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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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Miglioretti, M., Gragnano, A., Baiardo, G. et al. Quality of work experience after angioplasty or heart surgery: a monocentric cohort study. Int Arch Occup Environ Health 91, 337–348 (2018). https://doi.org/10.1007/s00420-017-1282-3
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DOI: https://doi.org/10.1007/s00420-017-1282-3