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冠状动脉手术后三年的健康相关生活质量:与普通人群的比较。

Health-related quality of life three years after coronary surgery: a comparison with the general population.

作者信息

Gjeilo Kari Hanne, Wahba Alexander, Klepstad Pål, Lydersen Stian, Stenseth Roar

机构信息

Department of Cardiothoracic Surgery, St. Olavs HospitalTrondheim University Hospital, Trondheim, Norway.

出版信息

Scand Cardiovasc J. 2006 Feb;40(1):29-36. doi: 10.1080/14017430500339321.

Abstract

OBJECTIVES

To assess health-related quality of life (HRQOL) in patients three years after coronary artery bypass grafting (CABG) compared to the general Norwegian population, with emphasis on age and gender-differences.

DESIGN

A cross-sectional postal survey of patients who underwent CABG in 2000. HRQOL was assessed using the Short Form 36 (SF-36). Subgroup analyses were performed according to age (<70 versus =70 years) and gender.

RESULTS

Of 233 eligible patients 203 responded (mean age 67.6 years, 17% females). Patients reported better scores on bodily pain than the general population (p=0.008), but did not differ on other subscales of SF-36. Younger patients tended to score lower, older patients higher than the general population on HRQOL. Female patients reported lower HRQOL than the general female population and reported significantly lower scores than male patients on 3 of 8 subscales.

CONCLUSIONS

Three years after CABG the HRQOL is comparable to the general Norwegian population even in older patients. The older patients reported less pain than the general population.

摘要

目的

评估冠状动脉搭桥术(CABG)三年后患者的健康相关生活质量(HRQOL),并与挪威普通人群进行比较,重点关注年龄和性别差异。

设计

对2000年接受冠状动脉搭桥术的患者进行横断面邮寄调查。使用简短健康调查问卷(SF-36)评估健康相关生活质量。根据年龄(<70岁与≥70岁)和性别进行亚组分析。

结果

在233名符合条件的患者中,203名做出回应(平均年龄67.6岁,17%为女性)。患者在身体疼痛方面的得分高于普通人群(p = 0.008),但在SF-36的其他分量表上没有差异。在健康相关生活质量方面,年轻患者得分往往低于普通人群,老年患者得分高于普通人群。女性患者报告的健康相关生活质量低于挪威普通女性人群,并且在8个分量表中的3个分量表上得分显著低于男性患者。

结论

冠状动脉搭桥术后三年,即使是老年患者,其健康相关生活质量与挪威普通人群相当。老年患者报告的疼痛比普通人群少。

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