冠心病患者冠状动脉搭桥术前后的生活质量

Dr.Dinesh Rai, Anu V. Kumar
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引用次数: 0

摘要

心脏是人体的重要器官之一,是一个持久的器官和高效的泵。人类的心脏从形成的那一刻起就不知疲倦地工作,直到它停止跳动。在平均一生中,人类的心脏在不休息的情况下跳动超过225亿次。心脏不停地跳动,与身体的其他肌肉不同,它在工作疲劳时不能停下来休息。研究方法:本研究采用非实验描述性比较调查法。这项研究是在Sahdol选定的一家医院的心胸外科门诊部进行的。研究人群包括在研究期间在Sahdol选定医院心胸外科门诊部接受冠状动脉搭桥手术的所有患者。根据样本选择标准选取75例行冠状动脉旁路移植术的患者。样本的选取采用非概率方便抽样技术。64例(85.3%)能较好地完成煮饭、洗布、扫地、研磨、熨烫、园艺、小修理等家务活动,11例(14.7%)术前能很好地完成这些活动。然而,手术后很好地完成家务活动的样本百分比增加了5.3%。术前59例(78.7%)对读报、看电视有浓厚兴趣。然而,手术后,这一数字减少到51,减少了10.7%。大多数样本(84-94.7%)术前社会幸福感良好。然而,手术后的样本在社会福利方面表现出中等的生活质量。手术前后个人活动和家庭活动平均得分(t-0.239和0.054,df=74,p<0.0)与其他活动平均得分(t-3.17和3.8,df=74,p<0.01)差异无统计学意义。该研究得出结论,接受冠状动脉搭桥手术的患者术前的生活质量更好,但手术后的生活质量在身体健康方面有所改善,而心理和社会健康则有所下降。
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The quality of life of patients with coronary artery disease before and after coronary artery bypass graft
Heart is one of the vital organs in the human body which is a durable organ and efficient pump. The human heart works tirelessly from the moment of formation and it begins beating until the moment it stops. On an average life time, the human heart beats more than twenty two and half billion times without taking rest. The heart beats continuously and unlike other muscles of the body, it cannot stop to rest when tired and worn from work. Research Approach: This study adopted a non experimental descriptive and comparative survey approach.The study was conducted at the cardio thoracic surgical out patient department of one of the selected hospital at Sahdol.The population comprised of all patients with coronary artery bypass graft attending the cardio thoracic surgical outpatient department of the selected hospital at Sahdol at the time of the study.The sample consisted of 75 patients with coronary artery bypass graft based on the criteria for sample selection. Non probability convenient sampling technique was adopted for the selection of sample. 64 samples (85.3%) were able to carry out the household activities such as cooking, washing the cloth, sweeping, grinding, ironing, gardening, minor repairing work at home moderately well and 11(14.7%) were able to perform these activities very well before surgery. However after the surgery the percentage of samples who performed the household activities very well increased by 5.3%.cBefore surgery 59 samples (78.7%) showed good interest in reading newspaper and watching TV. However after surgery this number reduced to 51, a reduction of 10.7%. that majority of the samples (84-94.7%) had good social well being before surgery. However after surgery the samples showed moderate quality of life in social wellbeing. Statistically there was no significant difference between the mean score of personal and household activities ( t-0.239 and 0.054,df=74,p<0.0 ) before and after surgery and there was significant difference between the mean score of outdoor and other activities (t-3.17and3.8,df=74,p<0.01 ) before and after surgery. The study concludes that the quality of life of patients who had undergone coronary artery bypass graft was better before surgery but after surgery the quality of life was better in physical well being whereas psychological and social wellbeing was reduced.
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