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Related Experiment Videos

Differences between employed and nonemployed dialysis patients

R B Curtin1, E T Oberley, P Sacksteder

  • 1Medical Education Institute, University Research Park, Madison, WI, USA.

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
|April 1, 1996
PubMed
Summary

Employment in chronic dialysis patients is linked to education and functional status, not dialysis specifics. Patient beliefs about work ability act as a self-fulfilling prophecy, highlighting potential for vocational rehabilitation.

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Area of Science:

  • Nephrology
  • Psychology
  • Vocational Rehabilitation

Background:

  • Employment rates among chronic dialysis patients remain low.
  • Factors influencing employment in this population require further investigation.

Purpose of the Study:

  • To identify characteristics differentiating employed from nonemployed chronic dialysis patients.
  • To explore the role of patient beliefs and functional status in employment outcomes.

Main Methods:

  • Survey of 359 chronic dialysis patients assessing employment status.
  • Analysis of demographic, clinical, functional status, and attitudinal variables.

Main Results:

  • Higher education and better functional status (MOS SF-20, Karnofsky) were associated with employment.

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  • Patient beliefs that dialysis patients can and should work, reinforced by others, predicted employment (self-fulfilling prophecy).
  • Perceived health limitations on work ability were negatively associated with employment.

    • Conclusions:

    • Education and functional status are key correlates of employment in dialysis patients.
    • Patient attitudes and beliefs significantly influence employment, acting as a self-fulfilling prophecy.
    • Targeted vocational rehabilitation for willing and able patients could increase employment rates.