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冠状动脉旁路移植(CABG)手术后 1 年的生活质量和日常生活活动:一项横断面研究。

Quality of life and activities of daily living one year after Coronary Artery Bypass Graft (CABG) surgery: a cross-sectional study.

机构信息

Department of Neurosurgery, Faculty of Medicine, Imam Khomeini Hospital, Urmia University of Medical Sciences, Guilan University of Medical Sciences, Rasht, Iran.

Social Determinants of Health Research Center (SCHRC), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.

出版信息

J Cardiothorac Surg. 2024 Jun 24;19(1):367. doi: 10.1186/s13019-024-02848-y.

Abstract

BACKGROUND

Daily activities have been recommended to minimize the long-term complications of coronary artery bypass as one of the strategies to return to the normal activity level, the effectiveness of which needs further investigation. This study aims to determine the quality of life and activities of daily living one year after CABG.

METHODS

This cross-sectional study was performed on 206 patients who had undergone CABG for more than one year in 2018 in the north of Iran. The research instrument was a questionnaire including five sections, Data were analyzed using descriptive statistics and Chi2, Mann-Whitney U, Kruskal-Wallis tests, and a Logistic regression model.

RESULT

The mean score of quality of life was 31.7 ± 2.04 of 12 to 48 possible scores. About Activities of Daily Living results showed 99.5% and 84.7% of the samples needed help with many of these activities respectively. The mean score of quality of life was significantly different based on sex (p < 0.018) and instrumental activity of daily living (p < 0.0001). A logistic regression model was used to determine the factors related to quality of life. The final model showed cross-clamp duration (OR = 0.33,p = 0.014), length of stay(LOS)in the intensive care unit(OR = 0.42,p = 0.05), and instrumental activities of daily living (OR = 0.08,p = 0.001) predicted patients' quality of life one year after coronary artery bypass grafting.

CONCLUSION

Although more than half of the samples had a good average quality of life score, due to the lack of definitive treatment for coronary artery disease, it is suggested to consider predictive variables to help plan to improve the quality of life of these patients.

摘要

背景

为了最小化冠状动脉旁路移植术后的长期并发症,建议恢复日常活动,这是恢复正常活动水平的策略之一,其有效性需要进一步研究。本研究旨在确定冠状动脉旁路移植术后一年的生活质量和日常生活活动。

方法

这是一项 2018 年在伊朗北部进行的横断面研究,共纳入 206 例冠状动脉旁路移植术后 1 年以上的患者。研究工具是一份问卷,包括五个部分。使用描述性统计、卡方检验、Mann-Whitney U 检验、Kruskal-Wallis 检验和 Logistic 回归模型分析数据。

结果

生活质量平均得分为 31.7±2.04 分(满分 12-48 分)。关于日常生活活动结果显示,分别有 99.5%和 84.7%的样本在这些活动中需要帮助。生活质量的平均得分在性别(p<0.018)和工具性日常生活活动(p<0.0001)方面有显著差异。使用 Logistic 回归模型确定与生活质量相关的因素。最终模型显示,体外循环时间(OR=0.33,p=0.014)、重症监护病房的住院时间(OR=0.42,p=0.05)和工具性日常生活活动(OR=0.08,p=0.001)预测了冠状动脉旁路移植术后一年患者的生活质量。

结论

尽管超过一半的样本有较好的平均生活质量评分,但由于对冠状动脉疾病缺乏明确的治疗方法,建议考虑预测变量,以帮助计划改善这些患者的生活质量。

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