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.

Miglioretti, M., Gragnano, A., Baiardo, G., Savioli, G., Corsiglia, L., Griffo, R. (2018). Quality of work experience after angioplasty or heart surgery: a monocentric cohort study. INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH, 91(3), 337-348 [10.1007/s00420-017-1282-3].

Quality of work experience after angioplasty or heart surgery: a monocentric cohort study

Miglioretti, M
;
Gragnano, A;
2018

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.
Articolo in rivista - Articolo scientifico
Cardiovascular diseases; Job involvement; Job satisfaction; Quality of work life; Return to work; Public Health, Environmental and Occupational Health
English
2018
91
3
337
348
none
Miglioretti, M., Gragnano, A., Baiardo, G., Savioli, G., Corsiglia, L., Griffo, R. (2018). Quality of work experience after angioplasty or heart surgery: a monocentric cohort study. INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH, 91(3), 337-348 [10.1007/s00420-017-1282-3].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/190681
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