Klonoff H, Clark C, Kavanagh-Gray D, Mizgala H, Munro I
Department of Psychiatry, University of British Columbia, Vancouver, Canada.
J Thorac Cardiovasc Surg. 1989 Jan;97(1):78-85.
This study is a prospective report of the cases of 135 patients who were slated for coronary artery bypass grafting and selected according to designated criteria. Patients received, in addition to an interview, a comprehensive cognitive, neuropsychologic, and personality assessment 2 weeks before operation and 3, 12, and 24 months after operation. Of the available sample, 82.3% completed the full study. There was no evidence of intellectual or neuropsychologic impairment after operation. Most patients returned to preoperative status 3 months after bypass grafting. Further improvement may continue 12 and 24 months after operation. The personality tests revealed that anticipation of the operation resulted in signs of emotional arousal and distress, which dissipated after a successful surgical outcome. Similarly, return to work and quality of life was enhanced. The current study represents the first systematic, longer-term follow-up of the psychologic and social consequences of coronary artery bypass grafting operations. The findings of this study are discussed within a model of social reconstitution after the successful resolution of a life-threatening medical condition.
本研究是一项前瞻性报告，涉及135例计划接受冠状动脉搭桥手术且根据指定标准选取的患者。患者除了接受访谈外，在手术前2周以及术后3个月、12个月和24个月还接受了全面的认知、神经心理学和人格评估。在可用样本中，82.3%完成了整个研究。术后没有智力或神经心理学损伤的证据。大多数患者在冠状动脉搭桥手术后3个月恢复到术前状态。术后12个月和24个月可能会继续进一步改善。人格测试显示，对手术的预期导致了情绪激动和痛苦的迹象，而在手术成功后这些迹象消散。同样，重返工作岗位和生活质量也得到了提高。当前研究是对冠状动脉搭桥手术心理和社会后果的首次系统性长期随访。本研究结果在成功解决危及生命的医疗状况后的社会重建模型中进行了讨论。
