Key result
Return to work after cardiac rehabilitation is linked to less depression and improved subjective health.
Why the study?
Changes in subjective psychological health and perceived work stress among patients returning to work after multidisciplinary cardiac rehabilitation following cardiac interventions were not well characterized.
Does multidisciplinary cardiac rehabilitation improve subjective psychological health and perceived work stress in patients returning to work following cardiac interventions?
Observational (n=108)
Does multidisciplinary cardiac rehabilitation improve subjective psychological health and perceived work stress in patients returning to work following cardiac interventions?
Patients returning to work after cardiac rehabilitation following angioplasty or heart surgery experience improved psychological and physical health without increased work stress over 1 year.
May support encouraging return to work after rehab; leaves open causality and needs RCTs before practice change.
The aim of this study was to explore changes in subjective psychological health and perceived work stress among patients who returned to work (RTW) after a multidisciplinary cardiac rehabilitation (CR) following cardiac interventions. A total of 108 patients were evaluated at the beginning of their CR, at 6 and 12 months after discharge. Self-report questionnaires were used to assess depression, anxiety, illness perception and work stress at each time stage. Results showed reports of depressive symptoms significantly decreased (p < 0.05) and subjective mental (p = 0.001) and physical health (p < 0.001) improved over time. Patients revealed a decrease in Type A behaviour pattern (p < 0.001) and in job satisfaction levels (p = 0.01), greater internal locus of control (p < 0.01) and increased use of the coping strategy 'Involvement' (p < 0.01). Major findings are that cardiac patients had an improvement in subjective psychological health and did not perceive increased work stress after their RTW. Patients' psychological health and work stress need to be assessed during the CR and should be also carefully monitored after the RTW in order to identify patients' psychological and work-related barriers and facilitate a safe and successful work reintegration.
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Fiabane et al. (2014) conducted an observational in Post-cardiac intervention (n=108). Multidisciplinary cardiac rehabilitation and return to work was evaluated on Changes in subjective psychological health and perceived work stress. Return to work after multidisciplinary cardiac rehabilitation was associated with decreased depressive symptoms (P<0.05) and improved subjective mental (P=0.001) and physical health (P<0.001).
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