-53.
23.	張雪琴, 楊淑芬, 宋雪, 等. 維持性血液透析患者的蛋白質能量消耗. 華西醫學, 2020, 35(7): 868-872.
24.	程艷嬌, 韓瑋, 宋桂蕓, 等. 透析中的臥位體操對維持性血液透析患者的影響. 中華腎臟病雜志, 2015, 31(8): 583-588.
25.	王霞, 宗慧敏, 劉春蓓, 等. 肥胖相關性腎病的遠期預后及危險因素分析. 腎臟病與透析腎移植雜志, 2018, 27(6): 507-512.
26.	劉航, 王世相. 透析患者的肥胖與生存率的關系. 山西醫藥雜志, 2007, 36(6): 537-539.
27.	Lin TY, Hung SC, Lim PS. Central obesity and incident atherosclerotic cardiovascular disease events in hemodialysis patients. Nutr Metab Cardiovasc Dis, 2020, 30(3): 500-507.

1. Joshi U, Subedi R, Poudel P, et al. Assessment of quality of life in patients undergoing hemodialysis using WHOQOL-BREF questionnaire: a multicenter study. Int J Nephrol Renovasc Dis, 2017, 10: 195-203.
2. Ravindran A, Sunny A, Kunnath RP, et al. Assessment of quality of life among end-stage renal disease patients undergoing maintenance hemodialysis. Indian J Palliat Care, 2020, 26(1): 47-53.
3. 高思垚, 呂萬剛. 有氧運動對改善維持性血液透析患者生存質量有效性的 Meta 分析. 中國康復醫學雜志, 2019, 34(4): 453-459.
4. Huang M, Lv A, Wang J, et al. Exercise training and outcomes in hemodialysis patients: systematic review and meta-analysis. Am J Nephrol, 2019, 50(4): 240-254.
5. 王欣欣, 孫超, 崔家禎, 等. 透析中遞增式抗阻運動改善維持性血液透析(MHD)患者的心肺耐力、心理狀態和健康相關生活質量. 中國血液凈化, 2014, 13(5): 390-393.
6. Gerogianni G, Babatsikou F, Polikandrioti M, et al. Management of anxiety and depression in haemodialysis patients: the role of non-pharmacological methods. Int Urol Nephrol, 2019, 51(1): 113-118.
7. Goldstein LH, Robinson EJ, Mellers JDC, et al. Cognitive behavioural therapy for adults with dissociative seizures (CODES): a pragmatic, multicentre, randomised controlled trial. Lancet Psychiatry, 2020, 7(6): 491-505.
8. 馬永堂. 關于就業、失業和不充分就業的國際定義與統計方法. 中國勞動, 2015(2): 21-26.
9. Kirkeskov L, Carlsen RK, Lund T, et al. Employment of patients with kidney failure treated with dialysis or kidney transplantation-a systematic review and meta-analysis. BMC Nephrol, 2021, 22(1): 348.
10. Helanter? I, Haapio M, Koskinen P, et al. Employment of patients receiving maintenance dialysis and after kidney transplant: a cross-sectional study from Finland. Am J Kidney Dis, 2012, 59(5): 700-706.
11. Fan L, Sarnak MJ, Tighiouart H, et al. Depression and all-cause mortality in hemodialysis patients. Am J Nephrol, 2014, 40(1): 12-18.
12. Bergua V, Meillon C, Potvin O, et al. The STAI-Y trait scale: psychometric properties and normative data from a large population-based study of elderly people. Int Psychogeriatr, 2012, 24(7): 1163-1171.
13. 張蘭, 孫超, 程艷嬌, 等. 維持性血液透析患者心理和認知功能調查及其影響因素分析. 中國血液凈化, 2019, 18(2): 107-109.
14. 徐文女, 翁靜靜, 姜玲燕. 維持性血液透析患者癥狀負擔及生活質量之間的相關性分析. 健康研究, 2019, 39(1): 25-28.
15. 郝艷華, 姜亞芳. 維持性血液透析患者癥狀經歷的調查研究. 中華護理雜志, 2016, 51(3): 299-303.
16. Lakshmi BS, Kumar ACV, Reddy HK, et al. Employment status of patients receiving maintenance dialysis-peritoneal and hemodialysis: a cross-sectional study. Indian J Nephrol, 2017, 27(5): 384-388.
17. Kutner N, Bowles T, Zhang R, et al. Dialysis facility characteristics and variation in employment rates: a national study. Clin J Am Soc Nephrol, 2008, 3(1): 111-116.
18. Huang B, Lai B, Xu L, et al. Low employment and low willingness of being reemployed in Chinese working-age maintained hemodialysis patients. Ren Fail, 2017, 39(1): 607-612.
19. 祝延紅, 胡善聯, 陳新樂. 血液透析與腹膜透析的費用及疾病經濟負擔分析. 中華醫院管理雜志, 2003, 19(7): 413-416.
20. 吳雷云, 賈強, 張愛華. 蛋白質能量消耗與維持性血液透析患者預后的關系. 醫學研究雜志, 2021, 50(9): 32-37.
21. 王家林, 張敏, 王少艷, 等. 維持性血液透析患者瘦體質量與死亡風險相關性研究. 中國血液凈化, 2019, 18(6): 382-385.
22. 宋亦琪, 倪麗, 陳靖. 維持性血液透析患者營養評估及相關進展. 中國血液凈化, 2018, 17(1): 51-53.
23. 張雪琴, 楊淑芬, 宋雪, 等. 維持性血液透析患者的蛋白質能量消耗. 華西醫學, 2020, 35(7): 868-872.
24. 程艷嬌, 韓瑋, 宋桂蕓, 等. 透析中的臥位體操對維持性血液透析患者的影響. 中華腎臟病雜志, 2015, 31(8): 583-588.
25. 王霞, 宗慧敏, 劉春蓓, 等. 肥胖相關性腎病的遠期預后及危險因素分析. 腎臟病與透析腎移植雜志, 2018, 27(6): 507-512.
26. 劉航, 王世相. 透析患者的肥胖與生存率的關系. 山西醫藥雜志, 2007, 36(6): 537-539.
27. Lin TY, Hung SC, Lim PS. Central obesity and incident atherosclerotic cardiovascular disease events in hemodialysis patients. Nutr Metab Cardiovasc Dis, 2020, 30(3): 500-507.

West China Medical Journal

Multi-center survey of employment status of maintenance hemodialysis patients and analysis of influencing factors

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