A longitudinal study of functional status and correlates following coronary artery bypass graft surgery in women
A longitudinal study of functional status and correlates following coronary artery bypass graft surgery in women
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DOI：
10.1097/00006199-200303000-00006
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发表时间：
2003-03-01
期刊：
影响因子：
2.5
通讯作者：
Tulman, L
中科院分区：
文献类型：
--
作者：
DiMattio, MK;Tulman, L
背景。可帮助女性评估冠状动脉搭桥手术后功能状态的信息有限。目的：本文描述了冠状动脉搭桥手术后在家中的前 6 周内，功能状态的变化以及合并症、家庭结构、疲劳和手术疼痛对女性功能状态的影响。方法：本研究采用单组纵向设计。女性在出院前接受了面对面采访，并在出院后 2、4 和 6 周通过电话接受了采访。功能状态通过 (a) 老年人功能状态清单和疾病影响概况的子量表进行评估； (b) 通过简单统计来确定合并症； (c) 通过 MOS 患者评估问卷的能量/疲劳和疼痛严重程度分量表来评估疲劳和手术疼痛。结果：女性在 6 周内，特别是在 2 至 4 周内，功能状态显着改善。在研究期间，他们最常从事个人护理和低水平的家庭活动，并且大多数人报告其整体功能状态有所改善。六周后，没有一位女性完全康复或恢复基线功能状态。这些女性的疲劳和手术疼痛明显减轻，但在 6 周后仍继续出现这种情况。疲劳和手术疼痛在所有时间段均显着相关。 讨论：有关冠状动脉旁路移植术后恢复的信息，特别是 6 周内恢复不完全的发现，应纳入该患者群体的出院计划和随访中。
Background. There is limited information available to help women gauge their functional status following coronary artery bypass graft surgery.Objective: This article describes changes in functional status and the influence of comorbidity, household composition, fatigue, and surgical pain on functional status in women during the first 6 weeks at home following coronary artery bypass surgery.Method: A single-group longitudinal design was used for this research. Women were interviewed in person before hospital discharge and by telephone at 2, 4, and 6 weeks after discharge. Functional status was assessed by (a) the Inventory of Functional Status in the Elderly and subscales of the Sickness Impact Profile; (b) comorbid conditions by simple tally; and (c) fatigue and surgical pain by the Energy/Fatigue and Pain Severity subscales of the MOS Patient Assessment Questionnaire.Results: Women experienced significant gains in functional status over 6 weeks, particularly between 2 and 4 weeks. They engaged most frequently in personal care and low-level household activities during the study period, and most reported improvement in their overall functional status. None of the women were completely recovered or had regained baseline functional status by 6 weeks. The women experienced significant decreases in fatigue and surgical pain, but continued to experience both at 6 weeks. Fatigue and surgical pain were significantly correlated at all time periods,Discussion: Information about recovery following coronary artery bypass graft, and particularly the finding that recovery is incomplete by 6 weeks, should be incorporated into discharge planning and follow-up for this patient population.