Positive correlation of employment and psychological well-being for veterans with major abdominal surgery.
BACKGROUND
Intestinal stomas (ostomies) have been associated negatively with multiple aspects of health-related quality of life. This article examines the relationship between employment status and psychological well-being (PWB) in veterans who underwent major bowel procedures with or without ostomy.


METHODS
Veterans from 3 Veterans Affairs (VA) medical centers were surveyed using the City of Hope ostomy-specific questionnaire and the Short Form 36 item Veteran's version (SF-36V). Response rate was 48% (511 of 1,063). Employment and PWB relationship was assessed using multiple regression with age, income, SF-36V physical component summary (PCS), and employment status as independent variables.


RESULTS
Employed veterans reported higher PWB compared with unemployed veterans (P = .003). Full-time workers also reported higher PWB than part-time or unemployed workers (P = .001). Ostomy was not an independent predictor of PWB.


CONCLUSIONS
Employment among veterans after major abdominal surgery may have intrinsic value for PWB. Patients should be encouraged to return to work, or do volunteer work after recovery.
Southern Arizona Veterans Affairs Health Care System, Tucson, 85723, USA.
David J
DJ
Horner
Christopher S
CS
Wendel
Raymond
R
Skeps
Susan M
SM
Rawl
Marcia
M
Grant
C Max
CM
Schmidt
Clifford Y
CY
Ko
Robert S
RS
Krouse
D000368:Aged; D004651:Employment; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D007410:Intestinal Diseases / Q000523:psychology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010030:Ostomy / Q000523:psychology*; D010549:Personal Satisfaction; D011788:Quality of Life / Q000523:psychology*; D011795:Surveys and Questionnaires; D014481:United States; D014728:Veterans / Q000523:psychology*