Factors influencing return to work 3 months after percutaneous coronary intervention in young and middle-aged patients with coronary heart disease: A single-center, cross-sectional study

Yaoyao Hu; Taihua Zhou; Xiaojing Li; Xiaoxiao Chen; Xiaoyan Wang; Jiahui Xu; Danfeng Gu

doi:10.1371/journal.pone.0284100

Factors influencing return to work 3 months after percutaneous coronary intervention in young and middle-aged patients with coronary heart disease: A single-center, cross-sectional study

PLoS One. 2023 Apr 19;18(4):e0284100. doi: 10.1371/journal.pone.0284100. eCollection 2023.

Authors

Yaoyao Hu¹, Taihua Zhou¹, Xiaojing Li¹, Xiaoxiao Chen¹, Xiaoyan Wang¹, Jiahui Xu², Danfeng Gu²

Affiliations

¹ Department of Cardiology, The Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, China.
² Nursing Department, The Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, China.

Abstract

Background: Today, patients with coronary heart disease (CHD) are becoming younger and younger, and after percutaneous coronary intervention (PCI), most patients want to resume their occupations. The return to work of patients with CHD post PCI in China, however, has received little research attention. So, the goal of this study was to investigate the variables impacting the return to work following PCI in young and middle-aged patients with CHD in Wuxi and to offer a reference basis for the development of targeted interventions.

Methods: This study was executed at the Affiliated Hospital of Jiangnan University. We selected 280 young and middle-aged patients who underwent PCI for CHD as the study subjects and gathered general data about them while they were hospitalized. At 3 months after PCI, we surveyed the subjects with the return to work self-efficacy questionnaire, the Chinese version of the brief fatigue inventory, and the social support rating scale, and obtained information about their return to work. The factors affecting patients' returning to work were analyzed using binary logistic regression.

Results: The final 255 cases were included in the study, of which 155 (60.8%) were successfully returned to work. Binary logistic regression showed that women (OR = 0.379, 95%CI:0.169,0.851), ejection fraction ≥50% (OR = 2.053, 95%CI:1.085,3.885), the brain-based job types (OR = 2.902, 95%CI:1.361,6.190), the kind of employment requiring both mental and physical capacity (OR = 2.867, 95%CI:1.224,6.715), moderate fatigue (OR = 6.023, 95%:1.596,22.7251), mild fatigue (OR = 4.035, 95%:1.104,14.751), return to work efficacy (OR = 1.839, 95%:1.140,3.144), and social support (OR = 1.060, 95%:1.003,1.121) were independent influences on patients' return to work at 3 months after PCI (All P<0.05).

Conclusion: In order to help patient return to work as soon as possible, healthcare professionals should focus on those who are female, have worked mainly in physical activities, have low return-to-work self-efficacy, have severe fatigue, have low social support, and have poor ejection fraction.

Copyright: © 2023 Hu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Coronary Disease* / surgery
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Percutaneous Coronary Intervention*
Return to Work
Surveys and Questionnaires

Grants and funding

XYW received the funding support from Jiangsu Commission of Health and the project number is ZDA2020023. The URL of the founder website is http://wjw.jiangsu.gov.cn/. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.