Bak Ewelina, Marcisz Czesław
Faculty of Health Sciences, University of Bielsko-Biała, Bielsko-Biała, Poland.
Department of Gerontology and Geriatric Nursing, School of Health Sciences, Medical University of Silesia, Katowice, Poland.
Patient Prefer Adherence. 2014 Mar 14;8:289-99. doi: 10.2147/PPA.S55483. eCollection 2014.
Surgical revascularization of the coronary arteries leads to changes in quality of life (QoL) for patients with coronary heart disease. The aim of this work was to monitor QoL, considering cognitive function, depression, and activities of daily living in elderly patients after coronary artery bypass grafting (CABG).
This study included 65 patients (29 women and 36 men) aged 61-74 years with stable coronary heart disease who underwent CABG. The control group included 29 women and 36 men aged 61-74 years who were not suffering from coronary heart disease. The questionnaires used in the study canvassed QoL (Nottingham Health Profile), cognitive function, depression, and basic and instrumental activities of daily living. The research was conducted before surgery and repeated 6 and 12 months after surgery.
QoL was comparable between women and men and was lower than in the control group (P<0.05). After CABG, the values for particular domains of QoL improved more in men than in women. There was a reduction in the severity of depression 6 months after surgery in men and 12 months after surgery in women.
Elderly patients with coronary heart disease have decreased QoL, which normalizes in men and improves in women after CABG.
冠状动脉外科血运重建术会导致冠心病患者的生活质量(QoL)发生变化。这项研究的目的是在冠状动脉旁路移植术(CABG)后,监测老年患者的生活质量,并考虑其认知功能、抑郁状况和日常生活活动能力。
本研究纳入了65例年龄在61 - 74岁之间、患有稳定型冠心病且接受了CABG的患者(29名女性和36名男性)。对照组包括29名女性和36名男性,年龄在61 - 74岁之间,未患冠心病。研究中使用的问卷涵盖了生活质量(诺丁汉健康量表)、认知功能、抑郁状况以及日常生活的基本和工具性活动。研究在手术前进行,并在术后6个月和12个月重复进行。
男性和女性的生活质量相当,但均低于对照组(P<0.05)。CABG术后,男性生活质量各特定领域的值改善程度大于女性。男性术后6个月抑郁严重程度降低,女性术后12个月抑郁严重程度降低。
老年冠心病患者的生活质量下降,CABG术后男性的生活质量恢复正常,女性的生活质量得到改善。