Intentions of Return to Work and Relating Factors in Patients Receiving Hemodialysis

• Main Authors: Lin Chia-chi, 林佳錡
• Other Authors: Yeh Ming-Chen
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/vv45zv

碩士 === 弘光科技大學 === 護理研究所 === 104 === Taiwan had the highest prevalence rate of chronic kidney disease globally. The hemodialysis population is increasing. Patients undergoing dialysis experience multiple challenges and need adaptations in physical, psychological, social, and familial aspects, also in working career. However, lack of studies focused on return to work in hemodialysis patients. This study was based on the Theory of Planned Behavior by Ajzen to investigate the intention of return to work in hemodialysis patients in Taiwan and relating factors. Participants of 195 hemodialysis patients were recruited from one teaching hospital in northern Taiwan. A structured questionnaire was used to do this cross-sectional survey. The results showed that: 1. Intention of return to work: Hemodialysis patients of 55.9% wished to have a paid employment, 53.8% want to be working; and 43.1% think they will be able to work, but only 23.8% plan to work. In general, Hemodialysis patients tend not to work slightly. 2. Attitude toward return to work: Hemodialysis patients believe that return to work will have positive and negative results, and think of the negatives highly. 3. Subjective norms: Hemodialysis patients feel suffering negative pressure of society in return to work, especially in their families, followed by doctors, former employer, friends and colleagues. 4. Perceived behavior control: Hemodialysis patients believe that return to work or not was controlled by themselves, but they don’t think they have the ability to. It’s hard to return to work. They think that facilitators can’t promote the return to work whereas the inhibitors impede, especially in the “physical limitations” and “have a work to do”. 5. Gender, age, level of education, marriage, physical function, former work, years of stop working, income and source, years of receiving hemodialysis, attitude toward return to work, subjective norms, and perceived behavior control have statistically significant relationships with the intention of return to work. 6. Factors of Marriage, former work, years of stop working, attitude toward return to work, subjective norms, and perceived behavior control were significantly predicted the intention of return to work in hemodialysis patients (adjust R2 = 0.81). For hemodialysis patients who were single, stop working within three years, were light to moderate labor, and willing to return to work, the healthcare team can increase their positive attitude, help to change their subjective norms, and increase their perceived behavior control and physical functions; also help to transfer or deliver consultations to help them return to work.