中青年冠心病患者重返工作后健康相关工作效率的影响因素分析  

Influencing factors of health-related work efficiency among young and middle-aged patients with coronary heart disease after returning to work

作　　者：袁德敬 毛芳莹 李春[1] 余璐 邬青[1] YUAN Dejing;MAO Fangying;LI Chun;YU Lu;WU Qing(Department of Cardiology,The First Affiliated Hospital of Soochow University,Suzhou,Jiangsu province,215006,China)

机构地区：[1]苏州大学附属第一医院心血管内科,江苏省苏州市215006 [2]苏州大学护理学院

出　　处：《中国护理管理》2025年第2期197-203,共7页Chinese Nursing Management

基　　金：国家自然科学基金(81700297);苏州大学附属第一医院院级科研项目(HLYJ-2024-02)。

摘　　要：目的:分析中青年冠心病患者重返工作后健康相关工作效率的影响因素,为提升这类患者重返工作后工作能力提供依据。方法:通过便利取样法,于2022年12月至2023年6月选取苏州市两家三级甲等医院心血管内科门诊518例重返工作的中青年冠心病患者为研究对象,采用一般资料调查表、冠心病患者报告结局量表、斯坦福出勤量表、感知健康能力量表进行调查并分析患者健康相关工作效率的影响因素。结果:中青年冠心病患者健康相关工作效率得分为(16.10±5.22)分,其中工作效率高损失246例(47.5%),工作效率低损失272例(52.5%)。Logistic回归分析结果显示,年龄、重返工作时间、一周工作时间、子女数量、氨基末端脑钠肽前体水平、植入支架个数、自我报告结局、感知健康能力是中青年冠心病患者健康相关工作效率的影响因素(P<0.05)。结论:中青年冠心病患者重返工作健康相关工作效率水平有待提高,医务人员应关注患者对自身的健康感知和症状报告并制订干预措施,促使其减少健康相关工作效率的损失。Objective:To explore the influencing factors of health-related work efficiency in young and middle-aged patients with coronary heart disease after returning to work,and to provide basis for improving work ability in young and middle-aged patients with coronary heart disease.Methods:From December 2022 to June 2023,518 young and middle-aged patients with coronary heart disease who returned to work in the department of cardiovascular medicine of two tertiary grade A hospitals in Suzhou were selected by convenient sampling.General data questionnaire,Patient Reported Outcomes Scale for Coronary Heart Disease,Stanford Attendance Scale and Perceived Health Ability Scale were used to investigate them,and analyzed the influencing factors of patients'health-related work efficiency.Results:The health-related work efficiency score of young and middle-aged patients with coronary heart disease was 16.10±5.22,246 cases(47.5%)had high work efficiency loss,and 272 cases(52.5%)had low work efficiency loss.Binary Logistic regression model showed that age,time to return to work,working time,the number of children,the level of N-Terminal Pro-Brain Natriuretic Peptide,number of implanted stents,self-reported outcome and perceived health ability were influencing factors of health-related work efficiency in young and middle-aged patients with coronary heart disease(P<0.05).Conclusion:The health-related work efficiency level of young and middle-aged patients returning to work with coronary heart disease needs to be improved.Medical staff should pay attention to patients'perceived health and outcome reporting,and formulate interventions,so as to reduce their health-related work efficiency loss.

关 键 词：中青年 冠心病 重返工作 效率 恢复 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]