This study wants to understand the incidence of returning to work after discharge in patients with type B aortic dissection.

The incidence of aortic dissection in China is increasing year by year. According to the latest research report, the annual incidence of aortic dissection in China is 5 ~ 10 / 100,000, the average age of patients is 51.8 years old, and the age of disease is about 10 years younger than that of European and American countries. RTW after discharge is a measure of disease recovery and recovery to normal state. There are only reports on RTW after discharge in the fields of cancer, stroke, organ transplantation, maintenance peritoneal dialysis and so on. Most of the existing literature in the cardiovascular field at home and abroad focuses on assessing the status of RTW and RRTW after discharge. Up to now, there is still a lack of research on the promotion and hindrance factors of RTW in TBAD patients, the status survey of post-RTW work ability and the related nomogram prediction model. Therefore, based on the Meleis transformation theory, this study aims to investigate the current status of return to work of TBAD patients at 6 months after discharge through quantitative and qualitative research, and to explore its influencing factors in depth. Based on the previous results, the RTW visual prediction model of TBAD patients was constructed, which provided a theoretical basis for the formulation and implementation of early intervention by medical staff, and further improved the research in this field.

Inclusion Criteria:

( 1 ) TBAD was diagnosed by computed tomography angiography ( CTA ) or magnetic resonance angiography ( MRA ) ; ( 2 ) 18 years ≤ age < 60 years at diagnosis ; ( 3 ) having full-time or part-time job at the time of diagnosis ; ( 4 ) TBAD patients were discharged after successful treatment and the discharge time was ≥ 6 months ;

Exclusion Criteria:

( 1 ) reaching the retirement age 6 months after discharge ; ( 2 ) those with disturbance of consciousness, mental illness, inability to complete the interview independently or under the guidance of the researcher ; ( 3 ) Participate in other related research ; ( 4 ) Clinical end-stage or receiving palliative treatment.

This study selected patients with TBAD who were hospitalized in the Department of Cardiac Surgery, Union Hospital Affiliated to Fujian Medical University.