Adib-Hajbaghery Mohsen, Miranzadeh Sedigheh, Tahmouresi Mahsa, Azizi-Fini Ismail
Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Medical Surgical Nursing Department, Kashan University of Medical Sciences, Kashan, Iran.
BMC Psychol. 2020 Aug 3;8(1):78. doi: 10.1186/s40359-020-00451-z.
Cardiovascular diseases are the leading cause of death in the world. Coronary artery bypass graft (CABG) surgery is among the treatment options for coronary artery disease. However, it is associated with significant physical and psychological problems. This study sought to compare body image before and after the surgery and to determine its contributing factors.
This comparative study was conducted in 2017 on a sample of 140 patients consecutively recruited from Shahid Beheshti hospital, Kashan, Iran. Body image was assessed before and 4 weeks after the surgery (T1 and T2) using Multidimensional Body-Self Relations Questionnaire. The independent-sample and paired t tests, one-way analysis of variance, Pearson correlation test, and multiple regression were conducted for data analysis.
Participants' mean score of body image was 139.60 ± 13.21 at T1 and 160.25 ± 7.75 at T2 and the variation was statistically significant (p = < 0.001). At T1, only the three factors of age (p = 0.005), education at high school diploma and higher levels (p < 0.001), and being housekeeper (P = 0.048) could significantly explain BI (R = 0.231). However, at T2, none of the factors were significant predictors for BI (P > 0.05).
Candidates for CABG have poor body image. After the surgery, their body image improves significantly. Healthcare providers need to employ programs to improve body image among these patients.
心血管疾病是全球主要的死亡原因。冠状动脉旁路移植术（CABG）是冠状动脉疾病的治疗选择之一。然而，它会带来严重的身体和心理问题。本研究旨在比较手术前后的身体意象，并确定其影响因素。
这项比较研究于2017年对从伊朗卡尚的沙希德·贝赫什提医院连续招募的140名患者进行。使用多维身体自我关系问卷在手术前和手术后4周（T1和T2）评估身体意象。采用独立样本t检验、配对t检验、单因素方差分析、Pearson相关检验和多元回归进行数据分析。
参与者在T1时身体意象的平均得分为139.60±13.21，在T2时为160.25±7.75，差异具有统计学意义（p =<0.001）。在T1时，只有年龄（p = 0.005）、高中及以上学历（p < 0.001）和家庭主妇身份（P = 0.048）这三个因素能显著解释身体意象（R = 0.231）。然而，在T2时，没有因素是身体意象的显著预测因素（P > 0.05）。
冠状动脉旁路移植术的候选者身体意象较差。手术后，他们的身体意象显著改善。医疗服务提供者需要采用相关项目来改善这些患者的身体意象。
