Barriers That Obstruct Return to Work After Coronary Bypass Surgery: A Qualitative Study

Area of Science:

• Cardiology
• Occupational Health
• Surgical Outcomes

Background:

• Coronary artery bypass grafting (CABG) is a common cardiac surgery improving survival and quality of life.
• However, CABG is associated with significant societal costs, including extended sick leave.
• Understanding barriers to returning to work post-CABG is crucial for patient recovery and economic impact.

Purpose of the Study:

• To explore the barriers that obstruct return to work after coronary artery bypass grafting.
• To identify key factors influencing the reintegration of patients into the workforce post-cardiac surgery.

Main Methods:

• A qualitative study design was employed.
• In-depth interviews were conducted with ten working patients 6 months after undergoing CABG.
• Interviews also included spouses to gather comprehensive perspectives on return-to-work challenges.

Main Results:

• Four primary categories of barriers were identified: personal, healthcare, work, and law & regulation.
• Personal barriers encompassed affective, physical, cognitive, social, and individually determined factors.
• These barriers were perceived by patients as significant obstacles to resuming employment.

Conclusions:

• Personal, healthcare, work, and legal/regulatory factors significantly impede return to work after CABG.
• Initiating the return-to-work process during hospitalization and continuing through cardiac rehabilitation is recommended.
• A coordinated approach by a case-managing professional can help overcome identified barriers and facilitate successful reintegration into the workforce.