Abstract:

Objective To investigate the status quo of readiness for return-to-work among patients afterkidney transplantation and to analyze its influencing factors. Methods By using the general data questionnaire，Chinese version of the readiness for return-to-work scale（RRTW），brief illness perception questionnaire（BIPQ）and the general self-efficacy scale（GSES），a total of 241 respondents from transplantation clinics of two teaching affiliated hospitals in Wuhan were investigated. Results The rate of return-to-work among kidney transplant recipients was 50.2%，and the mean return time was（8.57±7.09）months after surgery. Patients who did not return-to-work accounted for the highest proportion in intention stage（43.3%）. Meanwhile，the proportion of patients who had returned to work in active maintenance stage was 71.7%. The average score was（38.21±8.95）points for illness perception，（23.53±4.44）points for self-efficacy. Renal function，whether having children，illness perception and self-efficacy were the influencing factors of readiness for return-to-work among kidney transplant recipients（all P ＜ 0.05）. Conclusion Kidney transplant patients' readiness for return-to-work is at a moderate level. Medical workers should pay attention to postoperative health follow-up of patients and provide targeted interventions to helpthem return to work and improve their readiness for return to work.

Key words:

"> Kidney transplant ； Readiness for return-to-work ；Illness perception ； Self-efficacy ；Influencing factors

摘要：

目的 了解肾移植患者重返工作准备度现状并分析其影响因素。方法 采用一般资料调查表、重返工作准备度量表（readiness for return-to-work scale，RRTW）、简易疾病感知问卷（brief illness perception questionnaire，BIPQ）和一般自我效能感量表（general self-efficacy scale，GSES）调查武汉市两所教学附属医院移植门诊进行随访的 241 例肾移植患者。结果 肾移植患者重返工作率为 50.2%，平均返岗时间为术后（8.57±7.09）个月。未返岗患者处于意向阶段占比最高（43.3%）；已返岗患者处于主动维持阶段占比最高（71.7%）。疾病感知得分为（38.21±8.95）分，自我效能感总分为（23.53±4.44）分。移植肾功能、有无子女、疾病感知、自我效能是肾移植患者重返工作准备度的主要影响因素（均 P ＜ 0.05）。结论 肾移植患者重返工作准备度处于中等水平，医护工作者应注重患者术后健康随访，有针对性地提供干预，以帮助患者重返岗位，提升患者重返工作准备度。

关键词:

肾移植 , 重返工作准备度 , 疾病感知 , 自我效能感 , 影响因素