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冠状动脉搭桥术生物心理社会预后量表的编制与初步测试

Development and Preliminary Testing of the Biopsychosocial Prognosis Scale for Coronary Artery Bypass Grafting.

作者信息

Hariharan Meena, Thomas Marlyn, Rana Suvashisa

机构信息

Centre for Health Psychology, University of Hyderabad, Hyderabad, Telangana, India.

Department of Cardiothoracic Surgery, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India.

出版信息

Indian J Psychol Med. 2017 Sep-Oct;39(5):619-626. doi: 10.4103/IJPSYM.IJPSYM_124_17.

DOI:10.4103/IJPSYM.IJPSYM_124_17
PMID:29200558
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5688889/
Abstract

BACKGROUND

The present study attempted to develop a self-report scale called Biopsychosocial Prognosis Scale for Coronary Artery Bypass grafting (BIPROSCAB) that measured patients' prognosis in an integrated manner, a month after they had undergone coronary artery bypass grafting (CABG).

METHOD

The development and preliminary testing of the psychometric properties of BIPROSCAB followed five phases involving 450 patients in total.

RESULTS

Findings gave rise to a 25-item scale which was subjected to an exploratory factor analysis using principal component analysis with varimax rotation. A 9-factor structure emerged, and the factors were named post-CABG affect state, post-CABG anxiety, post-CABG physical pain, discomfort in surgical sites, worry about return to normalcy, discomfort in the leg, CABG bio-social by-products, constraints in socializing, and infection and interference to routine life. The reliability, validity, and usability of BIPROSCAB were also analyzed.

CONCLUSION

BIPROSCAB is a reliable, valid, and useful multidimensional self-report scale for measuring and evaluating the impact of medical treatment and psychosocial intervention in patients after CABG.

摘要

背景

本研究试图开发一种名为冠状动脉搭桥术生物心理社会预后量表(BIPROSCAB)的自我报告量表,该量表以综合方式测量患者在接受冠状动脉搭桥术(CABG)一个月后的预后情况。

方法

BIPROSCAB心理测量特性的开发和初步测试遵循五个阶段,总共涉及450名患者。

结果

研究结果产生了一个包含25个条目的量表,该量表使用主成分分析和方差最大化旋转进行探索性因素分析。出现了一个九因素结构,这些因素被命名为冠状动脉搭桥术后情感状态、冠状动脉搭桥术后焦虑、冠状动脉搭桥术后身体疼痛、手术部位不适、对恢复正常的担忧、腿部不适、冠状动脉搭桥术的生物社会副产品、社交限制以及感染和对日常生活的干扰。还分析了BIPROSCAB的信度、效度和可用性。

结论

BIPROSCAB是一种可靠、有效且有用的多维自我报告量表,用于测量和评估冠状动脉搭桥术后患者的医疗治疗和心理社会干预的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15c4/5688889/c227e0ac34a5/IJPsyM-39-619-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15c4/5688889/c227e0ac34a5/IJPsyM-39-619-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15c4/5688889/c227e0ac34a5/IJPsyM-39-619-g002.jpg

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Depression, anxiety, and cardiac morbidity outcomes after coronary artery bypass surgery: a contemporary and practical review.冠状动脉旁路手术后的抑郁、焦虑和心脏发病结果:当代实用综述。
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Stroke. 2012 Apr;43(4):1000-5. doi: 10.1161/STROKEAHA.111.643296. Epub 2012 Feb 23.
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