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, 吕万刚. 有氧运动对改善维持性血液透析患者生存质量有效性的 Meta 分析. 中国康复医学杂志, 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, 孙超, 崔家祯, 等. 透析中递增式抗阻运动改善维持性血液透析(MHD)患者的心肺耐力、心理状态和健康相关生活质量. 中国血液净化, 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.	马永堂. 关于就业、失业和不充分就业的国际定义与统计方法. 中国劳动, 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.	Helanterä 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.	张兰, 孙超, 程艳娇, 等. 维持性血液透析患者心理和认知功能调查及其影响因素分析. 中国血液净化, 2019, 18(2): 107-109.
14.	徐文女, 翁静静, 姜玲燕. 维持性血液透析患者症状负担及生活质量之间的相关性分析. 健康研究, 2019, 39(1): 25-28.
15.	郝艳华, 姜亚芳. 维持性血液透析患者症状经历的调查研究. 中华护理杂志, 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.	祝延红, 胡善联, 陈新乐. 血液透析与腹膜透析的费用及疾病经济负担分析. 中华医院管理杂志, 2003, 19(7): 413-416.
20.	吴雷云, 贾强, 张爱华. 蛋白质能量消耗与维持性血液透析患者预后的关系. 医学研究杂志, 2021, 50(9): 32-37.
21.	王家林, 张敏, 王少艳, 等. 维持性血液透析患者瘦体质量与死亡风险相关性研究. 中国血液净化, 2019, 18(6): 382-385.
22.	宋亦琪, 倪丽, 陈靖. 维持性血液透析患者营养评估及相关进展. 中国血液净化, 2018, 17(1): 51-53.
23.	张雪琴, 杨淑芬, 宋雪, 等. 维持性血液透析患者的蛋白质能量消耗. 华西医学, 2020, 35(7): 868-872.
24.	程艳娇, 韩玮, 宋桂芸, 等. 透析中的卧位体操对维持性血液透析患者的影响. 中华肾脏病杂志, 2015, 31(8): 583-588.
25.	王霞, 宗慧敏, 刘春蓓, 等. 肥胖相关性肾病的远期预后及危险因素分析. 肾脏病与透析肾移植杂志, 2018, 27(6): 507-512.
26.	刘航, 王世相. 透析患者的肥胖与生存率的关系. 山西医药杂志, 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, 吕万刚. 有氧运动对改善维持性血液透析患者生存质量有效性的 Meta 分析. 中国康复医学杂志, 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, 孙超, 崔家祯, 等. 透析中递增式抗阻运动改善维持性血液透析(MHD)患者的心肺耐力、心理状态和健康相关生活质量. 中国血液净化, 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. 马永堂. 关于就业、失业和不充分就业的国际定义与统计方法. 中国劳动, 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. Helanterä 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. 张兰, 孙超, 程艳娇, 等. 维持性血液透析患者心理和认知功能调查及其影响因素分析. 中国血液净化, 2019, 18(2): 107-109.
14. 徐文女, 翁静静, 姜玲燕. 维持性血液透析患者症状负担及生活质量之间的相关性分析. 健康研究, 2019, 39(1): 25-28.
15. 郝艳华, 姜亚芳. 维持性血液透析患者症状经历的调查研究. 中华护理杂志, 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. 祝延红, 胡善联, 陈新乐. 血液透析与腹膜透析的费用及疾病经济负担分析. 中华医院管理杂志, 2003, 19(7): 413-416.
20. 吴雷云, 贾强, 张爱华. 蛋白质能量消耗与维持性血液透析患者预后的关系. 医学研究杂志, 2021, 50(9): 32-37.
21. 王家林, 张敏, 王少艳, 等. 维持性血液透析患者瘦体质量与死亡风险相关性研究. 中国血液净化, 2019, 18(6): 382-385.
22. 宋亦琪, 倪丽, 陈靖. 维持性血液透析患者营养评估及相关进展. 中国血液净化, 2018, 17(1): 51-53.
23. 张雪琴, 杨淑芬, 宋雪, 等. 维持性血液透析患者的蛋白质能量消耗. 华西医学, 2020, 35(7): 868-872.
24. 程艳娇, 韩玮, 宋桂芸, 等. 透析中的卧位体操对维持性血液透析患者的影响. 中华肾脏病杂志, 2015, 31(8): 583-588.
25. 王霞, 宗慧敏, 刘春蓓, 等. 肥胖相关性肾病的远期预后及危险因素分析. 肾脏病与透析肾移植杂志, 2018, 27(6): 507-512.
26. 刘航, 王世相. 透析患者的肥胖与生存率的关系. 山西医药杂志, 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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