| ObjectiveTo analyze the influencing factors of the Readiness for Return-to-Work through investigating the current situation of the Readiness for Return-to-Work of young and middle-aged MHD patients by cross-sectional investigation.Furthermore,this paper is aim to explore the influences and correlations of self-management,self-efficacy and social support on the Readiness for Return-to-Work of young and middle-aged MHD patients.It provides theoretical support and reference for medical staff to help patients improve their social function,return to work as soon as possible or maintain a better working state,enhance their self-worth and improve their quality of life.MethodsThe convenience sampling method was adopted and 220 patients were selected who met the acceptance and discharge criteria in the hemodialysis center of a tertiary hospital in Dalian from November 2021 to May 2022 as the research subjects for cross-sectional investigation and research.The survey was conducted through the General Information Questionnaire,the Readiness for Return-To-Work Scale,the Hemodialysis Self-Management Scale,the Chronic Disease Self-Efficacy Scale and the Social Support Rating Scale.Excel was used to establish database,the original data was entered and checked by two people and finally SPSS21.0 was used for statistical analysis.The statistical methods included descriptive or single factor analysis,Spearman correlation analysis,Logistic regression analysis.Results1.The proportion of returning to work of young and middle-aged MHD patients was low(32.37%),and the non-return rate was as high as 67.63%,the Readiness for Return-to-Work was also at a low level.Among the patients who had not returned to work,36.91%were in the pre-intention stage,the average score was(3.11±1.08);29.53%were in the intention stage,the score was(3.31±1.18);24.16%were in the action preparation-assessment stage,the score was(2.48±0.85);Patients of the action preparation-behavior stage were fewest,9.40%,the score was(2.82±1.16).Among the patients who had returned to work,59.15%were in in the stage of uncertainty,the entries scored was(3.22±0.57);40.85%were in the active maintenance stage,the score was(4.02±0.71).2.The results of univariate analysis showed that age,marital status and living status were statistically significant in the comparison of the readiness to return to work among young and middle-aged MHD patients(P<0.05).There were significant differences in education level and dialysis years between the groups of patients who did not return to work(P<0.05),and there were significant differences in the nature of work after returning to work among the groups of patients who had returned to work(P<0.05).3.The results of Spearman correlation analysis showed that self-management,self-efficacy and social support levels were positively correlated with the Readiness for Return-to-Work of young and middle-aged MHD patients(r_s>0,P<0.05).4.The logistic regression analysis showed that the positive influencing factors of the Readiness for Return-to-Work of young and middle-aged MHD patients who did not return to work included age between 18～45 and 46～55 years old,self-efficacy,social support.However,the level of high school/secondary school education was a negative influencing factor.Among the patients who had returned to work,56-59 years old,mental and physical work after returning to work were the negative factors affecting the Readiness for Return-to-Work,while self-management,self-efficacy and social support were positive factors.Conclusions1.In this study,the level of Readiness for Return-to-Work and the rate of return to work among young and middle-aged MHD patients need to be improved.2.The level of the Readiness for Return-to-Work of young and middle-aged MHD patients is affected by age,marital status,residence status,education level,dialysis years,and work nature to a certain extent.Self-management,self-efficacy and social support are positively correlated with patients’readiness to return to work.The higher level of self-management,self-efficacy and social support,and the more conducive of improving their readiness to return to work.3.Age is a negative impact factor for patients’Readiness for Return-to-Work,the older the patient,the lower of the Readiness for Return-to-Work.For patients who did not return to work,high school/secondary school was a negative factor;self-efficacy and social support were positive influencing factors of the Readiness for Return-to-Work.For patients who had returned to work,both mental and physical work after returning to work was a negative factor;self-management,self-efficacy and social support were positive factors. |
