摘要
目的：急性冠状动脉综合征（ACS）后重新开始工作是患者恢复的一项重要指征，但尚未在当前急性患者护理领域被广泛研究。方法和结果：对共126例ACS入院前从事工作的患者进行研究，观察指标包括患者的既往史、ACS类型、ACS严重程度、临床治疗以及社会人口统计学特征。入院后7—10d检测患者的抑郁情绪（Beck抑郁量表）和D型性格。其中，101例（80．2％）在12～13个月后恢复工作。未能恢复工作与入院时的心脏因素（心力衰竭、心律失常）、干预治疗数月内出现的并发症以及住院期间的抑郁分数有关，与年龄、性别、社会经济状况、ACS类型、心脏病史、急性临床治疗或D型性格无关。
Aims： Resumption of paid employment following acute coronary syndrome （ACS） is an important indicator of recovery, but has not been studied extensively in the modem era of acute patient care. Methods and results： A total of 126 patients who had worked before hospitalization for ACS were studied with measures of previous clinical history, ACS type and severity, clinical management, and sociodemographic characteristics. Depressed mood（Beck Depression Inventory） and type D personality were measured 7- 10 days following admission. Among them, 101 （80. 2% ） had returned to work 12 - 13 months later. Failure to resume work was associated with cardiac factors on admission （heart failure, arrhythmia）, cardiac complications during the intervening months, and depression scores during hospitalization. It was not related to age, gender, socioeconomic status, type of ACS, cardiac history, acute clinical management, or type D personality.
