Factors Associated with Return to Work Following Myocardial Infarction: A Systematic Review of Observational Studies.

Publication Type:
Journal Article
Journal of clinical nursing, 2020
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OBJECTIVES:To identify and critically synthesise literature on return to work of patients following a myocardial infarction, and to identify factors that are associated with this. BACKGROUND:Understanding when patients return to work after myocardial infarction and what factors are associated with this may be helpful in designing person-centred treatment plans to facilitate patients' rehabilitation and return to work. DESIGN:A narrative systematic review. REVIEW METHODS:Six databases, MEDLINE, CINAHL, Academic Search Complete, EMBASE, SCOPUS, and ProQuest Health and Medicine, and the search engine Google were searched to retrieve peer-reviewed articles published in English from January 2008 to January 2020. In total 22,217 papers were sourced and screened, with 18 papers retained for quality appraisal using the Joanna Briggs Institute Critical Appraisal Tools. RESULTS:The mean time to return to work varied between 46 and 192 days; about half the participants resumed work by three months. Patients who were male, younger, educated, non-manual workers or owned their own business, and those who evaluated their general and mental health highly, had shorter hospitalisation, fewer comorbidities, complications and mental health issues, were more likely to return to work after myocardial infarction. CONCLUSION & RELEVANCE TO CLINICAL PRACTICE:Findings may help nurses detect patients at increased risk of failure to return to work, and provide appropriate support to facilitate this.
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