Panagopoulou Efharis, Montgomery Anthony, Benos Alexis
Laboratory of Hygiene, Medical School, Aristotle University, Thessaloniki, Greece.
J Psychosom Res. 2006 Jun;60(6):639-44. doi: 10.1016/j.jpsychores.2005.11.004.
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).
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 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.
Results highlight preoperative distress as a screening criterion to identify patients likely to benefit less from cardiac surgery.
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。
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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