Job resumption status, hindering factors, and interpersonal relationship within postheart transplant 1 to 4 years as perceived by heart transplant recipients in Taiwan: A between-method triangulation study
Journal
Transplantation Proceedings
Journal Volume
42
Journal Issue
10
Pages
4247-4250
Date Issued
2010
Author(s)
Abstract
Introduction This project examined heart transplant (HT) recipients' perspectives of (a) the changes in their working competence (WC), status for job resumption and related factors at 1- to 2-year, 2- to 3-year, and 3- to 4-year stages; and (b) impacts of HT on interpersonal relationships (IPR). Method We used a between-method triangulation (including qualitative and quantitative data) design. Quantitative data were collected using the Vertical Visual Analogue Scale and Taiwan's version of the World Health Organization Health-Related Quality-of-Life (HRQoL) questionnaire. Six qualitative semistructured questions were further applied to explore social and environmental domains. Results The Fifty subjects (86% males and 14% females) had an age range from 20 to 70 years old (mean, 47.68 years). Their post-HT time ranged from 1 to 4.1 years with 42%, 42%, and 16% at 1- to 2-, 2- to 3-, or 3- to 4-years post-HT, respectively. Within 6 months, 10% of administration or restaurant staff, and police resumed their jobs. At 6 to 12 months, 8% of administration, quality control, and design and planning staff resumed their jobs. At 12 months, 14% of educators, insurance personnel, managers, informatics engineers, and ironworkers resumed their jobs. Hindering factors to returning to work included (a) physical (ie, lack of energy, second heart attack, recurrence of rejection, physical discomforts of dizziness, memory lapses/lack of concentration or bone pain from osteoporosis); (b) psychological (ie, lack of confidence, worries about discrimination, being different, maladaptation); and (c) environmental (inadequate job opportunities due to poor socioeconomic conditions). Additionally, 34% reported worse IPR after HT due to diet limitations, slower pacing, less contacts with friends, and changes in personality. Reflections on both the meaning and value of life caused 10% to report better IPR with a better personality and positive mindset. By the end of the first postoperative year, the mean score of HRQoL in the preoperative extracorporeal membrane oxygenation (ECMO) group was similar to the non-preoperative ECMO group; the mean scores of WC and physical functions for the preoperative ECMO group were even higher than the non-preoperative ECMO group. Meanwhile, the mean scores of HRQoL and WC were higher in the Clinical Trail Plan (CTP) group than non-CTP groups across the three stages. As such, the use of preoperative ECMO and CTP groups are suggested to be both clinically and significantly associated with HTs recovery in heath status, positive HRQoL, and job resumption in the society. Finally, HRQoL and related domains of physical, psychological, social, and environmental health were stable at 12 months post-HT, with no significant change between 1- to 2-, 2- to 3-, and 3- to 4-years post-HT. ? 2010 Elsevier Inc. All rights reserved.
SDGs
Other Subjects
adult; aged; between method triangulation; bone pain; cardiac graft rejection; catering service; clinical article; clinical competence; clinical protocol; concentration loss; conference paper; controlled study; discrimination learning; dizziness; engineering; environmental change; extracorporeal oxygenation; female; graft recipient; health care planning; health educator; health insurance; heart infarction; heart transplantation; human; human relation; iron worker; job performance; maladjustment; male; manager; medical staff; memory disorder; osteoporosis; personality disorder; physical activity; police; postoperative period; preoperative care; priority journal; qualitative analysis; quality control; quality of life; quantitative analysis; questionnaire; semi structured interview; social status; socioeconomics; staff; study design; visual analog scale; work resumption; worker; world health organization; Adult; Aged; Employment; Female; Heart Transplantation; Humans; Interpersonal Relations; Male; Middle Aged; Quality of Life; Questionnaires; Taiwan
Type
conference paper