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冠状动脉旁路移植患者日常生活活动、舒适度、身体形象和心脏症状的前瞻性研究。

A Prospective Study on Activities of Daily Living, Comfort, Body Image, and Cardiac Symptoms in Coronary Artery Bypass Patients.

机构信息

Associate Professor, Department of Nursing, Faculty of Health Science, Bartın University, Bartın, Turkey.

Department of Cardiovascular Surgery, Gazi University, Ankara, Turkey.

出版信息

Pain Manag Nurs. 2024 Oct;25(5):518-528. doi: 10.1016/j.pmn.2024.04.014. Epub 2024 May 7.

DOI:10.1016/j.pmn.2024.04.014
PMID:38719656
Abstract

BACKGROUND

A coronary artery bypass graft procedure reduces mortality for cardiovascular patients, but those undergoing it often face negative body perception, loss of daily activities, and lingering symptoms, hindering full functional recovery and comfort.

AIM

To compare the comfort level, activities of daily living, and body image based on certain characteristics of patients at baseline, (ii) Evaluate changes over time in levels of discomfort, activities of daily living, body image, and cardiac symptoms before and after CABG surgery within three months.

METHOD

This descriptive prospective cohort study comprised 50 patients scheduled for coronary artery bypass surgery. The study examined cardiac symptoms, comfort levels, daily activities, and multidimensional body-self relationships as its outcomes.

RESULTS

A Friedman test revealed that patients' body image, comfort levels, activities of daily living, and each heart symptom were significantly influenced by the time of day. According to this study, patients most frequently reported experiencing exhaustion, depression, and worry as cardiac symptoms. Only the comfort level exhibited a high correlation with each heart symptom, as indicated by Spearman's rho analysis.

CONCLUSION

The body image, comfort level, activities of daily living, and cardiac symptoms of patients changed over time. Therefore, regular assessments of these symptoms during the pre- and post-operative periods could offer valuable insights into patients' needs. This information can be instrumental in developing interventions that address patients' well-being and may positively impact patient outcomes.

摘要

背景

冠状动脉旁路移植术可降低心血管病患者的死亡率,但接受该手术的患者常面临负面的身体认知、日常活动丧失和持续的症状,阻碍了其全面的功能恢复和舒适感。

目的

(i)比较患者基线特征的舒适度、日常生活活动和身体形象;(ii)评估 CABG 术前 3 个月内不同时间点舒适度、日常生活活动、身体形象和心脏症状的变化。

方法

本描述性前瞻性队列研究纳入了 50 名拟行冠状动脉旁路移植术的患者。该研究将心脏症状、舒适度、日常活动和多维身体自我关系作为其结局进行评估。

结果

Friedman 检验显示,患者的身体形象、舒适度、日常生活活动和每个心脏症状均受时间影响。根据本研究,患者最常报告的心脏症状为疲惫、抑郁和担忧。Spearman 秩相关分析显示,仅舒适度与每个心脏症状呈高度相关。

结论

患者的身体形象、舒适度、日常生活活动和心脏症状随时间而变化。因此,在术前和术后期间定期评估这些症状,可以深入了解患者的需求。这些信息可以为制定干预措施提供依据,以满足患者的需求,并可能对患者的结局产生积极影响。

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Pain Manag Nurs. 2024 Oct;25(5):518-528. doi: 10.1016/j.pmn.2024.04.014. Epub 2024 May 7.
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