首页> 中文期刊> 《护士进修杂志》 >冠状动脉旁路移植术后患者4~11年生活质量评价与分析

冠状动脉旁路移植术后患者4~11年生活质量评价与分析

         

摘要

Objective To study the long-term quality of life for patients after coronary artery bypass grafting sur-gery (CABG) .Method 159 patients who underwent CABG for the year of 2003 to the year of 2010 were evaluated by telephone follow-up survey with the short-form 36 health survey questionnaire (SF-36) and the Seattle angina questionnaire (SAQ) .Result The SF-36 showed that there was no significant difference between male and female pa-tients ,except for the score of physical function .The patients who received on-pump surgery had similar quality of life to off-pump patients ,except for the score of body pain .The rate of reported post-operative angina was 34 .09% . The quality of life for patients with angina pectoris is superior to those of without angina pectoris .Conclusion Long term life quality of patients after coronary artery bypass grafting was good .The pain of patients after cardiopulmo-nary bypass was significantly less than that of with non extracorporeal circulation .Medical personnel should pay at-tention to prevent the recurrence of angina after CABG operation ,so as to improve the quality of life of patients after surgery .%目的 调查冠状动脉旁路移植术(CABG)后患者长期生活质量状况.方法 选择2003-2010年在某院行CABG的159例南京地区患者 ,使用健康状况调查表(SF-36)及西雅图心绞痛量表(SAQ)对其进行术后长期生活质量及心绞痛状况的电话调查.结果 CABG术后患者SF-36评分性别间比较 ,除生理机能外 ,各维度及总分间差异无统计学意义(P>0 .05);体外循环及非体外循环两种术式间比较 ,除躯体疼痛方面的差异有统计学意义(P<0 .05)外 ,其他各维度及总分相似(P>0 .05);CABG术后患者心绞痛发生率为34 .09% ,无心绞痛者生活质量优于有心绞痛者.结论 冠状动脉旁路移植术后患者长期生活质量良好 ,体外循环术后患者躯体疼痛方面的困扰明显少于非体外循环术后患者 ,医务人员应关注预防CABG术后心绞痛的再发 ,从而提升患者术后的生活质量.

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