冠心病患者重返工作测评工具及影响因素的范围综述

doi:10.3969/j.issn.1674-490X.2026.04.009

摘要/Abstract

摘要： 目的对冠心病患者重返工作的现状、测评工具及影响因素相关证据进行范围审查,为促进患者重返工作提供循证参考依据。方法以澳大利亚乔安娜·布里格斯研究所的范围综述指南为方法学框架,检索EMbase、PubMed、Web of Science、Scopus、CINAHL、中国知网、万方、维普、中国生物医学文献数据库,检索时限为建库至2026年4月。由2名研究者独立完成文献的筛选工作,随后共同对纳入的研究进行汇总,并开展系统分析。结果共纳入18篇文献,冠心病患者的重返工作率为50.00%~91.10%,测评工具主要为重返工作准备度量表(Cronbach's α系数为0.753~0.843)、重返工作自我效能感量表(Cronbach's α系数为0.835)、功能状态问卷中的工作绩效量表。重返工作的影响因素包括人口学因素、疾病因素、行为心理因素、治疗因素及社会因素。结论冠心病患者重返工作受多元因素影响,应早期识别高危人群,实施个体化治疗与随访,强化护理干预证据并推动临床转化,以改善远期预后与生活质量。

关键词: 冠心病, 重返工作, 测评工具, 影响因素, 范围综述

Abstract: Objective To conduct a scoping review of the current status, assessment tools, and influencing factors related to return to work(RTW)in patients with coronary heart disease(CHD)and provide evidence-based references to facilitate their RTW. Methods Following the Joanna Briggs Institute(JBI)Scoping Review guidelines, a systematic search was performed in EMbase, PubMed, Web of Science,Scopus, CINAHL, CNKI, Wanfang, VIP, and the Chinese Biomedical Literature Database (CBM)from database inception to April 2026. Two researchers independently screened the literature, then jointly summarized the findings and performed a systematic analysis. Results A total of 18 articles were included. The RTW rate of CHD patients ranged from 50.00% to 91.10%. The main assessment tools identified were the Readiness for Return to Work Scale(Cronbach's α=0.753-0.843), the Return to Work Self-efficacy Questionnaire(Cronbach's α=0.835), and The Functional Status Questionnaire. Influencing factors for RTW included demographic factors, disease-related factors, behavioral and psychological factors, treatment-related factors, and social factors. Conclusion RTW among CHD patients is influenced by multiple factors. Early identification of high-risk groups, implementation of individualized treatment and follow-up, strengthening of evidence-based nursing interventions, and promotion of clinical translation are recommended to improve long-term prognosis and quality of life.

Key words: coronary heart disease, return to work, assessment tools, influencing factors, scoping review

中图分类号:

R541.4

申晓璇,徐文萍,张海莲,李春玉,金锦珍,吴善玉. 冠心病患者重返工作测评工具及影响因素的范围综述[J]. 医学研究与教育, 2026, 43(4): 71-80.

Shen Xiaoxuan, Xu Wenping, Zhang Hailian, Li Chunyu, Jin Jinzhen, Wu Shanyu. Review of assessment tools and influencing factors in patients with coronary heart disease returning to work[J]. Journal of Hebei Medical College for Continuing Education, 2026, 43(4): 71-80.

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