冠心病患者重返工作岗位情况及影响因素的Meta分析

Prevalence and influencing factors for return to work in patients with coronary heart disease:a Meta-analysis

目的:分析冠心病患者重返工作岗位的情况及影响因素,为临床制订冠心病患者重返工作岗位的干预措施提供参考依据。方法:计算机检索中英文数据库中有关冠心病患者重返工作岗位的情况及影响因素的研究,检索时间从建库至2023年2月。采用RevMan 5.3和StataMP 17.0软件进行Meta分析。结果:共纳入10篇文献,涉及研究对象11394例。Meta分析结果显示,冠心病患者重返工作岗位率为58%[95%CI(0.47~0.69)]。性别[OR=2.37,95%CI(1.65~3.40)]、年龄[OR=1.26,95%CI(1.07~1.47)]、工作性质[OR=5.91,95%CI(3.65~9.57)]、病变血管数量[OR=0.16,95%CI(0.05~0.46)]、恐惧疾病进展[OR=0.87,95%CI(0.82~0.91)]、社会支持[OR=1.13,95%CI(1.07~1.18)]为冠心病患者重返工作岗位的影响因素。结论:冠心病患者重返工作岗位率较低,且受多种因素的影响,医务人员应全面、重点关注以上高危人群,及时给予干预与支持。

Objective:To explore the prevalence and main influencing factors of return to work(RTW)in patients with coronary heart disease(CHD),so as to provide reference for nursing interventions.Methods:Databases including the English and Chinese databases from inception to February 2023 were retrieved to search for studies on the prevalence and influencing factors of RTW in patients with CHD.Meta-analysis was performed by RevMan 5.3 and StataMP 17.0 software.Results:A total of 10 literatures were enrolled,involving 11394 subjects.Meta-analysis results showed that the prevalence of RTW in coronary heart disease was 58%[95%CI(0.47-0.69)].Sex[OR=2.37,95%CI(1.65-3.40)],age[OR=1.26,95%CI(1.07-1.47)],type of occupation[OR=5.91,95%CI(3.65-9.57)],number of diseased vessels([OR=0.16,95%CI(0.05-0.46)],fear of disease progression[OR=0.87,95%CI(0.82-0.91)],social support[OR=1.13,95%CI(1.07-1.18)]were its influencing factors.Conclusion:The incidence of patients with coronary heart disease returning to work is low and affected by many factors,medical staff should fully pay attention to the above high-risk groups,and give timely intervention and support.