冠狀動脈繞道手術病人出院後身體恢復及心理社會調適情形與相關影響因素之探討

Pei-Shan Tsai, 胡 琪容(C. J. Hu)

Research output: Contribution to journalArticle

Abstract

Coronary artery bypass grafting, (CABG) is the most common modality in treating the patients with coronary artery disease (CAD). While surgical management is well documented, there has been a paucity of information regarding activity and psychosocial out comes after surgery. The purpose of this study was to investigate physical recovery, psychosocial adjustment and related factors over a 2-month period after discharge from the hospital.
The convenient sample consisted of 27 patients having CABG. The instrument for data collection included Personal and illness survey, Patients' Recovery From CABG Survey, and Psychosocial Adjustment to illness Seale. Face-to-face structured interviews, telephone interviews, and self-report questionnaire were data collection methods. Descriptive statistics, t-test. Likelihood Ratio Chi-Square, ANOVA, and Pearson correlation were used to analyze data.
The patients' perceptions of physical recovery and severity of symptoms gradually improved over time, however, however, activity level advanced slowly. The incidence of complaints of incisional discomforts was the highest among symptoms. Those patients with better cardiac function prior to surgery reported less severe symptoms. Those patients with better cardiac function prior to surgery reported less severe symptoms at the first month after discharge and higher level of activity at the second month after discharge.
Seven percent of the patients indicated psychosocial maladjustment at the second month after discharge from the hospital. The over all psychosocial adjustment were affected by history of cerebral vascular accident (CVA) and diabetes mellitus (DM). There is no relationship between physical recovery and psychosocial adjustment.
Original languageTraditional Chinese
Pages (from-to)1-12
Number of pages12
Journal長庚護理
Volume8
Issue number4
Publication statusPublished - 1997

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