Factors associated with returning to work in liver transplantation survivors: A cross-sectional study.

IF 2.1 3区医学 Q2 NURSING

Asian Nursing Research Pub Date : 2025-04-04 DOI:10.1016/j.anr.2025.02.001

Yuxin Rao, Saxiao Tang, Feicui Lv, Li Dong, Li Ji, Zhiru Li, Ruijie Bao, Jingyun Wu, Fangyan Lu

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引用次数: 0

Abstract

Purpose: To investigate the current state of return to work (RTW) and the influencing factors among liver transplantation (LT) survivors in China.

Methods: Cross-sectional study design, a convenience sample of 210 LT survivors aged > 18 years who was performed LT for the first time and at least 6 months postliver transplant was selected between April and August 2023. Binary logistic regression was used to analyse the independent influencing factors of RTW. The study was reported following the STROBE checklist.

Results: A total of 201 LT survivors were included in the study; 109 (54.2%) returned to work, and the median, interquartile range (IQR) of their work ability index (WAI) score was 40.00 (6.00), which indicates good work ability (WA) to the work. Binary logistic regression analysis demonstrated that light economic burden (OR = 0.13, 95%CI = 0.016-0.966), time passed of 1-3 years after LT (OR = 6.37, 95%CI = 1.697-23.933), willingness to RTW (OR = 15.50, 95%CI = 2.171-110.683), good psychosocial adjustment level (OR = 17.46, 95%CI = 2.290-133.044), symptom intensity (OR = 0.75, 95%CI = 0.610-0.927) and WA (OR = 1.27, 95%CI = 1.135-1.426) were the independent influencing factors for LT survivors returning to work.

Conclusion: The rate of RTW among LT survivors is relatively low, and their WA is moderate. Medical staff should focus on LT survivors with poor psychosocial adjustment, poor work ability and poor symptom experience in clinical practice. Targeted intervention programs should be designed to promote the successful RTW of LT survivors to achieve a normal life and good long-term prognosis.

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肝移植幸存者重返工作岗位的相关因素：一项横断面研究

目的：了解中国肝移植术后患者复工情况及其影响因素。方法：采用横断面研究设计，选取2023年4月至8月期间首次行肝移植且肝移植后至少6个月的210例年龄在bb0 ~ 18岁的肝移植幸存者作为方便样本。采用二元logistic回归分析RTW的独立影响因素。该研究按照STROBE检查表进行报告。结果：共有201名LT幸存者纳入研究；109人（54.2%）重返工作岗位，其工作能力指数（WAI）得分中位数（IQR）为40.00(6.00)，表明对工作有较好的工作能力（WA）。二元逻辑回归分析表明,光经济负担(OR = 0.13, 95% ci = 0.016 - -0.966),时间的流逝后的1 - 3年LT (OR = 6.37, 95% ci = 1.697 - -23.933),愿意环球套票(OR = 15.50, 95% ci = 2.171 - -110.683),调整好心理水平(OR = 17.46, 95% ci = 2.290 - -133.044),症状强度(OR = 0.75, 95% ci = 0.610 - -0.927)和佤邦(OR = 1.27, 95% ci = 1.135 - -1.426)的独立影响因素LT幸存者回到工作。结论：肝移植幸存者RTW发生率较低，WA适中。在临床实践中，医务人员应重点关注心理社会适应能力差、工作能力差、症状体验差的LT幸存者。应该设计有针对性的干预方案，以促进肝移植幸存者成功的RTW，实现正常的生活和良好的长期预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asian Nursing Research NURSING-

CiteScore

4.20

自引率

4.50%

发文量

审稿时长

45 days

期刊介绍： Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.