Shanfield S B
Department of Psychiatry, University of Texas Health Sciences Center, San Antonio 78284-7792.
Heart Lung. 1990 Mar;19(2):109-17.
The rate of return to work after an acute myocardial infarction (AMI) is decreased among previously working women, blue-collar workers particularly with physically strenuous jobs, and persons with emotional problems. Although more severe AMIs decrease return to work rates, psychosocial factors appear to be more prominent in their effects on the rates. Supportive psychotherapy as well as specific advice to return to work for patients with uncomplicated AMIs shortens length of convalescence. Little evidence exists, however, that current interventions largely geared to improving cardiac status have any impact on ultimate return to work. Specific interventions tailored to individuals at risk of not working may increase rates of return to work.
急性心肌梗死（AMI）后恢复工作的比率在以前工作的女性、特别是从事体力要求高工作的蓝领工人以及有情绪问题的人群中有所下降。虽然更严重的急性心肌梗死会降低恢复工作的比率，但社会心理因素对恢复工作比率的影响似乎更为突出。支持性心理治疗以及针对无并发症急性心肌梗死患者恢复工作的具体建议可缩短康复时间。然而，几乎没有证据表明目前主要旨在改善心脏状况的干预措施对最终恢复工作有任何影响。针对有不工作风险的个体量身定制的具体干预措施可能会提高恢复工作的比率。
