Pfaffenberger Nicole, Doering Stephan, Puffinger Pamela, Höfer Stefan, Alber Hannes, Ruttmann Elfriede, Günther Verena, Kopp Martin
Universitätsklinik für Allgemeine und Sozialpsychiatrie, Department für Psychiatrie und Psychotherapie, Medizinische Universität Innsbruck, Innsbruck, Osterreich.
Wien Med Wochenschr. 2010 Jan;160(1-2):44-53. doi: 10.1007/s10354-009-0722-4.
Aim of the study was to assess health-related quality of life as well as anxiety and depression in patients undergoing coronary artery bypass graft (CABG). A total of 54 patients answered questionnaires assessing quality of life (SF-36, MacNew), anxiety and depression (STAI, HADS-D) before surgery as well as 4 weeks and 3 months afterwards. Significant improvements in health-related quality of life (MacNew) were identified 3 months after surgery. Whereas preoperative anxiety significantly correlated with health-related quality of life (MacNew) three months after surgery, correlations between preoperative depression and postoperative quality of life were only found for singular scales. Regarding clinical practice providing information about the probable course of quality of life and explaining surgery as a kind of input for the benefit of long-term enhancement seems necessary. Furthermore the assessment of preoperative well-being should be integrated in routine care in order to identify and support patients with higher levels of anxiety and/or depression.
本研究的目的是评估接受冠状动脉搭桥术(CABG)患者的健康相关生活质量以及焦虑和抑郁情况。共有54名患者在手术前、术后4周和3个月时回答了评估生活质量(SF-36、MacNew)、焦虑和抑郁(STAI、HADS-D)的问卷。术后3个月发现健康相关生活质量(MacNew)有显著改善。术前焦虑与术后3个月的健康相关生活质量(MacNew)显著相关,而术前抑郁与术后生活质量之间的相关性仅在个别量表上发现。关于临床实践,有必要提供有关生活质量可能变化过程的信息,并将手术解释为有助于长期改善的一种投入。此外,术前幸福感的评估应纳入常规护理,以便识别和支持焦虑和/或抑郁程度较高的患者。