Teo K K, Spoor M, Pressey T, Williamson H, Calder P, Gelfand E T, Koshal A
Division of Cardiology, University of Alberta Hospitals, Edmonton, Canada.
Circulation. 1998 Nov 10;98(19 Suppl):II29-33; discussion II33-4.
Current demand for CABG surgery remains high, often exceeds available resources, and has led to the development of managed waiting lists. This study was designed to determine how being placed on a managed waiting list for > 6 weeks for CABG surgery affected patients' perceived quality of life in a Canadian center.
Telephone interviews were carried out in the setting of a large urban hospital in northern Alberta. All participants were identified from 3 waiting lists of adult patients waiting for open heart surgery. A master list of patient statements was compiled to formulate the 47-item Waiting List Impact Questionnaire (WLIQ). A total of 102 patients completed the WLIQ by telephone interview. Patients (87.5%) indicated that their quality of life had deteriorated since being placed on the waiting list. None of the patients perceived an improvement in their quality of life. Frequency data for the WLIQ provided a broad, multidimensional perspective of the experience of waiting for CABG surgery and its impact on perceived quality of life. Negative impact was found in each of 5 main themes: employment and income, physical stress, social support, frustration, and quality of life.
This study indicates that patients perceived a negative impact on their quality of life after being placed on a managed waiting list for CABG surgery. In the allocation of healthcare resources, attention should be paid to the impact of waiting on patients' physical well-being as well as on quality of life.
目前对冠状动脉旁路移植术（CABG）手术的需求仍然很高，常常超过可用资源，这导致了管理等候名单的出现。本研究旨在确定在加拿大一家中心，被列入CABG手术管理等候名单超过6周对患者感知的生活质量有何影响。
在艾伯塔省北部一家大型城市医院进行了电话访谈。所有参与者均从3个等待心脏直视手术的成年患者等候名单中确定。编制了一份患者陈述主列表，以制定包含47个条目的等候名单影响问卷（WLIQ）。共有102名患者通过电话访谈完成了WLIQ。患者（87.5%）表示，自被列入等候名单以来，他们的生活质量有所下降。没有患者认为自己的生活质量有所改善。WLIQ的频率数据提供了一个关于等待CABG手术经历及其对感知生活质量影响的广泛、多维度视角。在5个主要主题中的每一个主题中都发现了负面影响：就业与收入、身体压力、社会支持、沮丧和生活质量。
本研究表明，患者认为被列入CABG手术管理等候名单后，其生活质量受到了负面影响。在医疗资源分配中，应关注等待对患者身体健康以及生活质量的影响。
