Acute Coronary Syndrome patients’ return to work

Abstract Introduction: cardiovascular diseases represent a major morbidity and mortality impact on the Brazilian society. Objective: to verify the Acute Coronary Syndrome (ACS) patients’ time to return to work; and to identify and correlate sociodemographic, clinical, psychosocial, and occupational variables that may influence that time and their work performance. Methods: cross-sectional correlational study conducted in 2015-2016 with 65 ACS patients who returned to work. The instruments used were: Sociodemographic Questionnaire; Work Performance Evaluation Questionnaire; Veterans Specific Activity Questionnaire; MacNew Heart Disease Health-related Quality of Life; Hospital Anxiety and Depression Scale; and Impact of Valvular Disease in Everyday Life. Mann-Whitney test, Dunn’s posttest, and Spearman’s correlation coefficient were applied. Results: participants took 7.3 months on average to return to work; the ones who performed manual labor took longer to do so. Professional performance was found to be strongly correlated with quality of life and, inversely, with anxiety and depression. Conclusion: data indicate the need to develop strategies to promote ACS patients’ return to work.

引言：心血管疾病对巴西社会的发病率与死亡率造成了沉重负担。
研究目的：明确急性冠状动脉综合征（Acute Coronary Syndrome, ACS）患者的重返工作时长，并识别与分析可能影响该时长及患者工作表现的社会人口学、临床、社会心理及职业相关变量的相关性。
研究方法：本研究为2015-2016年开展的横断面相关性研究，共纳入65名重返工作岗位的ACS患者。所用研究工具包括：社会人口学问卷、工作表现评估问卷、退伍军人特定活动问卷、MacNew心脏病健康相关生活质量量表、医院焦虑与抑郁量表，以及瓣膜疾病日常生活影响量表。统计分析采用曼-惠特尼U检验、邓恩事后检验及斯皮尔曼相关系数。
研究结果：受试者重返工作岗位的平均时长为7.3个月；从事体力劳动的患者重返工作耗时更长。研究发现，职业表现与生活质量呈显著正相关，与焦虑、抑郁水平呈显著负相关。
研究结论：本研究数据提示，需制定相关策略以促进ACS患者重返工作岗位。