中青年心脏起搏器植入术后患者重返工作准备度现状及影响因素分析  

Current status and influencing factors of return-to-work readiness in middle-aged and young patients after cardiac pacemaker implantation

作　　者：康斯坦 高敏[1] 温高芹 仲伟楠 孙国珍[1,2] KANG Sitan;GAO Min;WEN Gaoqin;ZHONG Weinan;SUN Guozhen(Department of Cardiology,the First Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu 210029,China;不详)

机构地区：[1]南京医科大学第一附属医院心血管内科,江苏南京210029 [2]南京医科大学护理学院,江苏南京211103

出　　处：《中华全科医学》2025年第3期374-378,391,共6页Chinese Journal of General Practice

基　　金：国家自然科学基金面上项目(72074124);江苏省人民医院临床能力提升工程护理项目(JSPH-NC-2022-6)。

摘　　要：目的重返工作是中青年心脏起搏器植入术后患者疾病康复的重要标志之一,然而目前针对其重返工作准备度的相关研究较少。本研究调查中青年心脏起搏器植入术后患者重返工作准备度现状,并分析其影响因素。方法采用便利抽样法选取2021年1月-2023年10月南京医科大学第一附属医院成功实施心脏起搏器植入术的158例患者作为研究对象。使用一般资料调查表、重返工作准备度问卷、简易应对方式问卷、社会衰弱问卷进行调查。结果中青年心脏起搏器术后患者重返工作率为61.39%,已重返工作的患者共97例[不确定维持阶段占比12.37%(12例),主动维持阶段占比87.63%(85例)],未重返工作的患者共61例[前意向阶段占比57.38%(35例),意向阶段占比32.79%(20例),行动准备-自我评估阶段占比3.28%(2例),行动准备-行为阶段占比6.56%(4例)]。年龄、性别、教育程度、术前射血分数、积极应对方式和社会衰弱为中青年心脏起搏器植入术后患者是否返岗的影响因素。结论中青年心脏起搏器植入术后患者重返工作现况有待改善。临床医护人员应制定并采取多维个性化干预策略,引导患者积极应对疾病及生活,同时帮助患者拓展其自身社会支持网络,避免社会衰弱的发生,进而早日回归正常家庭生活及工作,实现全面的社会康复。Objective Return-to-work is one of the important indicators of recovery for middle-aged and young patients after cardiac pacemaker implantation.However,research on their readiness to return to work remains limited.This study aims to investigate the current status of return-to-work readiness among middle-aged and young patients after cardiac pacemaker implantation and analyze its influencing factors.Methods Using a convenience sampling method,this study selected 158 patients who successfully underwent pacemaker implantation at the First Affiliated Hospital of Nanjing Medical University from January 2021 to October 2023.Data were collected using the general demographic questionnaire,the readiness for return-to-work scale,the simple coping style questionnaire,and the HALFT(help,participation,loneliness,financial,talk)scale.Results The return-to-work rate among middle-aged and young patients post-pacemaker implantation was 61.39%.Among the 97 patients who returned to work,12.37%(12 cases)were in the indeterminate maintenance phase,while 87.63%(85 cases)were in the active maintenance phase.Among the 61 patients who had not yet returned to work,57.38%(35 cases)were in the pre-contemplation stage,32.79%(20 cases)were in the contemplation stage,3.28%(2 cases)were in the action preparation-self-assessment stage,and 6.56%(4 cases)were in the action preparation-behavior stage.Age,gender,education level,preoperative ejection fraction,positive coping style,and social frailty were significant influencing factors of the return-to-work status for middle-aged and young patients after cardiac pacemaker implantation.Conclusion The current status of return-to-work among middle-aged and young patients following cardiac pacemaker implantation requires improvement.Healthcare professionals should implement multidimensional,personalized intervention strategies to help patients actively cope with their illness and life challenges.These strategies should also focus on expanding social support networks to prevent social frailty,thereby acce

关 键 词：心脏起搏器植入术 中青年 重返工作准备度 影响因素 

分 类 号：R541[医药卫生—心血管疾病]