患者的专业就业在心室辅助器件支持-一个国家多中心调查研究研究
Christiane Kugler1, Hannah Spielmann1, Wolfgang Albert2
1From the Faculty of Medicine, Institute of Nursing Science, University of Freiburg, Freiburg, Germany.
概括
在心室辅助装置 (VAD) 植入后的专业就业率很低,但与更好的生活质量有关. 这项研究表明,为选定的VAD患者提供就业支持可能会改善心理社会重返和功能恢复.
科学领域:
- 心脏病学 心脏病学
- 机械循环支持 机械循环支持
- 康复医学 康复医学 康复医学
背景情况:
- 室腔辅助器件 (VAD) 对于末期心力衰竭至关重要.
- 对VAD接受者来说,评估功能恢复和心理社会重新整合至关重要.
- 专业就业是成功康复的潜在替代标记.
研究的目的:
- 评估VAD植入后的劳动年龄患者的职业就业率.
- 确定与专业就业相关的因素.
- 检查就业与与健康有关的生活质量 (HRQoL) 和不良事件之间的关系.
主要方法:
- 一项全国性的多中心研究调查了375名接受VAD支持的门诊患者.
- 使用了患者报告的结果措施,包括堪萨斯城心肌病问卷 (KCCQ).
- 回归分析确定了就业及其关联的预测因素.
主要成果:
- 只有15.15%的患者恢复了职业就业,大多数人是移植的桥梁.
- 年龄较小和高等教育与就业有显著的关联.
- 雇佣患者报告HRQoL较高,不良事件没有显著差异.
结论:
- 专业就业是VAD患者的一个子集可以实现的.
- 高等教育和年轻的年龄是回归工作的关键预测因素.
- 支持就业可能会增强VAD接受者的HRQoL和心理社会再融入.
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