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Return to Work after an Acute Coronary Syndrome: Patients' Perspective

  • Slebus, Frans G. (Coronel Institute of Occupational Health) ;
  • Jorstad, Harald T. (Department of Cardiology Academic Medical Center, University of Amsterdam) ;
  • Peters, Ron J.G. (Department of Cardiology Academic Medical Center, University of Amsterdam) ;
  • Kuijer, P. Paul F.M. (Coronel Institute of Occupational Health) ;
  • Willems, J. (Han) H.B.M. (Coronel Institute of Occupational Health) ;
  • Sluiter, Judith K. (Coronel Institute of Occupational Health) ;
  • Frings-Dresen, Monique H.W. (Coronel Institute of Occupational Health)
  • 투고 : 2011.12.12
  • 심사 : 2012.02.28
  • 발행 : 2012.06.30

초록

Objectives: To describe the time perspective of return to work and the factors that facilitate and hinder return to work in a group of survivors of acute coronary syndrome (ACS). Methods: Retrospective semi-structured telephone survey 2 to 3 years after hospitalization with 84 employed Dutch ACS-patients from one academic medical hospital. Results: Fifty-eight percent of patients returned to work within 3 months, whereas at least 88% returned to work once within 2 years. Two years after hospitalization, 12% of ACS patients had not returned to work at all, and 24% were working, but not at pre-ACS levels. For all ACS-patients, the most mentioned categories of facilitating factors to return to work were having no complaints and not having signs or symptoms of heart disease. Physical incapacity, co-morbidity, and mental incapacity were the top 3 categories of hindering factors against returning to work. Conclusion: Within 2 years, 36% of the patients had not returned to work at their pre-ACS levels. Disease factors, functional capacity, environmental factors, and personal factors were listed as affecting subjects' work ability level.

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