Excessive Workload Beyond Measured Exercise Tolerance Affects Post-Discharge Mental Health in Workers With Heart Disease: A Case-Based Observational Study

J Occup Environ Med. 2022 May 1;64(5):e310-e315. doi: 10.1097/JOM.0000000000002514. Epub 2022 Feb 15.

Abstract

Objective: We evaluated work intensity, exercise tolerance, and mental health among workers with heart disease and assessed the relationship between return to work (RTW) status and changes in mental health 3 months post-discharge.

Methods: Patients were enrolled from 2014 to 2019. Data were collected on admission and 3 months post-discharge. Mental health was assessed using the Hospital Anxiety and Depression Scale. Jobs were defined as "reasonable workload (RW)" or "over workload (OW)" based on metabolic equivalents.

Results: Twenty-six patients responded (81.3%). RTW after 3 months was higher in the RW group (100%) than in the OW group (63.6%). Mental health in the OW group significantly deteriorated compared with baseline and was higher than that in the RW group.

Conclusions: Patients whose work intensity was higher than their exercise tolerance had worsened mental health 3 months post-discharge.

Publication types

  • Observational Study

MeSH terms

  • Aftercare
  • Exercise Tolerance
  • Heart Diseases*
  • Humans
  • Mental Health*
  • Patient Discharge
  • Workload