Abstract
This study evaluates job maintenance status and predictors of young and middle-aged patients after percutaneous coronary intervention (PCI). A total of 221 young and middle-aged patients after PCI from November 1, 2023 to January 31, 2025 were selected. The job readiness of patients who have not returned to work and the job maintenance of patients who have returned to work were investigated. The survey tools included general information questionnaire, readiness for return-to-work scale (RRTW), social support rating scale, cardiac rehabilitation inventory and self-rating anxiety scale (SAS). At 3-month follow-up, 81% (n = 179) of patients returned to work, with 19% (n = 42) remaining unemployed. Among patients returning to work, including high-maintenance (n = 109), low-maintenance (n = 52) and invalid (n = 18). Multivariate analysis identified cardiac rehabilitation inventory (OR = 1.122, 95% CI 1.051-1.199, P = .001), SAS (OR = 0.912, 95% CI 0.863-0.962, P = .001), and number of chronic conditions (OR = 0.580, 95% CI 0.365-0.920, P = .021) as independent predictors of job maintenance after PCI. The AUC of receiver operating characteristic curve is 0.795 (95% CI 0.725-0.865, P <.001), with 77.1% sensitivity and 69.2% specificity. Hosmer-Lemeshow test showed that the model had a good fitting degree (χ²=7.077, P = .528). Job maintenance of patients after PCI may be predicted by their cardiac rehabilitation information needs, anxiety levels, and chronic disease burden. The integration of psychosocial and clinical parameters provides a novel framework for personalized interventions targeting modifiable barriers to work resumption.