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05.12.2017 | Original Article | Ausgabe 3/2018

International Archives of Occupational and Environmental Health 3/2018

Quality of work experience after angioplasty or heart surgery: a monocentric cohort study

Zeitschrift:
International Archives of Occupational and Environmental Health > Ausgabe 3/2018
Autoren:
Massimo Miglioretti, Andrea Gragnano, Giacomo Baiardo, Gaia Savioli, Luca Corsiglia, Raffaele Griffo

Abstract

Purpose

The study evaluated work experience changes and its determinants after return to work (RTW) in angioplasty or heart surgery patients.

Methods

During a 1-year period (2014) in a Rehabilitation Hospital in northwestern Italy, we approached 253 patients (19.3% of inpatients). 199 patients consented to complete a survey on job characteristics, job satisfaction, job involvement, illness perception, depression, anxiety, adherence to therapy, and sociodemographic characteristics. The data were analysed with paired sample t tests and random intercept regression models.

Results

156 patients completed both the baseline and the 6-month follow-up assessments. After 6 months, 137 (88%) patients return to work (86% male, M age = 51.9 ± 8.1). The patients predominantly underwent angioplasty/bypass (46%) or valve replacement/repair (38%). Work hours (WO), job satisfaction (JS), and job involvement (JI) significantly decreased after RTW (WO: t (132) = 2.07, p < 0.05; JS: t (134) = 2.56, p < 0.05; JI: t (129) = 4.14, p < 0.001). The decrease in work hours over time was associated with a within-subjects decrease in psychological job demands (β = 5.107, t (112.1) = 2.21, p < 0.05) and job satisfaction (β = 2.498, t (112.92) = 2.265, p < 0.05) and an increase in physical job demands (β = − 1.314, t (112.07) = − 2.416, p < 0.05). The decrease in job satisfaction over time was related to a within-subjects decrease in decision latitude (β = 0.505, t (116.43) = 2.825, p < 0.01) and an increase in psychological job demand (β = − 0.586, t (116.78) = − 3.141, p < 0.01). The decrease in job involvement over time was associated with a decrease in physical job demands (β = 0.063, t (117.19) = 2.157, p < 0.05) within-subjects.

Conclusions

The study showed that many patients who RTW after angioplasty or heart surgery have poorer work experiences relative to changes in psychological and physical demands and more passive roles.

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