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
Year: 2025
Type: article
Study design: Observational Study
Abstract: 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.
Source: BMJ Open
Institutions: Fujian Medical University, Union Hospital
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,839
Funder: Fujian Medical University
OpenAlex ID: W4416438872