文摘

随机抽取的170名患者(88人)与慢性炎症性肠病(75溃疡性结肠炎)于1978年首次采访他们的就业状况,在工作问题,手术的影响。手术已经进行了120年和53回肠造口术。经过六年144(92%)的156名幸存者回复跟进邮政问卷。最初的样例中,122例(72%)工作,只有三个(1%)登记失业。经过六年类似工作,只有7个(5%)比例失业。连续性的就业很好,57%的工作。改变工作,因为健康是由72名患者主要由肠道疾病引起的。手术后彻底改变了10%和22%修改他们的工作而不得不重新培训或退休。Panproctocolectomy回肠造口术导致更多变化,长时间下班比结肠切除术和ileorectal吻合手术后,分别以35%和17%下班后一年。特别是工作中的问题、全身不适和关节炎被34例(28%)患者的经历。 Fewer problems were experienced by patients with a stoma who also had less sickness absence than those without a stoma. Colleagues and employers were usually supportive although some patients encountered discrimination especially those with a stoma or working in the food industry. Few patients had been counselled on their work. In general employment prospects and time off work were good and employers should be encouraged to take an optimistic and supportive role. Doctors should consider that convalescence after surgery may be longer than they perceive and must provide better counselling for patients.