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冠状动脉搭桥术后的生活质量:评估术前身体和心理社会功能的影响。

Quality of life after coronary artery bypass grafting: evaluating the influence of preoperative physical and psychosocial functioning.

作者信息

Panagopoulou Efharis, Montgomery Anthony, Benos Alexis

机构信息

Laboratory of Hygiene, Medical School, Aristotle University, Thessaloniki, Greece.

出版信息

J Psychosom Res. 2006 Jun;60(6):639-44. doi: 10.1016/j.jpsychores.2005.11.004.

Abstract

OBJECTIVE

The aim of this study was to determine the influence of preoperative physical and psychosocial functioning on quality of life 1 and 6 months after coronary artery bypass grafting (CABG).

METHODOLOGY

The study used a prospective design. A total of 157 patients admitted for elective CABG in a Greek city hospital participated in the study.

RESULTS

Results showed significant improvements in the quality of life of the patients after CABG [F(2, 95)=36.337; P<.001]. Structural equation modeling analyses showed that preoperative psychological distress was the only preoperative predictor of quality of life at 1 month (beta=-.22; P<.01) and at 6 months (beta=-.28; P<.001) after the operation.

CONCLUSION

Results highlight preoperative distress as a screening criterion to identify patients likely to benefit less from cardiac surgery.

摘要

目的

本研究旨在确定冠状动脉旁路移植术(CABG)术前身体和心理社会功能对术后1个月和6个月生活质量的影响。

方法

本研究采用前瞻性设计。希腊一家城市医院共157例择期行CABG的患者参与了本研究。

结果

结果显示CABG术后患者生活质量有显著改善[F(2, 95)=36.337;P<.001]。结构方程模型分析表明,术前心理困扰是术后1个月(β=-.22;P<.01)和6个月(β=-.28;P<.001)生活质量的唯一术前预测因素。

结论

结果强调术前困扰可作为一种筛查标准,以识别可能从心脏手术中获益较少的患者。

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