만성신부전증 환자의 사회복귀 상태
Physical and Occupational Rehabilitation in Patients with End-Stage Renal Disease
이희발, 방병기, 황승덕,
소속 상세정보
이희발 ( ) - 순천향대학병원 내과
방병기 ( ) - 가톨릭의대부속 강남성모병원 내과
황승덕 ( ) - 순천향대학병원 내과
KMID : 0360919610040010075
Abstract
Physical activity and employment status of patients on hemodialysis(HD), CAPD and kidney transplant(Tx) recipients were assessed by questionnaires sent to 43 dialysis and transplantation centers. Questionnaires contained 21 items for individual patients and 3 items for physicians and/or nurses caring for the patients. A total of 464 patients(274 HD, 133 CAPD and 57 Tx) from 15 centers responded.
By their own assessment using Karnofsky scale, 73.7°0 of transplant recipients, 50.0% of CAPD and 35.7% of HD patients were able to carry on normal activity and to work. These rates increased to 100%, 74.6% and 65.6% of transplant recipients, CAPD and HD patients respectively -포두 physicians or dialysis nurses evaluated the performance status of their patients using the same scale. The transplant recipients were younger and had higher levels of education than patients on dialysis.
Despite these high ratings in performance scale only 43.9°a of transplant recipients, 46.6% of CAPD and 34.4°0 of HD patients were holding jobs at the time of this survey. Majority of employed patients reported that they were able to work at nearly normal levels.
The results of this study suggest that the transplant recipients are better rehabilitated physically than CAPD and center HD patients and that CAPD patients do better than center HD patients but that employment status is far less than expected in all treatment groups.
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