FACTORS AFFECTING EMPLOYMENT OF YOUNG PATIENTS UNDERGOING CHRONIC HEMODIALYSIS TREATMENT

THE AIM of the work was to determine the factors influencing the employment of young patients on hemodialysis (HD) and to assess the effects of the indices of clinical, mental and socialdemographic character on the employment of such patients. PATIENTS AND METHODS. The examination of 83 patients from 16 to 44 years of age treated by chronic HD included the determination of the indices of life quality by the SF36 method and of clinicolaboratory indices in order to estimate their influence on the employment of such patients. RESULTS. It was shown that in the group of the employed patients (n=18) reliably higher indices of life quality included the following: the estimation of vital activity (V) and the absence of pain (BP), less pronounced restrictions in every day activities because of the emotional state (RE), higher total indices of mental and physical health. Multivariate regression analysis has shown that the level of education is an independent and most significant predictor of the employment of HD patients. Higher education of the patient makes the probability of employment almost 12 times higher as compared with those having secondary or special secondary education. The employment also depends on the life quality of the patient: the higher the total subjective index of his mental health and the less negative the influence of his emotional state on the every day life, the higher the probability of employment. CONCLUSION. It was established that the education level and mental health are significant and independent predictors of the employment of young HD patients.

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