Retorno ao trabalho após o transplante hepático

Abstract

Solid organ transplantation is a treatment option to improve the quality of life of people of any age, who present chronic disease of irreversible and final stage. In this context, liver transplantation in modern life can no longer be considered only to prolong survival, but to achieve complete functional recovery and psychosocial reintegration with a return to active and productive life. The general objective of the study was to verify which factors interfere in return to work for the liver transplant patient. This is a descriptive, observational, crosssectional study with a quantitative approach that was performed at the hemodialysis clinic of the Walter Cantídio University Hospital (HUWC), Federal University of Ceará, during the years 2018 to 2019. The study population were all patients submitted to liver transplantation at the institution between 2002 and 2018, totaling 1,349 recipients. Included in the study were patients submitted to liver transplantation at the Walter Cantídio University Hospital / UFC, in the total period from 2002 to 2018, aged from eighteen years, coming from any state of the country, who were with the minimum period of 3 months post-transplantation. Patients with medical records and transplant folder-folder with incomplete data were excluded from the study and patients who were unable to communicate and interact at the evaluator's discretion. To estimate the sample, the calculation was used for the finite sample, totaling 180 participants, however the sample number was reduced to 159 patients after data collection and tabulation due to the loss of follow-up of the research as incomplete data and patient repetition. Data collection was performed through interview and file-folder analysis from the transplant outpatient clinic and the HUWC medical records of liver transplant recipients. Data analysis was performed in a descriptive and inferential manner, and the data were processed through the Statistical Package for Social Sciences (SPSS), version 22.0. The research complied with the norms regulating research with humans, in accordance with Resolution 466/2012 of the National Health Council, and Resolution 510/2016. The study was approved by the Research Ethics Committee of the Federal University of Ceará / Pro-Rector of Research and Graduate Studies (UFC / PROPESQ) and by the Ethics Committee of HUWC, a research co-participant institution. According to the data obtained, a substantial proportion of HT receptors are unable to resume their occupations (55.3%) after HT, which can be considered as an objective and coarse indicator of quality of life and functional outcome. Thus, intervention studies that aim to improve physical and mental health before and after HT should be performed to increase patients' ability to return to productive activities, since at societal and economic levels, employment improves the usefulness of costs with reducing costs of lost productivity, and thus high post-HT employment rates can support justification for transplant funding.