CAJ | 학술논문

目的调查行冠状动脉旁路移植术(CABG)患者手术前、后抑郁症的发生和变化以及生存质量(QOL)情况,并研究抑郁症对CABG患者生存质量的影响.方法 138例CABG患者在手术前一周内,术后1、3、6个月进行Beck抑郁问卷的自我评测并计分;并在手术前一周内,术后1、6个月采用SF-36量表测评患者的生存质量.根据患者是否存在抑郁症将患者分为抑郁组和非抑郁组,对比分析两组间术前、术后的生存质量状况.结果术前抑郁症患者59例(42.7%),其中中度22例(15.9%),季度7例(5.1%);术后旱逐渐下降趋势;SF-36量表的生理健康内容和心理健康内容在术后均有不同程度改善;比较术后牛存质量评分发现抑郁组社会功能、情感职能、精神健康和躯体疼痛分项评分显著低于非抑郁组,其他分项和总评分差异无统计学意义,但平均值均低于非抑郁组.结论行CABG的患者共病抑郁者在术后生存质量改善上明显低于无共病抑郁的患者,尤其是社会功能、情感职能、精神健康和躯体疼痛方面,需要引起重视.
목적 조사행관상동맥방로이식술(CABG)환자수술전、후억욱증적발생화변화이급생존질량(QOL)정황,병연구억욱증대CABG환자생존질량적영향.방법 138례CABG환자재수술전일주내,술후1、3、6개월진행Beck억욱문권적자아평측병계분;병재수술전일주내,술후1、6개월채용SF-36량표측평환자적생존질량.근거환자시부존재억욱증장환자분위억욱조화비억욱조,대비분석량조간술전、술후적생존질량상황.결과 술전억욱증환자59례(42.7%),기중중도22례(15.9%),계도7례(5.1%);술후한축점하강추세;SF-36량표적생리건강내용화심리건강내용재술후균유불동정도개선;비교술후우존질량평분발현억욱조사회공능、정감직능、정신건강화구체동통분항평분현저저우비억욱조,기타분항화총평분차이무통계학의의,단평균치균저우비억욱조.결론 행CABG적환자공병억욱자재술후생존질량개선상명현저우무공병억욱적환자,우기시사회공능、정감직능、정신건강화구체동통방면,수요인기중시.
Objective To investigate the presence and severity of depression before and after operation in patients undergoing coronary artery bypass grafting(CABG)and the effect thereof on the quality of life.Methods A validated Chinese version of Beck Depression Inventory(BDI)Wag used in 138 CABG patients that were divided into 2 groups according the fact if depression was present.1 week before and 1,3, and 6 months after operation,and SF-36 scale Wag used to evaluate the quality of life(QOL)one week before operation and 1 and 6 months after operation.Results Depressive disorders occurred in 42.7%of the patients preoperatively and in 23.1%of the patients 6 months after the operation.There were no significant difierences in all the dimensions of the SF-36 scale before operation between the depression and non-depression groups.All the scores of the 36-f dimensions were improved 1 and 6 months after the operation.However,the SF-36 social functioning(SF),mental health(M H),role emotional(RE),and bodily pain f BP)subscale scores 6 months after operation of the depression group were alIlower than those in the non-depressive groups(all P<0.05).Conclusion Depression symptoms at different degrees exist before CABG and can be impmved post-operatively.The improvement of QOL of the depressive patients after operation is not 80 marked compared to the non-depressive patients,especially in SF,MH,RE,and BP dimensions.