title: [Difficulties at work and work motivation of ulcerative colitis suffers].
abstract: OBJECTIVE
  Because ulcerative colitis (UC) repeats remission and relapse, it is necessary to keep the condition at the relapse time in mind when considering support to provide UC suffers with at the workplace. The aim of this survey was to clarify the difficulties at work and work motivation that UC suffers feel at present and experience at the worsening time, and the factors for maintaining work motivation.
  
  
  METHODS
  We carried out an anonymous questionnaire survey of patients with present or past work experience. The difficulties at work (17 items) and work motivation (4 items) in the past week and at the time when the symptoms were most intensive during work were investigated using a newly designed questionnaire. We regarded the time in the past week as the present, and the time when the symptoms were most intensive during work as the worsening time.
  
  
  RESULTS
  There were 70 respondents (response rate 32.0%). Their mean age was 43.8 years, and their mean age at onset was 33.8 years. All subjects, except 2 subjects after surgery, took medicine. Fifty-three (75.7%) of the subjects were in remission at the present, and most of them (91.4%) managed their physical condition well. Difficulties at work that many subjects worried about at the present were relevant to work conditions, such as "Others at workplace do not understand having an intractable and relapsing disease" (41.4%) or "Feel delayed or lack of chance of promotion or career advancement due to the disease" (38.6%). At the worsening time, the management of physical condition went wrong, and the frequency of hospital visits was increased, but few subjects consulted with superiors or colleagues at workplace. Difficulties at work that many subjects underwent at the worsening time were relevant to symptoms, such as "Feel physically tired" (80.0%) or "Decline foods or alcoholic beverages offered at business parties" (72.9%). Those who maintained work motivation even at the worsening time received no work-related consideration and had an adviser in the workplace to talk to about the disease.
  
  
  CONCLUSIONS
  These results suggest that to provide UC suffers with support at the workplace, it is important to create a working atmosphere in which UC suffers can easily notify superiors and colleagues of their disease or can consult a doctor regularly, and for the superiors and colleagues to become advisors in the workplace to talk to about disease and work.
authors.affiliation: Graduate School of Health and Nursing Science, Wakayama Medical University, Mikazura 580, Wakayama 641-0011, Japan.
authors.forename: Ayami
authors.initials: A
authors.lastname: Nasu
authors.forename: Kazuko
authors.initials: K
authors.lastname: Yamada
authors.forename: Ikuharu
authors.initials: I
authors.lastname: Morioka
mesh_terms: D000328:Adult; D003093:Colitis, Ulcerative / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D016272:Occupational Health; D012944:Social Support; D011795:Surveys and Questionnaires; D014937:Work / Q000523:psychology*; D017132:Workplace / Q000523:psychology*; D055815:Young Adult