Mediating effect of fatigue between pain and return-to-work self-efficacy in postcardiac surgery patients
Objective To explore the mediator effect of fatigue between pain and return-to-work self-efficacy(RTW-SE)during home-based rehabilitation in postcardiac surgery patients.Methods The convenience sampling method was used to select 200 patients who were discharged from Guangdong Provincial People's Hospital,South Medical University for more than 3 months after cardiac surgery from January to December 2023.Among them,there were 120 males and 80 females,aged(45.23±11.67)years,the types of disease included 121 cases of valvular heart disease,11 cases of coronary heart disease,58 cases of infective endocarditis,and 10 cases of other diseases,and the duration of disease was＜1 year in 133 cases,1-5 years in 33 cases,and＞5 years in 34 cases.The patients were surveyed using the Chinese version of the Return-to-Work Self-Efficacy Questionnaire,Global Pain Scale,and Multidimensional Fatigue Inventory.t test,one-way ANOVA,and Pearson correlation analysis were used.Results The influencing factors of RTW-SE included economic burden(t=4.075,P=0.018),fatigue level(t=12.444,P＜0.001),whether to take pain medication(t=2.215,P=0.028),and pain level(t=20.093,P＜0.001).The RTW-SE of postcardiac surgery patients was negatively correlated with postoperative pain and fatigue(r=-0.450 and-0.498,both P＜0.01),and fatigue was positively correlated with pain level(r=0.521,P＜0.01).The results of Bootstrap test revealed that fatigue had a significant negative predictive effect on RTW-SE in postcardiac surgery patients(B=-0.021,t=-5.153,P＜0.01),and the mediating effect accounted for 40.91％of the total effect.Conclusions Fatigue partially mediates pain and RTW-SE in postcardiac surgery patients.Healthcare teams should pay attention to the assessment and intervention of pain and fatigue in cardiac surgery patients,especially those undergoing home-based rehabilitation,and develop targeted interventions to improve their RTW-SE level.
FatiguePainCardiac surgeryReturn to workSelf-efficacy
万方数据
维普
