Review of assessment tools and influencing factors in patients with coronary heart disease returning to work

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

Abstract

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

CLC Number:

R541.4

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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