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Determinants of Return-to-Work in Young and Middle-Aged Acute Myocardial Infarction Survivors: A Prospective Cohort
Shuqian Qiao1, Xinyi Chen, Xi Cao
1From the The School of Nursing, Sun Yat-sen University, Guangzhou, China (S.Q., X. Chen, X. Cao); Department of Nursing, Beijing Tiantan Hospital, Capital Medical University, Beijing, China (S.Q.); and State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology Visual Science, Guangzhou, China (X. Chen).
Objective:
To investigate the trajectory and determinants of return-to-work among young and middle-aged acute myocardial infarction (AMI) survivors within 6 months postdischarge in China.
Methods:
A prospective longitudinal study was conducted with 130 AMI patients in Guangzhou. Data on sociodemographic, clinical, psychological, and work-related factors were collected. Generalized estimation equations were used to identify factors associated with return-to-work.
Results:
The return-to-work rates at 1-, 3-, and 6-month postdischarge were 54.6%, 67.7%, and 82.3%, respectively, showing a decelerating increase. Longer prehospitalization working hours, obesity, no stroke history, and high return-to-work self-efficacy significantly predicted return-to-work.
Conclusions:
Return-to-work rates increase at a decelerating pace postdischarge. Self-efficacy is a key modifiable determinant, highlighting the need for targeted interventions to enhance patients' confidence and promote sustained employment after AMI.
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