Gender differences in recovery outcomes after an early recovery symptom management intervention.
Gender differences in recovery outcomes after an early recovery symptom management intervention.
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DOI：
10.1016/j.hrtlng.2010.07.018
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发表时间：
2011-09
期刊：
影响因子：
2.8
通讯作者：
Tu, Chunhao
中科院分区：
文献类型：
--
作者：
Zimmerman, Lani;Barnason, Susan;Hertzog, Melody;Young, Lufei;Niemen, Janet;Schulz, Paula;Tu, Chunhao
尽管已知恢复的性别差异，但很少有研究检查冠状动脉旁路手术（CABS）后性别的症状管理（SM）干预或反应。该亚组分析的目的是描述和评价在出院早期（CABS后3周和6周，以及CABS后3个月和6个月），老年CABS患者对SM干预的反应差异。对数据进行分析以检查性别差异的母研究涉及两组随机临床试验设计。6周早期恢复SM远程保健干预由健康伙伴提供。测量包括心脏症状调查、改良的7天活动访谈、RT3加速计、活动日记和医学结局研究简表36。本研究不具有性别×组分析的把握度，我们使用描述性统计、χ2检验、t检验和方差分析进行统计分析。受试者（n = 232）包括192名男性和40名女性，平均年龄为71.2 SD，7岁。干预组由86名男性和23名女性组成，常规护理（UC）组由106名男性和17名女性组成。数据趋势表明，SM干预对女性的疲劳、抑郁、睡眠问题和疼痛等症状的影响大于男性。同样，男性的体力活动水平高于女性。然而，SM组的女性得分通常高于UC组的女性。虽然母研究发现早期恢复SM干预没有效果，但探索性二次分析表明，干预组的女性在体力活动指标方面比UC组有更多的改善。需要使用更大的样本进行进一步研究，以检验这些初步结果。
Despite known gender differences in recovery, few studies have examined symptom management (SM) interventions or responses by gender after coronary artery bypass surgery (CABS). The purpose of this subanalysis was to describe and evaluate differences in response by gender to an SM intervention on the presence and burden of symptoms, physical activity, and physical functioning in elderly CABS patients during the early discharge period (3 and 6 weeks after CABS, and 3 and 6 months after CABS). The parent study whose data were analyzed to examine gender differences involved a two-group, randomized clinical trial design. The 6-week early recovery SM telehealth intervention was delivered by the Health Buddy. Measures included the Cardiac Symptom Survey, a Modified 7-Day Activity Interview, an RT3 accelerometer, an Activity Diary, and the Medical Outcomes Study Short Form 36. This study was not powered for a gender × group analysis, and we used descriptive statistics, χ2 tests, t tests, and analysis of variance for statistical analyses. Subjects (n = 232) included 192 men and 40 women, with a mean age of 71.2 SD, 7 years. The intervention group consisted of 86 men and 23 women, and the usual care (UC) group consisted of 106 men and 17 women. Data trends suggest that the SM intervention exerted greater impact on women than on men for symptoms such as fatigue, depression, sleep problems, and pain. Again, men exhibited higher levels of physical activity than did women. However, women in the SM group generally had higher scores than did women in the UC group. Although the parent study found no effect of an early recovery SM intervention, this exploratory secondary analysis indicated that women in the intervention group demonstrated more improvement in measures of physical activity than did those in the UC group. Further study, using a larger sample, is necessary to test these preliminary results.
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影响因子：
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作者：
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