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冠状动脉搭桥手术后在家康复期间女性与男性症状的比较。

A comparison of women's and men's symptoms during home recovery after coronary artery bypass surgery.

作者信息

Moore S M

机构信息

Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106, USA.

出版信息

Heart Lung. 1995 Nov-Dec;24(6):495-501. doi: 10.1016/s0147-9563(95)80027-1.

DOI:10.1016/s0147-9563(95)80027-1
PMID:8582825
Abstract

OBJECTIVE

To compare women's and men's recovery symptoms during home recovery after coronary artery bypass grafting (CABG).

DESIGN

This secondary analysis used a survey design. Descriptive statistics and content analysis were used to compare women's and men's recovery symptoms.

SETTING

Subjects were interviewed about physical and emotional symptoms they experienced after CABG at three measurement points: 1 day before discharge, 2 days after being discharged, and 3 weeks after being discharged.

SUBJECTS

A purposive sample of 20 women and 20 men recovering from their first CABG.

RESULTS

More men than women reported fatigue, chest incision discomfort, and negative emotional symptoms. Unlike men, women described numbness and discomfort in their breasts during the first weeks of recovery. Women's and men's recovery emotions centered on concerns associated with their social circumstances. Women were more likely to be older, unemployed, unmarried, and live alone, and they were anxious about who would care for them during home recovery and where that recovery would take place. Men's anxiety centered first on their immediate physical recovery symptoms and then on long-term issues in regard to return to work and activities.

CONCLUSIONS

An understanding of these gender differences in CABG recovery is important so clinicians can tailor discharge planning to the specific needs of women and men.

摘要

目的

比较冠状动脉旁路移植术(CABG)后在家康复期间女性和男性的恢复症状。

设计

本二次分析采用调查设计。描述性统计和内容分析用于比较女性和男性的恢复症状。

背景

在三个测量点对受试者进行访谈,询问他们在冠状动脉旁路移植术后经历的身体和情绪症状:出院前1天、出院后2天和出院后3周。

受试者

从首次冠状动脉旁路移植术康复的20名女性和20名男性中选取的有目的样本。

结果

报告疲劳、胸部切口不适和负面情绪症状的男性多于女性。与男性不同,女性在康复的最初几周描述了乳房的麻木和不适。女性和男性的恢复情绪集中在与他们社会环境相关的担忧上。女性更有可能年龄较大、失业、未婚且独居,她们担心在家康复期间谁来照顾她们以及康复地点。男性的焦虑首先集中在他们当前的身体恢复症状上,然后是关于重返工作和活动的长期问题。

结论

了解冠状动脉旁路移植术恢复中的这些性别差异很重要,这样临床医生就可以根据女性和男性的具体需求制定出院计划。

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