Key result
Phase II cardiac rehabilitation significantly improved job stress, psychological distress, and health-related quality of life at 6 months compared to non-participation in middle-aged patients returning to work after acute myocardial infarction.
Why the study?
Does phase II cardiac rehabilitation improve job stress and health-related quality of life in middle-aged patients returning to work after acute myocardial infarction?
Cohort (n=109)
No
Does phase II cardiac rehabilitation improve job stress and health-related quality of life in middle-aged patients returning to work after acute myocardial infarction?
Participation in a 5-month phase II cardiac rehabilitation program significantly reduces job stress and improves health-related quality of life in middle-aged patients returning to work after an acute myocardial infarction.
Should not yet change practice; leaves open whether phase II cardiac rehabilitation causally improves job stress and HRQoL in working AMI survivors.
The aim of the present study was to clarify the effects of phase II cardiac rehabilitation (CR) on job stress and health-related quality of life (HRQOL) after return to work in middle-aged patients with acute myocardial infarction (AMI). A total of 109 middle-aged outpatients (57 +/- 7 years) who completed a phase I CR program after AMI were enrolled, 72 of whom participated in a phase II CR program for 5 months after hospital discharge (CR group) and 37 who discontinued the phase II CR program after the discharge (non-CR group). Job stress was assessed at 6 months after the AMI using a brief job stress questionnaire containing questions related to job stressors, worksite support, level of satisfaction with work or daily life, and psychological distress. HRQOL was assessed using the short-form 36-item health survey (SF-36) at hospital discharge and at 3 and 6 months after the AMI. There were no significant differences in clinical and occupational characteristics between the CR and non-CR groups. The CR group patients exhibited significantly better results for job stressors and psychological distress and higher SF-36 scores at 6 months after the AMI, as compared with those in the non-CR group. These findings suggest that discontinuing a phase II CR program induced chronic psychosocial stress after return to work in these middle-aged post-AMI patients.
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Yonezawa et al. (2009) conducted a cohort in Acute Myocardial Infarction (n=109). Phase II cardiac rehabilitation vs. No phase II cardiac rehabilitation was evaluated on Job stress (brief job stress questionnaire) and health-related quality of life (SF-36) at 6 months. Phase II cardiac rehabilitation significantly improved job stress, psychological distress, and health-related quality of life at 6 months compared to non-participation in middle-aged patients returning to work after acute myocardial infarction.
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