Key result
Income, employment, education, and disease fear are linked to return-to-work self-efficacy in younger aortic dissection patients.
Why the study?
To assess return-to-work self-efficacy, identify distinct patient subgroups via latent profile analysis, and explore influencing factors in young and middle-aged patients with aortic dissection.
Cross-Sectional (n=204)
No
A significant proportion of young and middle-aged patients with aortic dissection have low self-efficacy for returning to work, highlighting the need for targeted vocational rehabilitation.
Answers are grounded in this paper and cite their sources.
May inform vocational support strategies in aortic dissection; leaves open prospective trials to confirm causality and guide practice.
OBJECTIVE: This study aims to assess the self-efficacy of returning to work among middle-aged and young patients with aortic dissection. Additionally, it seeks to identify distinct characteristics of these patients using latent profile analysis based on their return-to-work self-efficacy (RTW-SE) levels and to explore factors influencing the identified latent subgroups. DESIGN: A cross-sectional study. SETTING: Data were collected from a Class III Grade A hospital in Fujian Province, China. PARTICIPANTS: A total of 204 patients were recruited for this study. OUTCOME MEASURES: Data collection used a self-generated general information questionnaire, RTW-SE, Fear of Progression Questionnaire-Short Form and Social support rate scale. RESULTS: A total of 204 young and middle-aged patients with aortic dissection were classified into three categories based on their RTW-SE: high work coping-high internal coping group (9.8%), moderate overall level group (38.2%) and low work coping-low internal coping group (52.0%). Multivariate logistic regression analysis identified personal annual income, type of employment, education level and fear of disease progression as significant factors influencing RTW-SE in these patients (p<0.05). CONCLUSION: A significant proportion of aortic dissection patients exhibit low self-efficacy in returning to work. These findings underscore the importance of emphasising vocational rehabilitation and integrating it into comprehensive cardiac rehabilitation programmes.
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Jiang et al. (2025) conducted a cross-sectional in Aortic dissection (n=204). Personal annual income, type of employment, education level, and fear of disease progression was evaluated on Return-to-work self-efficacy (RTW-SE) latent profiles (p=<0.05). Personal annual income, employment type, education level, and fear of disease progression significantly influenced return-to-work self-efficacy in young and middle-aged aortic dissection patients (p<0.05).
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