Hua Yajun, Wang Ya, Fan Fan, Chen Ting, Yan Wei, Huang Xudan, Sang Yimao
Cardiovascular Internal Medicine Ward, The Yangming Affiliated Hospital of Ningbo University, Yuyao City, Zhejiang Province, China.
Nursing Department, The Yangming Affiliated Hospital of Ningbo University, Yuyao City, Zhejiang Province, China.
Medicine (Baltimore). 2025 Sep 5;104(36):e44318. doi: 10.1097/MD.0000000000044318.
This study evaluates job maintenance status and predictors of young and middle-aged patients after percutaneous coronary intervention (PCI). A total of 221 young and middle-aged patients after PCI from November 1, 2023 to January 31, 2025 were selected. The job readiness of patients who have not returned to work and the job maintenance of patients who have returned to work were investigated. The survey tools included general information questionnaire, readiness for return-to-work scale (RRTW), social support rating scale, cardiac rehabilitation inventory and self-rating anxiety scale (SAS). At 3-month follow-up, 81% (n = 179) of patients returned to work, with 19% (n = 42) remaining unemployed. Among patients returning to work, including high-maintenance (n = 109), low-maintenance (n = 52) and invalid (n = 18). Multivariate analysis identified cardiac rehabilitation inventory (OR = 1.122, 95% CI 1.051-1.199, P = .001), SAS (OR = 0.912, 95% CI 0.863-0.962, P = .001), and number of chronic conditions (OR = 0.580, 95% CI 0.365-0.920, P = .021) as independent predictors of job maintenance after PCI. The AUC of receiver operating characteristic curve is 0.795 (95% CI 0.725-0.865, P <.001), with 77.1% sensitivity and 69.2% specificity. Hosmer-Lemeshow test showed that the model had a good fitting degree (χ²=7.077, P = .528). Job maintenance of patients after PCI may be predicted by their cardiac rehabilitation information needs, anxiety levels, and chronic disease burden. The integration of psychosocial and clinical parameters provides a novel framework for personalized interventions targeting modifiable barriers to work resumption.
本研究评估经皮冠状动脉介入治疗（PCI）后中青年患者的工作维持状态及预测因素。选取了2023年11月1日至2025年1月31日期间221例PCI术后的中青年患者。对未恢复工作患者的工作准备情况及已恢复工作患者的工作维持情况进行了调查。调查工具包括一般信息问卷、重返工作岗位准备量表（RRTW）、社会支持评定量表、心脏康复量表和自评焦虑量表（SAS）。在3个月随访时，81%（n = 179）的患者恢复工作，19%（n = 42）仍未就业。在恢复工作的患者中，包括高维持（n = 109）、低维持（n = 52）和无效（n = 18）。多因素分析确定心脏康复量表（OR = 1.122，95%CI 1.051 - 1.199，P = .001）、SAS（OR = 0.912，95%CI 0.863 - 0.962，P = .001）和慢性病数量（OR = 0.580，95%CI 0.365 - 0.920，P = .021）为PCI术后工作维持的独立预测因素。受试者工作特征曲线的AUC为0.795（95%CI 0.725 - 0.865，P <.001），敏感性为77.1%，特异性为69.2%。Hosmer-Lemeshow检验显示模型拟合度良好（χ² = 7.077，P = .528）。PCI术后患者的工作维持情况可通过其心脏康复信息需求、焦虑水平和慢性病负担来预测。心理社会和临床参数的整合为针对可改变的恢复工作障碍的个性化干预提供了一个新框架。
