Gender and short-term recovery from cardiac surgery.
Gender and short-term recovery from cardiac surgery.
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DOI：
10.1097/00006199-200001000-00005
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发表时间：
2000-01-01
期刊：
影响因子：
2.5
通讯作者：
King, K M
中科院分区：
文献类型：
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作者：
King, K M
背景技术背景：关于女性心脏手术后的预后是否比男性差，一直缺乏一致意见。结论：研究性别对心脏手术早期恢复的影响。方法：采用前瞻性描述性设计，60名男性和60名女性接受了冠状动脉搭桥术和/或或瓣膜手术完成了研究，在术前即刻和术后第三个月每月参加访谈月生活质量，生活满意度，预期/感知恢复，功能状态，全球健康状况和社会supports.RESULTS：术前，妇女更功能有限（p = 0.019），并报告较低的生活满意度（p = 0.001）和社会支持（p = 0.006），比男性。术后3个月，尽管女性继续报告较少的社会支持，但结果测量结果几乎没有显著差异（p = 0.002）;女性在功能状态方面的改善明显大于男性（p = 0.008）;年龄和性别均不能预测恢复。最近的研究集中在心脏手术恢复的性别差异表明，男性和女性之间的差异比以前想象的要少。然而，在这项研究中发现的差异（妇女的功能状态，社会支持较少，以及妇女手术后返回的工作性质的差异）值得关注和关注的临床实践。
BACKGROUND: There has been a lack of agreement regarding whether women have poorer outcomes than men following cardiac surgery.OBJECTIVES: To examine the effect of gender on early recovery from cardiac surgery.METHOD: Using a prospective descriptive design, 60 men and 60 women who had coronary artery bypass and/or valve surgery completed the study by participating in interviews in the immediate preoperative period and monthly through the third postoperative month. Measures of life quality, life satisfaction, expected/perceived recovery, functional status, global health status, and social support were examined.RESULTS: Preoperatively, women were more functionally limited (p = 0.019), and reported lower life satisfaction (p = 0.001) and social support (p = 0.006), than men. At 3 months postoperatively, there were few significant differences in outcome measures though women continued to report lesser social support (p = 0.002); women realized significantly greater improvement than men in functional status (p = 0.008); and neither age nor gender consistently predicted recovery.CONCLUSIONS: Recent studies focusing on gender differences in cardiac surgery recovery indicate fewer differences between men and women than once thought. However, the differences identified in this study (women's significantly greater improvement in functional status, lesser social support, and differences in the nature of work to which women return following their surgery) warrant concern and attention in clinical practice.