机构：[1]Cardiology Department, The First Affiliated Hospital of KunmingMedical University, Kunming 650032, China[2]Institute of Occupational, Social and EnvironmentalMedicine, Centre for Health and Society, Faculty ofMedicine, University of Düsseldorf, 40225 Düsseldorf, Germany[3]Department of Environmental Health Sciences, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA 90095, USA[4]School of Nursing, University of California Los Angeles, Los Angeles, CA 90095, USA
(1) Background: Targeting a sample of Chinese employees in this study, the correlation of work stress with changes in quality of life (QoL) was explored subsequent to acute coronary syndrome (ACS). (2) Methods: Patients suffering from the first ACS episode, with regular paid work before ACS, were eligible for this one-year longitudinal study. Effort-reward imbalance (ERI), together with job strain (JS) models, were employed to evaluate work stress before discharge, and QoL prior to discharge (baseline), as well as at 1, 6, and 12 months following discharge, were measured using the 8-Items Short Form (SF-8), in addition to the Seattle Angina Questionnaire (SAQ). Moreover, generalized estimating equations were used to determine the relationship of work stress to longitudinal QoL variations. (3) Results: After adjusting for covariates, high work stress at the baseline measured by JS was associated with the slow recovery of both mental health (p < 0.01) and physical health (p < 0.05) in SF-8, while ERI-measured work stress was related to slower improvement in SF-8 physical health (p < 0.001), SAQ-angina stability (AS) (p < 0.05), SF-8 mental health (p < 0.001), and SAQ-angina frequency (AF) (p < 0.05). After mutual adjustment for JS and ERI, high work stress as assessed by JS displayed no correlation with any QoL alteration (all p > 0.05), whereas ERI-determined work stress at a high level still presented a relationship to slow improvement in SF-8 physical health, SAQ-AS, SF-8 mental health, and SAQ-AF (all p < 0.05). (4) Conclusion: Work stress was associated with slow recovery of QoL in patients with ACS across one year. For ACS patients, ERI was a stronger predictor of QoL variations than JS.
基金：
Yunnan Health Training Project of High Level Talents (No.
L-2018014, and No. H2019052), National Natural Science Foundation of China (No. 81860073), and
Follow-up funding support for high-level young talents in Yunnan Province (No. RLQN20200002).
第一作者机构：[1]Cardiology Department, The First Affiliated Hospital of KunmingMedical University, Kunming 650032, China
通讯作者：
通讯机构：[3]Department of Environmental Health Sciences, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA 90095, USA[4]School of Nursing, University of California Los Angeles, Los Angeles, CA 90095, USA
推荐引用方式(GB/T 7714)：
Wang Luqiao,Shi Yunke,Hu Zhao,et al.Longitudinal Associations of Work Stress with Changes in Quality of Life among Patients after Acute Coronary Syndrome: A Hospital-Based Study[J].INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH.2022,19(24):doi:10.3390/ijerph192417018.
APA：
Wang Luqiao,Shi Yunke,Hu Zhao,Li Yanyan,Ang Yan...&Zhang Min.(2022).Longitudinal Associations of Work Stress with Changes in Quality of Life among Patients after Acute Coronary Syndrome: A Hospital-Based Study.INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH,19,(24)
MLA：
Wang Luqiao,et al."Longitudinal Associations of Work Stress with Changes in Quality of Life among Patients after Acute Coronary Syndrome: A Hospital-Based Study".INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 19..24(2022)
