Guzelhan Yalcin, Ugurlucan Murat, Oztas Didem Melis, Beyaz Metin Onur, Unal Orcun, Bektas Nilufer, Conkbayir Cenk, Alpagut Ufuk, Bozbuga Nilgun
Department of Psychiatry, Istanbul Education and Research Hospital, Istanbul, Turkey.
Department of Cardiovascular Surgery, Medical Faculty, Istanbul Medipol University, Istanbul, Turkey.
Arch Med Sci Atheroscler Dis. 2020 Apr 8;5:e27-e35. doi: 10.5114/amsad.2020.94376. eCollection 2020.
The aim of this study was to investigate the effect of elective cardiac surgery on health-related quality of life (HRQoL).
One hundred and eight (35 women and 73 men, mean age 62.3 ±12.7 years) patients undergoing open heart surgery were enrolled in the study. Physical and mental domains of quality of life were measured using the 36-item Medical Outcomes Short-Form Health Survey (SF-36) self-administered questionnaire, and anxiety symptoms were assessed using the Spielberger State-Trait Anxiety Inventory (STAI). At baseline 108 patients filled out the SF-36 and STAI, and 102 patients at 6-month follow-up.
It was found that there was significant improvement in three out of eight health domains: physical functioning ( < 0.02), role physical ( < 0.01), and social functioning ( < 0.04), at 6-month follow-up. The two STAI sub-scores: the State Anxiety Inventory and the Trait Anxiety Inventory were found to be high (≥ 40) both preoperatively and 6 months postoperatively. Postoperatively there was not any statistically significant decrease in the levels of anxiety.
This study suggests that the assessment of psychosocial factors, particularly the ongoing assessment of anxiety, could help in risk stratification and prediction of functional status and HRQoL in patients after cardiovascular surgery. Furthermore, the assessment of preoperative well-being should be integrated in routine care in order to identify and support patients with higher levels of anxiety.
本研究旨在调查择期心脏手术对健康相关生活质量（HRQoL）的影响。
108例（35例女性和73例男性，平均年龄62.3±12.7岁）接受心脏直视手术的患者纳入本研究。使用36项医学结局简表健康调查（SF-36）自填问卷测量生活质量的身体和心理领域，并使用斯皮尔伯格状态-特质焦虑量表（STAI）评估焦虑症状。基线时，108例患者填写了SF-36和STAI，6个月随访时为102例患者。
发现在6个月随访时，八个健康领域中的三个领域有显著改善：身体功能（<0.02）、身体角色（<0.01）和社会功能（<0.04）。STAI的两个子分数：状态焦虑量表和特质焦虑量表在术前和术后6个月均较高（≥40）。术后焦虑水平没有任何统计学上的显著下降。
本研究表明，对心理社会因素的评估，尤其是对焦虑的持续评估，有助于对心血管手术后患者进行风险分层以及预测其功能状态和HRQoL。此外，术前幸福感的评估应纳入常规护理，以便识别和支持焦虑水平较高的患者。
