학술논문
冠状动脉旁路移植术后患者生命质量的随访研究 / Quality of life changes after coronary artery bypass graft surgery
Document Type
Academic Journal
Source
中华心血管病杂志 / Chinese Journal of Cardiology. 40(6):492-496
Subject
Language
Chinese
ISSN
0253-3758
Abstract
目的 探讨冠状动脉旁路移植术后6个月患者生命质量的变化及影响生命质量的风险因素.方法 随机入选2008年11月至2010年3月接受冠状动脉旁路移植术,并符合纳入标准的连续患者共210例.分别在术前和术后6个月向患者发放SF-36生命质量调查量表,对患者生命质量予以评估,分析患者术后生命质量的变化情况及其影响因素.结果 与术前比较,冠状动脉旁路移植术后半年患者生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康8个维度,以及躯体健康总评和精神健康总评的分值均增高(P均＜0.01).躯体健康总评术后分值增加的比例高于精神健康总评(80.0％比68.6％,P＜0.01).高龄(P＜0.05)和术前低躯体健康总评分值(P＜0.01)是术后躯体健康总评分值的独立危险因素.未发现术后精神健康总评分值的独立危险因素(P＞0.05).结论 冠状动脉旁路移植术后6个月,患者的生命质量较术前明显改善.高龄和术前低躯体健康总评分值是影响患者术后6个月躯体健康生命质量的独立风险因素.
Objective To compare the quality of life at baseline and at 6 months after coronary artery bypass grafting (CABG) and investigate the related risk fators.Methods The prospective study included 210 consecutive patients undergoing CABG between November 2008 and March 2010,who met inclusion criteria and completed short form-36 (SF-36) health status survey at baseline and at 6 months after CABG.Change of quality of life and influencing factors on quality of life were analyzed.Results Eight domains including physical functioning,role-physical,bodily pain,general health,vitality,social functioning,role-emotional and mental health and two component summaries including physical component summary (PCS) and mental component summary (MCS) of SF-36 were significantly improved at 6 months following CABG (all P ＜ 0.01).Moreover,the improvement on PCS was significantly higher compared to MCS (80.0％ vs.68.6％,P＜0.01).Advanced age(P＜0.05) and lower PCS score (P＜0.01 )prior to CABG were independent predictors of low PCS after CABG,while MCS could not be predicted by pre-CABG status ( P ＞ 0.05 ).Conclusions The findings demonstrate quality of life is significantly improved at 6months post CABG.Advanced age and lower PCS score prior to CABG are linked with low PCS after CABG.
Objective To compare the quality of life at baseline and at 6 months after coronary artery bypass grafting (CABG) and investigate the related risk fators.Methods The prospective study included 210 consecutive patients undergoing CABG between November 2008 and March 2010,who met inclusion criteria and completed short form-36 (SF-36) health status survey at baseline and at 6 months after CABG.Change of quality of life and influencing factors on quality of life were analyzed.Results Eight domains including physical functioning,role-physical,bodily pain,general health,vitality,social functioning,role-emotional and mental health and two component summaries including physical component summary (PCS) and mental component summary (MCS) of SF-36 were significantly improved at 6 months following CABG (all P ＜ 0.01).Moreover,the improvement on PCS was significantly higher compared to MCS (80.0％ vs.68.6％,P＜0.01).Advanced age(P＜0.05) and lower PCS score (P＜0.01 )prior to CABG were independent predictors of low PCS after CABG,while MCS could not be predicted by pre-CABG status ( P ＞ 0.05 ).Conclusions The findings demonstrate quality of life is significantly improved at 6months post CABG.Advanced age and lower PCS score prior to CABG are linked with low PCS after CABG.