Ross J K, Diwell A E, Marsh J, Monro J L, Barker D J
Thorax. 1978 Feb;33(1):3-9. doi: 10.1136/thx.33.1.3.
3-9. Two hundred consecutive adult patients in all diagnostic categories who had undergone open-heart surgery at the Wessex Regional Cardio-Thoracic Centre were assessed for the subsequent 20 months. They were interviewed, using a standard questionnaire, at the time of referral for surgery and at 2, 8, and 20 months after operation. The questionnaire elicited information on physical activity, employment, dependence on others, leisure activities, mood, and sexual relationships. Patients under 21 were excluded, but there was no upper age limit. Sixty-six per cent were over the age of 50, and many who were close to or over retirement age were included. The results show that 20 months after operation 68% of the survivors denied limitation of normal activity compared with a preoperative figure of 12%, and that there had been a corresponding pattern in return to useful employment. Seventy-four per cent of men of employable age were back at work or capable of gainful employment, and 76% of these had returned to their usual jobs. No correlation was found between the time taken to resume work and the patient's age or diagnosis. There was an equally satisfactory trend in female employment in both full- and part-time jobs, amounting to a 16% increase on the preoperative figure. Decreased dependence upon others was readily identified as a significant gain for 73% of patients at the eight-month follow-up. Throughout the subsequent year the favourable trends in employment statistics, use of leisure time, mood, and sexual relationships point to an overall improvement in the quality of life for the majority of patients.
3 - 9. 对在韦塞克斯地区心胸中心接受心脏直视手术的200名各类诊断的成年患者进行了为期20个月的随访评估。在手术转诊时以及术后2个月、8个月和20个月，使用标准问卷对他们进行访谈。问卷收集了有关身体活动、就业、对他人的依赖、休闲活动、情绪和性关系的信息。排除了21岁以下的患者，但没有年龄上限。66%的患者年龄超过50岁，其中包括许多接近或超过退休年龄的患者。结果显示，术后20个月，68%的幸存者否认正常活动受限，而术前这一比例为12%，并且在恢复有益工作方面也呈现出相应的模式。74%达到就业年龄的男性已重返工作岗位或有能力从事有报酬的工作，其中76%的人回到了原来的工作岗位。未发现恢复工作所需时间与患者年龄或诊断之间存在相关性。女性在全职和兼职工作方面的就业趋势同样令人满意，较术前数字增长了16%。在8个月的随访中，73%的患者明显减少了对他人的依赖。在随后的一年中，就业统计、休闲时间利用、情绪和性关系方面的良好趋势表明，大多数患者的生活质量总体有所改善。
