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Enfermería Nefrológica
versão On-line ISSN 2255-3517versão impressa ISSN 2254-2884
Resumo
JULIAN-MAURO, Juan Carlos; MUNOZ-CARRASQUILLA, Sara e ROSADO-LAZARO, Inés. Factors associated with the labor integration of people on renal replacement therapy in Spain. Enferm Nefrol [online]. 2020, vol.23, n.2, pp.176-183. Epub 05-Out-2020. ISSN 2255-3517. https://dx.doi.org/10.37551/s2254-28842020017.
Introduction:
People on renal replacement therapy at working age traditionally have significantly lower employment rates than the general population.
Objective:
To describe the employment situation of people with chronic kidney disease on renal replacement therapy in Spain and to identify the significant associated factors.
Material and Method:
Observational, descriptive, cross-sectional and comparative study of people in the different renal replacement treatments, during the work period of 16 to 64 years. Their employment situation and other socio-demographic and socio-economic factors were analysed through the use of an ad hoc questionnaire.
Results:
In 437 people with advanced chronic kidney disease on haemodialysis, peritoneal dialysis or transplantation. The employment rate was 27%, 84.21% of people had a certificate of disability and 46.45% had a recognized incapacity for work. The transplanted persons presented higher monthly economic income. Patients receiving home dialysis had a higher employment rate (37.64% compared to 27.89% of transplant recipients, and 20.37% of people on centre haemodialysis).
Conclusions:
People in renal replacement therapy at working age have significant limitations in access to employment. Although, there are important differences depending on the treatment option chosen. Information and decision-making regarding the option of renal replacement treatment are key for maintaining or obtaining a job, for the future economic situation, and even for the recognition of incapacity for work.
Palavras-chave : Haemodialysis; Peritoneal dialysis; Kidney transplant; Employment; Disability; Incapacity for work.