Korean Journal of Nephrology 1985;4(1):75-83.

만성신부전증 환자의 사회복귀 상태

이희발 , 황승덕 , 방병기

Abstract

Physical activity and employment status of patients on hemodialysis(HD), CAPD and kidney transplant(Tx) recipients were assessed by que- stionnaires 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 usin Karnofsky scale, 73,7 % of transplant recipients,' 50.0% of CAPD and 35. 7% of HD patients wer able to carry on normal activity and to work. These rates incre- ased to 100%, 74. 6% and 65, 6%' of transplant recipients, CAPD and HD patients respectively when physicians or dialysis nurses evaluated the performance status of their patients using the same scale. The transplant recipients were youn- ger and had higher levels of education than patie- nts on dialysis. Despite these high ratings in performance scale only 43. 9 % of transplant recipients, 46. 6% of CAPD and 34,4% 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 I and that CAPD patients do better than center HD patient but that employment status is far less than expected in all treatment groups.