The effects of a symptom management intervention on symptom evaluation, physical functioning, and physical activity for women after coronary artery bypass surgery.
The effects of a symptom management intervention on symptom evaluation, physical functioning, and physical activity for women after coronary artery bypass surgery.
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症状管理干预对冠状动脉搭桥手术后女性症状评估、身体功能和身体活动的影响。
DOI：
10.1097/01.jcn.0000297379.06379.b6
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
Tu,Chunhao
中科院分区：
文献类型：
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作者：
Zimmerman,Lani;Barnason,Susan;Schulz,Paula;Nieveen,Janet;Miller,Connie;Hertzog,Melody;Rasmussen,Doris;Tu,Chunhao
该子集分析的目的是检查症状管理（SM）干预对65岁及以上冠状动脉旁路移植术患者的大型母研究中女性参与者（N= 40）术后症状评估、身体功能和体力活动的影响。干预组（n= 23）6周时疲劳评分显著低于对照组（Z= 1.96，P<0.01）。05)和更高水平的体力活动（Z=-1.71，P<. 05)通过冠状动脉旁路移植术后3个月的活动日记测量，反映在消耗的kcal· kg-1· d-1中。术后6周和3个月，心脏手术相关恢复症状（呼吸短促、疲劳、抑郁、切口疼痛和睡眠问题）与身体功能（身体、活力和身体疼痛功能子量表评分）之间存在显著相关性，相关性范围为0.31至0.46。鉴于这是一项大型研究的子集分析，预计所有变量均不会存在显著差异。研究结果支持需要有针对性（以女性为中心）和量身定制（自我管理恢复）的干预措施，以帮助女性从冠状动脉旁路移植手术中恢复，以改善症状管理，从而增强身体功能和身体活动结果。
The purpose of this subset analysis was to examine the effect of a symptom management (SM) intervention on postoperative symptom evaluation, physical functioning, and physical activity among the female participants (N= 40) of the larger parent study of coronary artery bypass graft patients aged 65 years and older. The intervention group (n= 23) had significantly lower fatigue scores at 6 weeks (Z= 1.96, P<. 05) and higher levels of physical activity (Z=− 1.71, P<. 05) reflected in the expended kcal· kg− 1· d− 1, as measured by the activity diary at 3 months after coronary artery bypass graft surgery. At 6 weeks and 3 months after surgery, there were significant correlations between cardiac surgery-related recovery symptoms (shortness of breath, fatigue, depression, incision pain, and sleep problems) and physical functioning (physical, vitality, and bodily pain functioning subscale scores), with correlations ranging from 0.31 to 0.46. Given that this was a subset analysis of a larger study, significant differences were not expected for all variables. Study findings support the need for a targeted (women-focused) and tailored (self-management recovery) intervention to assist females in recovering from coronary artery bypass graft surgery to improve symptom management, thereby enhancing physical functioning and physical activity outcomes.