Excessive Workload Beyond Measured Exercise Tolerance Affects Post-Discharge Mental Health in Workers With Heart
Satoshi Kuhara1, Hideaki Itoh, Masaru Araki
1Rehabilitation Center of University Hospital (Mr Kuhara); Department of Rehabilitation Medicine (Dr Itoh, Dr Saeki); Second Department of internal Medicine (Dr Araki); Department of Health Development, institute of industrial Ecological Sciences (Dr Yamato), University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
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.
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