ArticleBMJ open2025
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.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
objectiveThis 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.
designA cross-sectional study.
settingData were collected from a Class III Grade A hospital in Fujian Province, China.
participantsA 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.
resultsA 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).
conclusionA 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.
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