BMJ open · 2025
Self-efficacy and influencing factors of returning to work in young and middle-aged patients with aortic dissection in China: a cross-sectional study using latent profile analysis.
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Jiang Yan, Peng Yanchun, Chen Yaqin, Lu Wen, Chen Liangwan, Lin Yanjuan
Аннотация
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.
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.