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      Retorno ao trabalho de pacientes com Síndrome Coronariana Aguda Translated title: Acute Coronary Syndrome patients’ return to work

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          Abstract

          Resumo Introdução: as doenças cardiovasculares representam grande impacto de morbimortalidade para a sociedade brasileira. Objetivo: verificar o tempo para retorno ao trabalho de pacientes com Síndrome Coronária Aguda (SCA); identificar e correlacionar variáveis sociodemográficas, clínicas, psicossociais e ocupacionais que podem influenciar nesse período e no desempenho no trabalho. Métodos: estudo transversal correlacional desenvolvido em 2015-2016 com 65 pacientes com SCA que retornaram ao trabalho. Instrumentos utilizados: Questionário de Caracterização; Questionário de Avaliação do Desempenho no Trabalho; Veterans Specific Activity Questionnaire; MacNew Heart Disease Health-related Quality of Life; Escala Hospitalar de Ansiedade e Depressão; e Impacto da Doença no Cotidiano do Valvopata. Foram aplicados: o teste de Mann-Whitney; pós-teste de Dunn; e coeficiente de correlação de Spearman. Resultados: o tempo médio para retorno ao trabalho foi de 7,3 meses. Os participantes que exerciam trabalho manual apresentaram tempo maior para retorno ao trabalho. O desempenho no trabalho foi fortemente correlacionado com a qualidade de vida e inversamente com ansiedade e depressão. Conclusão: os dados apontam a necessidade de desenvolvimento de estratégias a fim de promover o retorno ao trabalho de pacientes com SCA.

          Translated abstract

          Abstract Introduction: cardiovascular diseases represent a major morbidity and mortality impact on the Brazilian society. Objective: to verify the Acute Coronary Syndrome (ACS) patients’ time to return to work; and to identify and correlate sociodemographic, clinical, psychosocial, and occupational variables that may influence that time and their work performance. Methods: cross-sectional correlational study conducted in 2015-2016 with 65 ACS patients who returned to work. The instruments used were: Sociodemographic Questionnaire; Work Performance Evaluation Questionnaire; Veterans Specific Activity Questionnaire; MacNew Heart Disease Health-related Quality of Life; Hospital Anxiety and Depression Scale; and Impact of Valvular Disease in Everyday Life. Mann-Whitney test, Dunn’s posttest, and Spearman’s correlation coefficient were applied. Results: participants took 7.3 months on average to return to work; the ones who performed manual labor took longer to do so. Professional performance was found to be strongly correlated with quality of life and, inversely, with anxiety and depression. Conclusion: data indicate the need to develop strategies to promote ACS patients’ return to work.

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          Most cited references25

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          Hospital Anxiety and Depression Scale (HAD): some psychometric data for a Swedish sample.

          The Hospital Anxiety and Depression Scale (HAD) was evaluated in a Swedish population sample. The purpose of the study was to compare the HAD with the Beck Depression Inventory (BDI) and Spielberger's State Trait Anxiety Inventory (STAI). A secondary aim was to examine the factor structure of the HAD. The results indicated that the factor structure was quite strong, consistently showing two factors in the whole sample as well as in different subsamples. The correlations between the total HAD scale and BDI and STAI, respectively, were stronger than those obtained using the different subscales of the HAD (the anxiety and depression subscales). As expected, there was also a stronger correlation between the HAD and the non-physical items of the BDI. It was somewhat surprising that the factor analyses were consistently extracting two factors, 'depression' and 'anxiety', while on the other hand both BDI and STAI tended to correlate more strongly with the total HAD score than with the specific depression and anxiety HAD subscales. Nevertheless, the HAD appeared to be (as was indeed originally intended) a useful clinical indicator of the possibility of depression and clinical anxiety.
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            Depression as a predictor of work resumption following myocardial infarction (MI): a review of recent research evidence

            Background Depression often coexists with myocardial infarction (MI) and has been found to impede recovery through reduced functioning in key areas of life such as work. In an era of improved survival rates and extended working lives, we review whether depression remains a predictor of poorer work outcomes following MI by systematically reviewing literature from the past 15 years. Methods Articles were identified using medical, health, occupational and social science databases, including PubMed, OVID, Medline, Proquest, CINAHL plus, CCOHS, SCOPUS, Web of Knowledge, and the following pre-determined criteria were applied: (i) collection of depression measures (as distinct from 'psychological distress') and work status at baseline, (ii) examination and statistical analysis of predictors of work outcomes, (iii) inclusion of cohorts with patients exhibiting symptoms consistent with Acute Coronary Syndrome (ACS), (iv) follow-up of work-specific and depression specific outcomes at minimum 6 months, (v) published in English over the past 15 years. Results from included articles were then evaluated for quality and analysed by comparing effect size. Results Of the 12 articles meeting criteria, depression significantly predicted reduced likelihood of return to work (RTW) in the majority of studies (n = 7). Further, there was a trend suggesting that increased depression severity was associated with poorer RTW outcomes 6 to 12 months after a cardiac event. Other common significant predictors of RTW were age and patient perceptions of their illness and work performance. Conclusion Depression is a predictor of work resumption post-MI. As work is a major component of Quality of Life (QOL), this finding has clinical, social, public health and economic implications in the modern era. Targeted depression interventions could facilitate RTW post-MI.
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              Return to work after acute ST-segment elevation myocardial infarction in the modern era of reperfusion by direct percutaneous coronary intervention.

              Previous studies have evaluated return to work after acute ST-segment elevation myocardial infarction (STEMI) treated medically, after bypass surgery or after percutaneous coronary intervention (PCI) for stable coronary artery disease. However, there are few data regarding return to work after acute STEMI treated by direct PCI.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                rbso
                Revista Brasileira de Saúde Ocupacional
                Rev. bras. saúde ocup.
                Fundação Jorge Duprat Figueiredo de Segurança e Medicina do Trabalho - FUNDACENTRO (São Paulo, SP, Brazil )
                0303-7657
                2317-6369
                2019
                : 44
                : e10
                Affiliations
                [1] Campinas São Paulo orgnameUniversidade Estadual de Campinas orgdiv1Faculdade de Enfermagem Brazil
                Article
                S0303-76572019000101307
                10.1590/2317-6369000019518
                b3865bd4-8fb9-490f-9a7d-d778beb0cba2

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 31 August 2018
                : 20 March 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 32, Pages: 0
                Product

                SciELO Brazil

                Categories
                Tema livre/Artigo

                return to work,quality of life,anxiety,depression,acute coronary syndrome,retorno ao trabalho,qualidade de vida,ansiedade,depressão,síndrome coronariana aguda

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