Penckofer S H, Holm K
Nurs Res. 1984 Mar-Apr;33(2):60-3.
Information available for nurses on counseling cardiac patients about the outcomes of bypass surgery has focused on the time following the first postoperative year. In order to assess earlier impact, two groups of bypass patients--alike in terms of preoperative physical activity, angina level, and type of revascularization--were compared in terms of quality of life and related areas. Seventeen patients were 3 to 5 months (88-141 days) postoperative and 17 patients were 6 to 8 months (161-222 days) post-operative. They were asked to rate themselves on Cantril's Self-Anchoring Scale in relation to past, present, and future life satisfaction. An analysis of variance (ANOVA) indicated that both groups of patients viewed their future life satisfaction to be better than their life satisfaction prior to open heart surgery. Furthermore, the patients 6 to 8 months postoperative viewed their present life satisfaction to be significantly better than their past (p less than .05). Both groups reported a decrease in the level of angina and an increase in the level of physical activity after surgery (p less than .001). They also reported greater satisfaction with family life (p less than .05), social life (p less than .001), and sexual life (p less than .01) following surgery. Overall, there were significant improvements in the quality of life early in the recovery period following surgery. Residual incisional pain may have contributed to any differences between groups.
护士可获取的关于向心脏病患者咨询搭桥手术结果的信息主要集中在术后第一年之后的时间段。为了评估更早阶段的影响，研究人员对两组搭桥手术患者进行了比较，这两组患者在术前身体活动、心绞痛程度和血运重建类型方面相似，比较内容包括生活质量及相关方面。17名患者处于术后3至5个月（88 - 141天），17名患者处于术后6至8个月（161 - 222天）。研究人员要求他们根据坎特里尔自我定位量表对自己过去、现在和未来的生活满意度进行评分。方差分析（ANOVA）表明，两组患者都认为他们未来的生活满意度高于心脏直视手术前的生活满意度。此外，术后6至8个月的患者认为他们目前的生活满意度明显高于过去（p小于0.05）。两组患者均报告术后心绞痛程度减轻，身体活动水平提高（p小于0.001）。他们还报告术后对家庭生活（p小于0.05）、社交生活（p小于0.001）和性生活（p小于0.01）的满意度更高。总体而言，术后恢复期早期生活质量有显著改善。切口残留疼痛可能导致了两组之间的任何差异。
