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Bibliographische Angaben zur Publikation

Who returns to work after heart transplantation?


Autor/in:

White-Williams, C.; Jalowiec, A.; Grady, K.


Herausgeber/in:

International Society for Heart Transplantation


Quelle:

The Journal of Heart and Lung Transplantation, 2005, Volume 24 (Number 12), Seite 2255-2261, New York: Elsevier, ISSN: 1053-2498


Jahr:

2005



Abstract:


Background:

Detailed information regarding the work history of heart transplant patients is limited. Therefore, the work history and factors associated with return to work at 1 year after heart transplantation were examined in 237 heart transplant patients as part of a longitudinal quality-of-life study at two university medical centers. Patient characteristics were as follows: 81 % male; 89 % white; mean age 54 years (range 24 to 71); mean level of education 13 years; and 84 % were married.

Methods:

Data were collected using the following instruments: Work History tool; Rating Question Form; Heart Transplant Stressor Scale; Quality of Life Index; Sickness Impact Profile; Jalowiec Coping Scale; Social Support Index; Heart Transplant Symptom Checklist; and Chart Review Form. Frequency distributions, chi-square, t-tests and stepwise regression were used to examine the work history of patients.

Results:

Pre-transplant, only 17 % of patients were working as compared with 26 % (61 of 237) working by 1 year after transplant (p = 0. 003). Pre-transplant non-working patients (n = 197) were hospitalized more frequently, were more physically disabled, had more symptom distress, and rated their health as poorer. After heart transplant non-working patients (n = 176) had more rejection, infection and medical complications and more hospital days. Patients who were working either pre- or post-transplant were more likely to hold jobs that were less physically demanding. Factors significantly associated with return to work by 1 year after heart transplant were better functional ability, higher education, fewer endocrine problems, fewer acute rejection episodes and shorter heart transplant waiting time.

Conclusions:

Clinical and demographic variables influence return to work after heart transplantation. Knowledge of these variables provides the health-care team with information to assist patients in securing gainful employment.


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Dokumentart:


Zeitschriftenbeitrag / Forschungsergebnis




Bezugsmöglichkeit:


The Journal of Heart and Lung Transplantation
Homepage: https://www.jhltonline.org/

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Referenznummer:

R/ZA3104


Informationsstand: 11.01.2006

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