Association Between Work Status and Quality of Life in End-Stage Renal Disease Patients During the First Year of Hemodialysis

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY Hemodialysis International Pub Date : 2025-03-11 DOI:10.1111/hdi.13221

Saule B. Bodesova, Nazym S. Sagandykova, Kurmet Danebek, Bagdat G. Sultanova, Madina B. Baurzhan, Yerbol S. Onalbekov

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Abstract

Introduction

End-stage renal disease patients have impaired health-related quality of life as compared to the general population due to the combined effects of the disease and hemodialysis (HD) therapy. As a result, poor quality of life increases their risk of mortality and hospitalization and affects their general well-being. While existing rehabilitation programs aim to improve physical activity in HD patients, the link between work status, particularly within the first year of treatment, and their quality of life remains unclear.

Objectives

This study aimed to compare the quality of life of working and nonworking end-stage renal disease patients during their first year of HD.

Materials and Methods

The comparative cross-sectional study involved 120 patients (60 working, 60 non- working) with end-stage renal disease at the hemodialysis (HD) centers during their first year of HD. Patients were administered the SF-36 survey to determine their physical and mental health levels. Statistical analyses, including Mann–Whitney U tests, Spearman's correlation, and multiple regression, were performed using SPSS 22.

Results

Employed patients demonstrated significantly higher physical functioning (MR = 82.37, Me = 41.27) and mental health (MR = 74.33, Me = 47.22) scores compared to non-employed (MR = 38,63, Me = 29.07 and MR = 46.67, Me = 38,14, respectively) (p < 0.001). Employment is a significant predictor of high quality of life (B = 11.6 for PF, B = 6.5 for MH). Despite older age and increased prevalence of comorbidities, employed patients demonstrate better quality of life results.

Conclusion

Employment has a positive effect on the quality of life of patients with chronic renal failure receiving HD, indicating that their regimen may be improved by incorporating work into the treatment program. Employment opportunities for patients with chronic renal failure receiving dialysis should be explored in the future.

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终末期肾病患者血液透析第一年工作状态与生活质量的关系

与一般人群相比，由于疾病和血液透析（HD）治疗的联合作用，终末期肾病患者的健康相关生活质量受损。因此，生活质量差增加了他们死亡和住院的风险，并影响到他们的总体福祉。虽然现有的康复计划旨在改善HD患者的身体活动，但工作状态，特别是在治疗的第一年，与他们的生活质量之间的联系尚不清楚。目的：本研究旨在比较工作和非工作终末期肾病患者在HD第一年的生活质量。材料和方法：比较横断面研究涉及120例终末期肾病患者（60例工作，60例非工作），在血液透析（HD）中心接受HD治疗的第一年。对患者进行SF-36调查，以确定他们的身心健康水平。采用SPSS 22进行统计分析，包括Mann-Whitney U检验、Spearman相关和多元回归。结果：有工作患者的身体功能评分（MR = 82.37, Me = 41.27）和心理健康评分（MR = 74.33, Me = 47.22）均显著高于无工作患者（MR = 38,63, Me = 29.07, MR = 46.67, Me = 38,14） (p)。结论：就业对慢性肾功能衰竭合并HD患者的生活质量有积极影响，将工作纳入治疗方案可改善其生活方式。对于接受透析治疗的慢性肾功能衰竭患者，未来应探索其就业机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hemodialysis International UROLOGY & NEPHROLOGY-

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis. The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.