School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Ultimo 2007, Australia.
College of Nursing, Research Institute of Nursing Science, Pusan National University, Yangsan 50612, Korea.
Int J Environ Res Public Health. 2022 Jun 30;19(13):8032. doi: 10.3390/ijerph19138032.
This study aimed to determine the proportion of patients who returned to work within three months post-myocardial infarction and the factors that predicted return to work. A total of 136 participants with myocardial infarction completed the study questionnaires at baseline and three months post-discharge between August 2015 and February 2016. At the three-month follow-up, 87.5% ( = 49) of the participants who were working pre-infarction had resumed work. Age, gender, education, smoking, readmission after discharge, number of comorbidities, diabetes, social support, anxiety, and depression were significantly associated with returning to work at three months post-discharge. Age, gender, smoking, anxiety, and depression significantly predicted those patients with myocardial infarction that returned to work, using binary logistic regression. The majority of patients in work who experience myocardial infarction have the capacity to achieve a work resumption by three months post-discharge. Interventions that facilitate returning to work should focus on modifiable risk factors, such as improving these patients' mental health, comorbid conditions, risk of readmission, smoking, and social support. Healthcare providers should work in partnership with patients' family members, friends, and employers in developing and implementing interventions to address these modifiable factors to facilitate patients' return to work.
本研究旨在确定心肌梗死后三个月内重返工作岗位的患者比例，以及预测重返工作岗位的因素。2015 年 8 月至 2016 年 2 月期间，共有 136 名心肌梗死患者完成了研究问卷，分别在基线和出院后三个月时进行。在三个月的随访中，87.5%（=49）的心肌梗死后仍在工作的患者已恢复工作。年龄、性别、教育程度、吸烟状况、出院后再入院、共病数量、糖尿病、社会支持、焦虑和抑郁与出院后三个月重返工作岗位显著相关。使用二元逻辑回归分析，年龄、性别、吸烟、焦虑和抑郁显著预测了那些心肌梗死后重返工作岗位的患者。大多数有工作的心肌梗死患者有能力在出院后三个月内恢复工作。促进重返工作的干预措施应侧重于可改变的危险因素，例如改善这些患者的心理健康、共病状况、再入院风险、吸烟和社会支持。医疗保健提供者应与患者的家属、朋友和雇主合作，制定和实施干预措施，以解决这些可改变的因素，促进患者重返工作岗位。
