Kirkevold M, Gortner S R, Berg K, Saltvold S
Institute for Nursing Science, University of Oslo, Norway.
J Adv Nurs. 1996 Nov;24(5):943-51. doi: 10.1111/j.1365-2648.1996.tb02930.x.
Utilizing a prospective longitudinal design, the recovery pattern of 91 heart patients was followed for the first 8 weeks following coronary artery by-pass graft surgery. The patients' perceived and actual performance of walking, their resumption of roles, and social support and family functioning were measured pre-operatively and at 4 and 8 weeks postoperatively. Findings indicate that recovery is swift in terms of health and physical functioning, somewhat more time-consuming in terms of role functioning, and delayed with regard to work-related role activities. Contrary to American findings, the heart surgery recovery process did not significantly affect family functioning in this Norwegian sample. Social support was experienced as high throughout the recovery period, with spouses and children being the main providers.
采用前瞻性纵向设计,对91名心脏病人在冠状动脉搭桥手术后的前8周恢复模式进行了跟踪。在术前以及术后4周和8周测量了病人对行走的感知和实际表现、角色恢复情况、社会支持以及家庭功能。研究结果表明,在健康和身体功能方面恢复迅速,在角色功能方面恢复时间稍长,而与工作相关的角色活动恢复则有所延迟。与美国的研究结果相反,在这个挪威样本中,心脏手术恢复过程并未对家庭功能产生显著影响。在整个恢复期,病人感受到的社会支持程度较高,配偶和子女是主要的支持提供者。