Volume 23 Issue 3
Mar.  2025
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KANG Sitan, GAO Min, WEN Gaoqin, ZHONG Weinan, SUN Guozhen. Current status and influencing factors of return-to-work readiness in middle-aged and young patients after cardiac pacemaker implantation[J]. Chinese Journal of General Practice, 2025, 23(3): 374-378. doi: 10.16766/j.cnki.issn.1674-4152.003907
Citation: KANG Sitan, GAO Min, WEN Gaoqin, ZHONG Weinan, SUN Guozhen. Current status and influencing factors of return-to-work readiness in middle-aged and young patients after cardiac pacemaker implantation[J]. Chinese Journal of General Practice, 2025, 23(3): 374-378. doi: 10.16766/j.cnki.issn.1674-4152.003907

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

doi: 10.16766/j.cnki.issn.1674-4152.003907
Funds:

 72074124

 JSPH-NC-2022-6

  • Received Date: 2024-08-11
    Available Online: 2025-05-14
  •   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 accelerating patients ' return to normal family life and work and promoting comprehensive social rehabilitation.

     

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  • [1]
    《中国心血管健康与疾病报告》编写组. 《中国心血管健康与疾病报告2022》要点解读[J]. 中国心血管杂志, 2023, 28(4): 401-410.

    The Writing Committee of the Report on Cardiovascular Health Diseases in China. Interpretation of Report on Cardiovascular Health and Diseases in China 2022[J]. Chinese Journal of Cardiovascular Medicine, 2023, 28(4): 401-410.
    [2]
    李慧, 柏晓玲, 杨曾桢, 等. 基于Citespace的心脏起搏器植入患者生存质量的可视化分析[J]. 重庆医学, 2022, 51(19): 3351-3356. doi: 10.3969/j.issn.1671-8348.2022.19.023

    LI H, BAI X L, YANG Z Z, et al. Visual analysis of quality of life in patients with cardiad pacemaker implantation based on Citespace[J]. Chongqing Medical Journal, 2022, 51(19): 3351-3356. doi: 10.3969/j.issn.1671-8348.2022.19.023
    [3]
    SZYMON G, MARTA T, MAREK R, et al. Patient ' s knowledge of daily activities, need for information and quality of life after cardiac electronic device implantation[J]. Folia Med Cracov, 2022, 62(1): 121-134.
    [4]
    POLIKANDRIOTI M. Quality of life of patients with cardiac pacemaker: levels, associated characteristics, and the impact of anxiety and depression[J]. Folia Med(Plovdiv), 2022, 64(1): 117-127.
    [5]
    陈刚. 心脏起搏器植入对中青年患者心理状况影响的研究[D]. 兰州: 兰州大学, 2018.

    CHEN G. Study on the influence of pacemaker implantation on the psychological status of young and middle-aged patients[D]. Lanzhou: Lanzhou University, 2018.
    [6]
    GHASEMPOUR M, SHABANLOEI R, RAHMANI A, et al. The relation of readiness for return to work and return to work among iranian cancer survivors[J]. J Cancer Educ, 2019, 35(6): 1237-1242.
    [7]
    张庚赞. 中青年脑卒中后遗症患者重返工作准备度现状及影响因素研究[D]. 济南: 山东中医药大学, 2022.

    ZHANG G Z. Research on the status and influencing factors of the readiness to return to work in young and middle-aged patients with sequelae of stroke[D]. Jinan: Shandong University of Traditional Chinese Medicine, 2022.
    [8]
    葛莹. 肝硬化患者重返工作准备度现状调查及影响因素研究[D]. 济南: 山东大学, 2020.

    GE Y. Study on the readiness for return-to-work and its influential factors in patients with cirrhosis[D]. Jinan: Shandong University, 2020.
    [9]
    李晶, 罗小平, 裴柯茜, 等. 心脏起搏器植入术后患者心理社会适应的研究进展[J]. 中华急危重症护理杂志, 2024, 5(5): 435-438.

    LI J, LUO X P, PEI K X, et al. Research progress of psychosocial adaptation in patients after permanent pacemaker implantation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(5): 435-438.
    [10]
    邢慧敏, 黄佳琪, 王洋, 等. 社会衰弱的研究进展[J]. 职业与健康, 2023, 39(15): 2139-2142, 2147.

    XING H M, HUANG J Q, WANG Y, et al. Advances in study of social frailty[J]. Occup and Health, 2023, 39(15): 2139-2142, 2147.
    [11]
    陈彬. 医学多因素分析设计样本例数估算: 多因素分析设计样本例数综合估算法[J]. 伤害医学(电子版), 2012, 1(4): 58-60. doi: 10.3868/j.issn.2095-1566.2012.04.012

    CHEN B. Sample size methodology for multivariate analysis: synthetic estimate method for sample size in multivariate analysis[J]. Injury Medicine(Electronic Edition), 2012, 1(4): 58-60. doi: 10.3868/j.issn.2095-1566.2012.04.012
    [12]
    曹慧丽, 何琨, 齐倩倩. 中文版重返工作准备度量表在乳腺癌患者中的信效度检验[J]. 中国康复医学杂志, 2019, 34(7): 801-807. doi: 10.3969/j.issn.1001-1242.2019.07.010

    CAO H L, HE K, QI Q Q. Reliability and validity of Chinese version of the readiness for return-to-work scale in breast cancer patients[J]. Chinese Journal of Rehabilitation Medicine, 2019, 34(7): 801-807. doi: 10.3969/j.issn.1001-1242.2019.07.010
    [13]
    解亚宁. 简易应对方式量表信度和效度的初步研究[J]. 中国临床心理学杂志, 1998(2): 53-54.

    XIE Y N. Preliminary study on the reliability and validity of the simplified coping style scale[J]. Chinese Journal of Clinical Psychology, 1998(2): 53-54.
    [14]
    MA L, SUN F, TANG Z. Social frailty is associated with physical functioning, cognition, and depression, and predicts mortality[J]. J Nutr Health Aging, 2018, 22(8): 989-995. doi: 10.1007/s12603-018-1054-0
    [15]
    胡尧尧, 毛芳莹, 张静, 等. 中青年冠心病患者重返工作的影响因素分析[J]. 护理学杂志, 2022, 37(15): 20-23. doi: 10.3870/j.issn.1001-4152.2022.15.020

    HU Y Y, MAO F Y, ZHANG J, et al. Influencing factors of return to work among young and middle-aged patients with coronary heart disease[J]. Journal of Nursing Science, 2022, 37(15): 20-23. doi: 10.3870/j.issn.1001-4152.2022.15.020
    [16]
    王亮亮, 谢明, 姚楠, 等. 重症肌无力病人重返工作准备度现状及其影响因素[J]. 护理研究, 2023, 37(19): 3587-3591. doi: 10.12102/j.issn.1009-6493.2023.19.032

    WANG L L, XIE M, YAO N, et al. Status quo and influencing factors of readiness to return to work for myasthenia gravis patients[J]. Chinese Nursing Research, 2023, 37(19): 3587-3591. doi: 10.12102/j.issn.1009-6493.2023.19.032
    [17]
    ANNETT S, IRYNA K, EIKE L, et al. Patient-reported outcomes predict return to work and health-related quality of life six months after cardiac rehabilitation: results from a German multi-centre registry (OutCaRe)[J]. PLoS One, 2020, 15(5): e0232752. DOI: 10.1371/journal.pone.0232752.
    [18]
    张旭. 中青年脑卒中患者重返工作岗位现状及影响因素分析[D]. 沈阳: 中国医科大学, 2023.

    ZHANG X. The analysis of the status and influencing factors of young andmiddle-aged stroke patients returning to work[D]. Shenyang: China Medical University, 2023.
    [19]
    张梦瑶, 董诗奇, 王娟, 等. 中青年淋巴瘤患者重返工作准备度及相关因素[J]. 中国心理卫生杂志, 2022, 36(9): 750-756. doi: 10.3969/j.issn.1000-6729.2022.09.005

    ZHANG M Y, DONG S Q, WANG J, et al. Readiness of return-to-work and its related factors among young andmiddle-aged patients with lymphoma[J]. Chinese Mental Health Journal, 2022, 36(9): 750-756. doi: 10.3969/j.issn.1000-6729.2022.09.005
    [20]
    陈秋蕾, 郭亚芬, 周建伟. 中青年卒中患者重返工作现状及影响因素的调查研究[J]. 实用预防医学, 2021, 28(6): 699-702. doi: 10.3969/j.issn.1006-3110.2021.06.015

    CHEN Q L, GUO Y F, ZHOU J W. Current status of returning to work and its influencing factorsamong young and middle-aged patients with stroke[J]. Practical Preventive Medicine, 2021, 28(6): 699-702. doi: 10.3969/j.issn.1006-3110.2021.06.015
    [21]
    MO-YEOL K, JUN-PYO M, HYOUNG-RYOUL K. Job characteristics as risk factors for early retirement due to ill health: the Korean longitudinal study of aging (2006-2014)[J]. J Occup Health, 2019, 61(1): 63-72. doi: 10.1002/1348-9585.12014
    [22]
    戴建娟, 王薇, 颜波儿, 等. 重返工作岗位肺癌患者工作生活质量现状及影响因素分析[J]. 中华全科医学, 2024, 22(3): 513-516. doi: 10.16766/j.cnki.issn.1674-4152.003438

    DAI J J, WANG W, YANG B E, et al. Quality of work and life and its influencing factors in lung cancer patients returning to work[J]. Chinese Journal of General Practice, 2024, 22(3): 513-516. doi: 10.16766/j.cnki.issn.1674-4152.003438
    [23]
    HU Y Y, ZHOU T H, LI X J, et al. Factors influencing return to work 3 months after percutaneous coronary intervention in young and middle-aged patients with coronary heart disease: a single-center, cross-sectional study[J]. PLoS One, 2023, 18(4): e0284100. DOI: 10.1371/journal.pone.0284100.
    [24]
    SONGUL Ş, SEZIN A B, ERSIN U, et al. The strategies for coping with stress of epilepsy patients[J]. Neurol Sci, 2021, 42(10): 4265-4270. doi: 10.1007/s10072-021-05372-2
    [25]
    温高芹, 孙国珍, 高敏, 等. 应对方式和焦虑在射血分数保留心力衰竭患者运动自我效能与运动恐惧间的链式中介作用[J]. 中华全科医学, 2024, 22(10): 1648-1651, 1704. doi: 10.16766/j.cnki.issn.1674-4152.003703

    WEN G Q, SUN G Z, GAO M, et al. Mediating effect of coping mode and anxiety on the relationship between self-efficacy for exercise and kinesiophobia in patients with heart failure with preserved ejection fraction[J]. Chinese Journal of General Practice, 2024, 22(10): 1648-1651, 1704. doi: 10.16766/j.cnki.issn.1674-4152.003703
    [26]
    刘慧珍. 乳腺癌患者重返工作准备度及其影响因素的纵向研究[D]. 赣州: 赣南医学院, 2023.

    LIU H Z. The readiness for return-to-work and its influencing factors inbreast cancer: a longitudinal study[D]. Ganzhou: Gannan Medical University, 2023.
    [27]
    袁平乔, 夏雪飞, 黄虹久, 等. 基于iSupport系统干预改善痴呆照顾者应对方式的效果研究[J]. 中国老年保健医学, 2023, 21(6): 134-138.

    YUAN P Q, XIA X F, HUANG H J, et al. Effect of iSupport-based systematie intervention on coping styles of dementia caregivers[J]. Chinese Journal of Geriatric Care, 2023, 21(6): 134-138.
    [28]
    FRANCESCO S R, NICOLA V, LEE S, et al. Social frailty increases the risk of all-cause mortality: a longitudinal analysis of the English longitudinal study of ageing[J]. Exp Gerontol, 2022, 167: 111901. DOI: 10.1016/j.exger.2022.111901.
    [29]
    QI X J, LI J. The relationship between social frailty and depressive symptoms in the elderly: a scoping review[J]. Int J Environ Res Public Health, 2022, 19(24): 16683. DOI: 10.3390/ijerph192416683.
    [30]
    黄铮, 邵庭芳, 梁冉, 等. 老年人社会衰弱的概念分析[J]. 中华护理教育, 2023, 20(6): 752-756. doi: 10.3761/j.issn.1672-9234.2023.06.020

    HUANG Z, SHAO T F, LIANG R, et al. Social frailty in elderly: a conceptual analysis[J]. Chinese Journal of Nursing Education, 2023, 20(6): 752-756. doi: 10.3761/j.issn.1672-9234.2023.06.020
    [31]
    卢静, 孙国珍, 王洁, 等. 慢性心力衰竭患者社会衰弱现状及其影响因素可解释性分析研究[J]. 中国全科医学, 2025, 28(2): 220-227. doi: 10.12114/j.issn.1007-9572.2023.0917

    LU J, SUN G Z, WANG J, et al. Interpretable analysis of influencing factors and the current state of social frailty in patients with chronic heart failure[J]. Chinese General Practice, 2025, 28(2): 220-227. doi: 10.12114/j.issn.1007-9572.2023.0917
    [32]
    宋歌, 王颖, 高欢玲, 等. 社区老年人睡眠障碍与社会衰弱的相关性[J]. 实用老年医学, 2022, 36(8): 813-817. doi: 10.3969/j.issn.1003-9198.2022.08.015

    SONG G, WANG Y, GAO H L, et al. Relationship between sleep disorder and social frailty among community-dwelling elderly[J]. Practical Geriatrics, 2022, 36(8): 813-817. doi: 10.3969/j.issn.1003-9198.2022.08.015
    [33]
    李心怡, 段书. 永久性心脏起搏器植入术对患者生活质量及焦虑、抑郁的影响[J]. 中国临床心理学杂志, 2019, 27(3): 609-612.

    LI X Y, DUAN S. Influence on quality of life, depression and anxiety of patients with cardiac pacemaker implantation[J]. Chinese Journal of Clinical Psychology, 2019, 27(3): 609-612.
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