{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T21:34:00Z","timestamp":1764884040842,"version":"3.46.0"},"reference-count":29,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:00:00Z","timestamp":1762992000000},"content-version":"unspecified","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"the Fifth Batch of Hospital Key Discipline Construction Projects","award":["2022YYZDXK01"],"award-info":[{"award-number":["2022YYZDXK01"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,10,23]]},"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to assess the self-efficacy of returning to work among middle-aged and young patients with aortic dissection. Additionally, it seeks to identify distinct characteristics of these patients using latent profile analysis based on their return-to-work self-efficacy (RTW-SE) levels and to explore factors influencing the identified latent subgroups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Data were collected from a Class III Grade A hospital in Fujian Province, China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 204 patients were recruited for this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>Data collection used a self-generated general information questionnaire, RTW-SE, Fear of Progression Questionnaire-Short Form and Social support rate scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 204 young and middle-aged patients with aortic dissection were classified into three categories based on their RTW-SE: high work coping\u2013high internal coping group (9.8%), moderate overall level group (38.2%) and low work coping\u2013low internal coping group (52.0%). Multivariate logistic regression analysis identified personal annual income, type of employment, education level and fear of disease progression as significant factors influencing RTW-SE in these patients (p&lt;0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A significant proportion of aortic dissection patients exhibit low self-efficacy in returning to work. These findings underscore the importance of emphasising vocational rehabilitation and integrating it into comprehensive cardiac rehabilitation programmes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-099471","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T06:25:19Z","timestamp":1763101519000},"page":"e099471","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Self-efficacy and influencing factors of returning to work in young and middle-aged patients with aortic dissection in China: a cross-sectional study using latent profile analysis"],"prefix":"10.1136","volume":"15","author":[{"given":"Yan","family":"Jiang","sequence":"first","affiliation":[{"name":"School of Nursing, Fujian Medical University, Fuzhou, Fujian, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanchun","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Nursing, Fujian Medical University Union Hospital, Fuzhou, Fujian, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaqin","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing, Fujian Medical University, Fuzhou, Fujian, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen","family":"Lu","sequence":"additional","affiliation":[{"name":"School of Nursing, Fujian Medical University, Fuzhou, Fujian, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9359-4754","authenticated-orcid":false,"given":"Liangwan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China"},{"name":"Fujian Provincial Special Reserve Talents Laboratory, Fuzhou, Fujian, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6890-7552","authenticated-orcid":false,"given":"Yanjuan","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Nursing, Fujian Medical University Union Hospital, Fuzhou, Fujian, China"},{"name":"Department of Cardiovascular Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,11,13]]},"reference":[{"key":"2025120413270725000_15.11.e099471.1","unstructured":"Interpretation of Report on Cardiovascular Health and Diseases in China. Chin J Cardiovasc Med 2022;297\u2013312."},{"key":"2025120413270725000_15.11.e099471.2","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1177\/15266028231197133","article-title":"Predictors of Return to Work After Thoracic Endovascular Aortic Repair in Patients With Type B Aortic Dissection","volume":"32","author":"Zou","year":"2025","journal-title":"J Endovasc Ther"},{"key":"2025120413270725000_15.11.e099471.3","unstructured":"Ministry of Human Resources and Social Security of the People\u2019s Republic of China . Decision on gradually raising the statutory retirement age. 2024."},{"key":"2025120413270725000_15.11.e099471.4","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.117.006486","article-title":"Return to Work and Risk of Subsequent Detachment From Employment After Myocardial Infarction: Insights From Danish Nationwide Registries","volume":"6","author":"Smedegaard","year":"2017","journal-title":"J Am Heart Assoc"},{"key":"2025120413270725000_15.11.e099471.5","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1093\/eurjpc\/zwac249","article-title":"Diagnostic group differences in return to work and subsequent detachment from employment following cardiovascular disease: a nationwide cohort study","volume":"30","author":"Bernt J\u00f8rgensen","year":"2023","journal-title":"Eur J Prev Cardiol"},{"key":"2025120413270725000_15.11.e099471.6","first-page":"583","article-title":"Report on Cardiovascular Health and Diseases in China 2022: An Updated SummaryChin","volume":"38","year":"2023","journal-title":"J Cardiovasc Med"},{"key":"2025120413270725000_15.11.e099471.7","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1093\/icvts\/ivz236","article-title":"Predictors of return to work after open triple-branched stent graft placement for acute type A aortic dissection","volume":"30","author":"Lin","year":"2020","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2025120413270725000_15.11.e099471.8","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1007\/s10926-010-9262-4","article-title":"Return-to-work self-efficacy: development and validation of a scale in claimants with musculoskeletal disorders","volume":"21","author":"Brouwer","year":"2011","journal-title":"J Occup Rehabil"},{"key":"2025120413270725000_15.11.e099471.9","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1007\/s10926-012-9389-6","article-title":"Return to work perceptions and actual return to work in workers with common mental disorders","volume":"23","author":"Nieuwenhuijsen","year":"2013","journal-title":"J Occup Rehabil"},{"key":"2025120413270725000_15.11.e099471.10","first-page":"634","article-title":"The impact of colorectal cancer and self-efficacy beliefs on work ability and employment status: a longitudinal study","volume":"21","author":"Bains","year":"2012","journal-title":"Eur J Cancer Care (Engl)"},{"key":"2025120413270725000_15.11.e099471.11","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1080\/02678373.2010.532644","article-title":"Return to work among employees with mental health problems: Development and validation of a self-efficacy questionnaire","volume":"24","author":"Lagerveld","year":"2010","journal-title":"Work & Stress"},{"key":"2025120413270725000_15.11.e099471.12","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.84.2.191"},{"key":"2025120413270725000_15.11.e099471.13","first-page":"52","article-title":"Chinese Translation of the Return-To-Work Self-Efficacy Questionnaire in Cancer Patients and Its Reliability and Validity Test","volume":"38","author":"Gao","year":"2021","journal-title":"Military Nursing"},{"key":"2025120413270725000_15.11.e099471.14","first-page":"274","article-title":"ProgredienzangstbeiBrustkrebspatientinnen- -Validierung der Kurzform des Progredienzangstfragebogens PA-F-KF [Fear of progression in breast cancer patients--validation of the short form of the Fear of Progression Questionnaire (FoP-Q-SF)]","volume":"52","author":"Mehnert","year":"2006","journal-title":"Z Psychosom Med Psychother"},{"key":"2025120413270725000_15.11.e099471.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2005.02.007"},{"key":"2025120413270725000_15.11.e099471.16","unstructured":"Wu QY . The Status Research and Study on Fear of Progression of Primary Liver Cancer Patients and Their Spouses. The Second Military Medical University, 2016."},{"key":"2025120413270725000_15.11.e099471.17","first-page":"98","article-title":"Theoretical basis and research application of Social Support rating Scale","volume":"1994","author":"Xiao","year":"1994","journal-title":"J Clin Psychiatry"},{"key":"2025120413270725000_15.11.e099471.18","unstructured":"Wang XR . Research on the Status and Influencing Factors of Readinessfor Returning to Work in Patients with Post-Percutaneous Intracoronary Stent Implantation. Shandong University of Traditional Chinese Medicine, 2022."},{"key":"2025120413270725000_15.11.e099471.19","doi-asserted-by":"publisher","DOI":"10.1080\/10705511.2013.824781"},{"key":"2025120413270725000_15.11.e099471.20","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0284100","article-title":"Factors influencing return to work 3 months after percutaneous coronary intervention in young and middle-aged patients with coronary heart disease: A single-center, cross-sectional study","volume":"18","author":"Hu","year":"2023","journal-title":"PLoS ONE"},{"key":"2025120413270725000_15.11.e099471.21","unstructured":"About Occupational Therapy[EB\/OL], Available: https:\/\/wfot.org\/about\/about-occupational-therapy"},{"key":"2025120413270725000_15.11.e099471.22","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1111\/1440-1630.12705","article-title":"Designing an intervention process that embeds work-focussed interventions within inpatient rehabilitation: An intervention mapping approach","volume":"68","author":"O\u2019Keefe","year":"2021","journal-title":"Aust Occup Ther J"},{"key":"2025120413270725000_15.11.e099471.23","first-page":"3928","article-title":"Correlation between rehabilitation self-efficacy and activities of daily living, post-traumatic growth in middle and young-age patients with stroke","volume":"47","author":"Liang","year":"2018","journal-title":"Chongqing Med J"},{"key":"2025120413270725000_15.11.e099471.24","unstructured":"Zhang MY . Construction and Application Study of the Readiness forReturn-to-Work Intervention Program in Young andMiddle-Aged Patients with Lymphoma. Zhengzhou University, 2022."},{"key":"2025120413270725000_15.11.e099471.25","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.xjon.2022.07.002","article-title":"Nationwide database analysis of one-year readmission rates after open surgical or thoracic endovascular repair of Stanford Type B aortic dissection","volume":"11","author":"Treffalls","year":"2022","journal-title":"JTCVS Open"},{"key":"2025120413270725000_15.11.e099471.26","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1024\/0301-1526\/a000644","article-title":"Anastomotic leak after surgical repair of type A aortic dissection - prevalence and consequences in midterm follow-up","volume":"46","author":"Ghazy","year":"2017","journal-title":"Vasa"},{"key":"2025120413270725000_15.11.e099471.27","first-page":"1569","article-title":"Research progress on the follow-up of aortic dissection patients","volume":"34","author":"Li","year":"2020","journal-title":"Chinese Nursing Research"},{"key":"2025120413270725000_15.11.e099471.28","article-title":"12-year follow-up post-TEVAR in type B aortic dissection shown by 3D printing","volume":"55","author":"Alice","year":"2018","journal-title":"Ann Vasc Surg"},{"key":"2025120413270725000_15.11.e099471.29","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.3109\/0284186X.2013.765063","article-title":"Predictors of fear of recurrence in patients one year after cancer rehabilitation: a prospective study","volume":"52","author":"Mehnert","year":"2013","journal-title":"Acta Oncol"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2025-099471","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T21:29:01Z","timestamp":1764883741000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2025-099471"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":29,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025,11,13]]},"published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1136\/bmjopen-2025-099471"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2025-099471","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"type":"print","value":"2044-6055"},{"type":"electronic","value":"2044-6055"}],"subject":[],"published":{"date-parts":[[2025,11]]}}}