CAJ | 학술논문

目的观察康复治疗对重症冠心病患者冠状动脉搭桥术后患者生活质量(QOL)的影响.方法 58例拟行冠状动脉搭桥的重症冠心病住院患者随机分为康复组(n=31)和对照组(n=27).康复组于手术前、后均给予逐渐递增的运动和适当的心理干预治疗,对照组采取常规治疗.2组均于手术前、后采用SF-36量表、6 min步行距离(6MWD)和术后平均住院时间来观察患者生活质量的改善情况.结果与对照组比较.康复组SF-36量表中躯体功能、一般健康状况、精力、情感职能和心理健康差异有统计学意义(P<0.01),康复组6MWD明显高于对照组(P<0.01),康复组患者术后平均住院时间较对照组明显缩短(P<0.01).结论康复可以提高重症冠心病患者冠状动脉搭桥术后的生活质量.
목적 관찰강복치료대중증관심병환자관상동맥탑교술후환자생활질량(QOL)적영향.방법 58례의행관상동맥탑교적중증관심병주원환자수궤분위강복조(n=31)화대조조(n=27).강복조우수술전、후균급여축점체증적운동화괄당적심리간예치료,대조조채취상규치료.2조균우수술전、후채용SF-36량표、6 min보행거리(6MWD)화술후평균주원시간래관찰환자생활질량적개선정황.결과 여대조조비교.강복조SF-36량표중구체공능、일반건강상황、정력、정감직능화심리건강차이유통계학의의(P<0.01),강복조6MWD명현고우대조조(P<0.01),강복조환자술후평균주원시간교대조조명현축단(P<0.01).결론 강복가이제고중증관심병환자관상동맥탑교술후적생활질량.
Objective To observe the effects of rehabilitation intervention on the quality of life (QOL) of patients after coronary artery bypass grafting. Methods Fifty-eight hospital patients in need of coronary artery by-pass grafting (CABG) were randomly assigned to a cardiac rehabilitation group ( rehab ; n = 31 ) or a routine care group (control; n = 27 ). In the rehab group, patients received progressively increasing movement and appropriate psychological intervention. Changes in the medical outcome study short form (SF-36) scores and 6 min walk dis-tances (6MWDs)as well as the length of post-operative stays in hospital were observed in both groups. Results Compared with the control group, patients in the rehab group scored significantly higher on the SF-36. Their physical functioning, general health, vitality, role-emotion and mental health scores improved significantly, their final 6MWDs were longer, and they had significantly shorter average hospital stays after the operation. Conclusions Rehabilita-tion training can improve QOL for patients after coronary artery bypass grafting.