Nordgren Lena, Söderlund Anne
a School of Health, Care and Social Welfare , Mälardalen University , Box 325, SE-631 05 , Eskilstuna , Sweden.
Psychol Health Med. 2015;20(5):582-93. doi: 10.1080/13548506.2015.1007148. Epub 2015 Feb 5.
Younger people with heart failure often experience poor self-rated health. Furthermore, poor self-rated health is associated with long-term sick leave and disability pension. Socio-demographic factors affect the ability to return to work. However, little is known about people on sick leave due to heart failure. The aim of this study was to investigate associations between self-rated health, mood, socio-demographic factors, sick leave compensation, encounters with healthcare professionals and social insurance officers and self-estimated ability to return to work, for people on sick leave due to heart failure. This population-based investigation had a cross-sectional design. Data were collected in Sweden in 2012 from two official registries and from a postal questionnaire. In total, 590 subjects, aged 23-67, responded (response rate 45.8%). Descriptive statistics, correlation analyses (Spearman bivariate analysis) and logistic regression analyses were used to investigate associations. Poor self-rated health was strongly associated with full sick leave compensation (OR = 4.1, p < .001). Compared self-rated health was moderately associated with low income (OR = .6, p = .003). Good self-rated health was strongly associated with positive encounters with healthcare professionals (OR = 3.0, p = .022) and to the impact of positive encounters with healthcare professionals on self-estimated ability to return to work (OR = 3.3, p < .001). People with heart failure are sicklisted for long periods of time and to a great extent receive disability pension. Not being able to work imposes reduced quality of life. Positive encounters with healthcare professionals and social insurance officers can be supportive when people with heart failure struggle to remain in working life.
患有心力衰竭的年轻人往往自我评估健康状况较差。此外，自我评估健康状况差与长期病假和残疾抚恤金有关。社会人口因素会影响重返工作岗位的能力。然而，对于因心力衰竭而休病假的人，我们了解得很少。本研究的目的是调查因心力衰竭而休病假的人在自我评估健康状况、情绪、社会人口因素、病假补偿、与医疗保健专业人员和社会保险官员的接触以及自我估计的重返工作岗位能力之间的关联。这项基于人群的调查采用横断面设计。2012年在瑞典从两个官方登记处和一份邮政问卷中收集数据。共有590名年龄在23 - 67岁之间的受试者做出了回应（回应率为45.8%）。使用描述性统计、相关性分析（斯皮尔曼双变量分析）和逻辑回归分析来研究关联。自我评估健康状况差与全额病假补偿密切相关（比值比 = 4.1，p < 0.001）。相比之下，自我评估健康状况与低收入中度相关（比值比 = 0.6，p = 0.003）。自我评估健康状况良好与与医疗保健专业人员的积极接触密切相关（比值比 = 3.0，p = 0.022），以及与医疗保健专业人员的积极接触对自我估计的重返工作岗位能力的影响密切相关（比值比 = 3.3，p < 0.001）。心力衰竭患者长期请病假，并且在很大程度上领取残疾抚恤金。无法工作会降低生活质量。当心力衰竭患者努力维持工作时，与医疗保健专业人员和社会保险官员的积极接触可能会起到支持作用。
