不同年龄组冠状动脉搭桥手术前后患者的生活质量
Quality of Life in Patients of Different Age Groups before and after Coronary Artery By-Pass Surgery.
作者信息
Peric Vladan, Jovanovic-Markovic Snežana, Peric Dejan, Rasic Dragisa, Novakovic Tatjana, Dejanovic Bogdan, Borzanovic Milorad
机构信息
University of Pristina, School of Medicine, Kosovska Mitrovica, Serbia.
出版信息
Ann Thorac Cardiovasc Surg. 2015;21(5):474-80. doi: 10.5761/atcs.oa.15-00041. Epub 2015 Sep 2.
PURPOSE
The study evaluates the changes in quality of life (QOL) six months after coronary artery bypass grafting (CABG) related to the patients' age.
METHODS
The total of 243 consecutive patients completed the Nottingham Health Profile Questionnaire part 1 before and six months after CABG. Postoperative questionnaire was completed by 226 patients. Patients were divided into four examined groups (<50, 50-59, 60-69 and ≥70 years), according to their age.
RESULTS
Six months after CABG, the quality of life in different sections has been significantly improved in most patients.The analysis of the relation between the age and the changes in QOL of patients six months after CABG showed a significant correlation among the patients' age and the improvement of QOL in the sections of physical mobility (r = 0.18, p = 0.008), social isolation (r = 0.17, p = 0.01) and energy ( r = 0.21, p = 0.002). The most prominent improvement was found in older patients. The age was not an independent predictor of QOL deterioration after CABG.
CONCLUSIONS
The most noticeable improvement of QOL six months after CABG was found in older patients. Age is not the independent predictor of deterioration of QOL after CABG.
目的
本研究评估冠状动脉旁路移植术（CABG）六个月后与患者年龄相关的生活质量（QOL）变化。
方法
共有243例连续患者在CABG术前及术后六个月完成了诺丁汉健康状况问卷第1部分。术后问卷由226例患者完成。根据年龄将患者分为四个检查组（<50岁、50 - 59岁、60 - 69岁和≥70岁）。
结果
CABG术后六个月，大多数患者不同方面的生活质量有显著改善。对CABG术后六个月患者年龄与QOL变化之间关系的分析表明，患者年龄与身体活动能力（r = 0.18，p = 0.008）、社交孤立（r = 0.17，p = 0.01）和精力（r = 0.21，p = 0.002）等方面QOL的改善之间存在显著相关性。在老年患者中发现了最显著的改善。年龄不是CABG术后QOL恶化的独立预测因素。
结论
CABG术后六个月，老年患者的QOL改善最为明显。年龄不是CABG术后QOL恶化的独立预测因素。
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