关键词: 重返工作；冠心病；影响因素；Meta分析；系统评价

Abstract: Objective: To explore the prevalence and main influencing factors of return to work (RTW) in patients with coronary heart disease (CHD), so as to provide reference for nursing interventions. Methods: Databases including the English and Chinese databases from inception to February 2023 were retrieved to search for studies on the prevalence and influencing factors of RTW in patients with CHD. Meta-analysis was performed by RevMan 5.3 and StataMP 17.0 software. Results: A total of 10 literatures were enrolled, involving 11394 subjects. Meta-analysis results showed that the prevalence of RTW in coronary heart disease was 58% [95% CI (0.47-0.69) ]. Sex [OR=2.37, 95% CI (1.65-3.40) ], age [OR=1.26, 95% CI (1.07-1.47) ], type of occupation [OR=5.91, 95% CI (3.65-9.57) ], number of diseased vessels ([OR=0.16, 95% CI (0.05-0.46) ], fear of disease progression [OR=0.87, 95% CI (0.82-0.91) ], social support [OR=1.13, 95% CI (1.07-1.18) ] were its influencing factors. Conclusion: The incidence of patients with coronary heart disease returning to work is low and affected by many factors, medical staff should fully pay attention to the above high-risk groups, and give timely intervention and support.

Key words: return to work; coronary heart disease; influencing factor; Meta-analysis; system review