Raft D, McKee D C, Popio K A, Haggerty J J
Am J Cardiol. 1985 Sep 1;56(7):395-8. doi: 10.1016/0002-9149(85)90873-2.
Life adaptation of 32 patients who had undergone percutaneous transluminal coronary angioplasty (PTCA) for coronary stenosis was compared with that of 15 patients who had coronary artery bypass grafting (CABG). Patients were matched for psychosocial, anatomic and cardiac functions. Life adaptation was measured at 6 and 15 months after PTCA or CABG by the Psychosocial Adjustment to Illness Scale (PAIS), a multidimensional instrument that evaluates change in 7 primary life domains. The overall PAIS scores for patients who had undergone PTCA were significantly better (p less than 0.04) than the scores for those who had undergone CABG after 6 months, and this superior functioning continued after 15 months (p less than 0.05). After 6 months patients who had undergone PTCA functioned better at work (p less than 0.005), in sexual performance (p less than 0.0001) and with their families (p less than 0.002). The improvement in work functioning continued at 15 months (p less than 0.04), but the differences in sexual and family domains became nonsignificant.
对32例因冠状动脉狭窄接受经皮腔内冠状动脉成形术（PTCA）患者的生活适应情况与15例接受冠状动脉旁路移植术（CABG）患者的生活适应情况进行了比较。对患者的心理社会、解剖和心脏功能进行了匹配。在PTCA或CABG术后6个月和15个月时，采用疾病心理社会适应量表（PAIS）对生活适应情况进行测量，该量表是一种多维工具，可评估7个主要生活领域的变化。接受PTCA患者的PAIS总体得分在6个月时显著高于接受CABG患者（p<0.04），15个月后这种较好的功能状态仍持续存在（p<0.05）。6个月后，接受PTCA的患者在工作（p<0.005）、性功能（p<0.0001）和家庭生活方面（p<0.002）功能更好。工作功能的改善在15个月时仍持续（p<0.04），但在性和家庭领域的差异变得不显著。
