维持性血液透析患者就业状况的多中心调查及影响因素分析

Multi-center survey of employment status of maintenance hemodialysis patients and analysis of influencing factors

目的探讨维持性血液透析(maintenance hemodialysis,MHD)患者的就业状况及相关影响因素。方法选择2020年1月—2021年1月北京4家医院血液透析中心的MHD患者。收集患者的基线资料和长透析间期的临床资料,并进行焦虑抑郁情况调查。结果共纳入MHD患者108例。其中,工作41例,未工作67例。在工作的41例患者中,工人3例,农民1例,公司职员14例,事业单位员工6例,个体经营者11例,自由职业者5例,其他1例。在未工作的67例患者中,有工作能力但未工作8例。体质量指数是MHD患者就业的独立影响因素[比值比为1.135,95%置信区间(1.017,1.266),P=0.024]。结论应重视MHD患者的营养状况,以提高其就业率。

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.