Artinian N T, Duggan C H
College of Nursing, Wayne State University, Detroit, MI, USA.
Heart Lung. 1995 Nov-Dec;24(6):483-94. doi: 10.1016/s0147-9563(95)80026-3.
To describe sex differences in physical, psychologic, and social recovery patterns after coronary artery bypass surgery (CABS).
Repeated measures between groups (men versus women) design. Data were collected before discharge from the hospital and at 1, 3, and 6 weeks after discharge.
Five teaching hospitals: one urban, three suburban, and one midstate hospital that serves rural and urban clients
The initial sample consisted of 187 men and 70 women; 132 men and 47 women completed the study.
Physical recovery was assessed by three subscales of the Sickness Impact Profile--ambulation, sleep-rest, body care and movement; a Symptom Inventory, and a Cantril Ladder Scale. Psychologic recovery was measured by the Beck Depression Inventory, the Rosenberg Self-Esteem Scale, and a Cantril Ladder Scale. Social recovery was measured by three subscales of the Sickness Impact Profile--home management, social interaction, and recreation and pastimes.
All measures indicated significant improvement over time with the exception of self-esteem and perception of mental health, which remained stable. There were significant differences between men and women on five recovery variables: ambulation dysfunction, physical symptoms, perceptions of physical health, symptoms of depression, and home management dysfunction.
Though it is encouraging that both sex groups experienced significant improvement in recovery over time, men and women show some differences in recovery experiences that need to be considered when planning their care.
描述冠状动脉搭桥手术后（CABS）身体、心理和社会恢复模式的性别差异。
组间重复测量（男性与女性）设计。在出院前以及出院后1周、3周和6周收集数据。
五家教学医院：一家城市医院、三家郊区医院和一家为农村和城市患者服务的州中部医院
初始样本包括187名男性和70名女性；132名男性和47名女性完成了研究。
身体恢复情况通过疾病影响概况量表的三个子量表进行评估——行走、睡眠休息、身体护理和活动；症状清单和坎特里尔阶梯量表。心理恢复情况通过贝克抑郁量表、罗森伯格自尊量表和坎特里尔阶梯量表进行测量。社会恢复情况通过疾病影响概况量表的三个子量表进行测量——家庭管理、社交互动以及娱乐和消遣。
除自尊和心理健康感知保持稳定外，所有指标均显示随时间有显著改善。男性和女性在五个恢复变量上存在显著差异：行走功能障碍、身体症状、身体健康感知、抑郁症状和家庭管理功能障碍。
虽然令人鼓舞的是，随着时间推移，两个性别组在恢复方面都有显著改善，但男性和女性在恢复经历上存在一些差异，在规划他们的护理时需要考虑这些差异。
