The Role of Employment Status in Changes in Quality of Life of Laryngectomized Patients Before Surgery and 3 Months after Discharge

2.50
Hdl Handle:
http://hdl.handle.net/10755/304163
Category:
Abstract
Type:
Presentation
Title:
The Role of Employment Status in Changes in Quality of Life of Laryngectomized Patients Before Surgery and 3 Months after Discharge
Author(s):
Nagamatsu, Yuki; Kotake, Kumiko; Suzukamo, Yoshimi; Kai, Ichiro; Haba, Kaori; Kawamoto, Rieko; Iwanaga, Kazuyo; Takahashi, Aya
Lead Author STTI Affiliation:
Non-member
Author Details:
Yuki Nagamatsu, RN, MSN, nyuki@med.kurume-u.ac.jp; Kumiko Kotake, PhD, RN, MSN; Yoshimi Suzukamo, PhD; Ichiro Kai, MD, MPH; Kaori Haba, RN, PHN, MSN; Rieko Kawamoto, PhD, RN; Kazuyo Iwanaga, RN, MS; Aya Takahashi, RN, PHN, MSN;
Abstract:

Poster presented on: Thursday, July 25, 2013, Wednesday, July 24, 2013

Purpose:

We analyzed the role of employment status in changes in quality of life (QOL) of laryngectomized  patients before surgery and 3 months after discharge.

Methods:

Subjects were 174 patients undergoing a laryngectomy. We assessed basic demographics (age, employment status) and QOL by using the SF-36 v2. An ethics review committee approved the study. Unemployed subjects included individuals who retired before the surgery and those who retired because of the surgery. We used t tests for analysis.

Results:

Of the 174 subjects assessed before surgery, 91 were employed (52.3%), 76 were unemployed (43.7%), and 7 did not indicate employment (mean age: 64.7 ± 8.5 years). Of the 96 subjects assessed post-discharge, 35 were employed (36.5%), 54 were unemployed (56.3%), and 7 did not indicate employment (mean age: 64.5 ± 8.1 years). QOL was lower for both employed (PF (p = .0002), RP (p = .0001), SF (p = .0001), RE (p = .002)) and unemployed subjects after discharge (PF (p = .002), RP (p = .003), BP (p = .004), VT (p = .02), RE (p = .01)).

Conclusion:

QOL decreased for all subjects, regardless of employment status, 3 months after discharge. Pain did not decrease, and fatigue persisted, even after the hospital discharge among unemployed subjects, which might have prevented them from maintaining their social roles. Employed subjects demonstrated reduced social function after discharge, possibly because of experiencing difficulties at work. A support system to help maintain employment should be considered in the future. Given that the percentage of unemployed subjects after discharge was rather high and social function remained low, it is also important to consider a support system for unemployed patients.

Keywords:
laryngectomized patients; employment status; Quality of life
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe Role of Employment Status in Changes in Quality of Life of Laryngectomized Patients Before Surgery and 3 Months after Dischargeen_GB
dc.contributor.authorNagamatsu, Yukien_GB
dc.contributor.authorKotake, Kumikoen_GB
dc.contributor.authorSuzukamo, Yoshimien_GB
dc.contributor.authorKai, Ichiroen_GB
dc.contributor.authorHaba, Kaorien_GB
dc.contributor.authorKawamoto, Riekoen_GB
dc.contributor.authorIwanaga, Kazuyoen_GB
dc.contributor.authorTakahashi, Ayaen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsYuki Nagamatsu, RN, MSN, nyuki@med.kurume-u.ac.jp; Kumiko Kotake, PhD, RN, MSN; Yoshimi Suzukamo, PhD; Ichiro Kai, MD, MPH; Kaori Haba, RN, PHN, MSN; Rieko Kawamoto, PhD, RN; Kazuyo Iwanaga, RN, MS; Aya Takahashi, RN, PHN, MSN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304163-
dc.description.abstract<p>Poster presented on: Thursday, July 25, 2013, Wednesday, July 24, 2013</p><b>Purpose: </b> <p>We analyzed the role of employment status in changes in quality of life (QOL) of laryngectomized  patients before surgery and 3 months after discharge. <p><b>Methods: </b> <p>Subjects were 174 patients undergoing a laryngectomy. We assessed basic demographics (age, employment status) and QOL by using the SF-36<sub> </sub>v2. An ethics review committee approved the study. Unemployed subjects included individuals who retired before the surgery and those who retired because of the surgery. We used <i>t </i>tests for analysis. <p><b>Results: </b> <p>Of the 174 subjects assessed before surgery, 91 were employed (52.3%), 76 were unemployed (43.7%), and 7 did not indicate employment (mean age: 64.7 ± 8.5 years). Of the 96 subjects assessed post-discharge, 35 were employed (36.5%), 54 were unemployed (56.3%), and 7 did not indicate employment (mean age: 64.5 ± 8.1 years). QOL was lower for both employed (PF (p = .0002), RP (p = .0001), SF (p = .0001), RE (p = .002)) and unemployed subjects after discharge (PF (p = .002), RP (p = .003), BP (p = .004), VT (p = .02), RE (p = .01)). <p><b>Conclusion: </b> <p>QOL decreased for all subjects, regardless of employment status, 3 months after discharge. Pain did not decrease, and fatigue persisted, even after the hospital discharge among unemployed subjects, which might have prevented them from maintaining their social roles. Employed subjects demonstrated reduced social function after discharge, possibly because of experiencing difficulties at work. A support system to help maintain employment should be considered in the future. Given that the percentage of unemployed subjects after discharge was rather high and social function remained low, it is also important to consider a support system for unemployed patients.en_GB
dc.subjectlaryngectomized patientsen_GB
dc.subjectemployment statusen_GB
dc.subjectQuality of lifeen_GB
dc.date.available2013-10-22T20:30:20Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:30:20Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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