Effects of Phase II Cardiac Rehabilitation on Job Stress and Health-Related Quality of Life After Return to Work in Middle-Aged Patients With Acute Myocardial Infarction

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Author(s)

    • Aiba Naoko
    • Graduate School of Medical Sciences, Kitasato University Hospital
    • Hara Miyako
    • Graduate School of Medical Sciences, Kitasato University Hospital
    • Izumi Tohru
    • Department of Internal Medicine and Cardiology, School of Medicine, Kitasato University
    • Masuda Takashi
    • Department of Rehabilitation, School of Allied Health Sciences, Kitasato University
    • Matsunaga Atsuhiko
    • Department of Rehabilitation, School of Allied Health Sciences, Kitasato University
    • Ishii Akira
    • Graduate School of Medical Sciences, Kitasato University Hospital

Abstract

The aim of the present study was to clarify the effects of phase II cardiac rehabilitation (CR) on job stress and health-related quality of life (HRQOL) after return to work in middle-aged patients with acute myocardial infarction (AMI). A total of 109 middle-aged outpatients (57 ± 7 years) who completed a phase I CR program after AMI were enrolled, 72 of whom participated in a phase II CR program for 5 months after hospital discharge (CR group) and 37 who discontinued the phase II CR program after the discharge (non-CR group). Job stress was assessed at 6 months after the AMI using a brief job stress questionnaire containing questions related to job stressors, worksite support, level of satisfaction with work or daily life, and psychological distress. HRQOL was assessed using the short-form 36-item health survey (SF-36) at hospital discharge and at 3 and 6 months after the AMI. There were no significant differences in clinical and occupational characteristics between the CR and non-CR groups. The CR group patients exhibited significantly better results for job stressors and psychological distress and higher SF-36 scores at 6 months after the AMI, as compared with those in the non-CR group. These findings suggest that discontinuing a phase II CR program induced chronic psychosocial stress after return to work in these middle-aged post-AMI patients.

Journal

  • International Heart Journal

    International Heart Journal 50(3), 279-290, 2009

    International Heart Journal Association

Codes

  • NII Article ID (NAID)
    130000120813
  • Text Lang
    ENG
  • ISSN
    1349-2365
  • Data Source
    J-STAGE 
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