CAJ | 학술논문

目的：调查与分析不同时段的冠状动脉搭桥（ CABG）术后患者自我效能和生活质量状况及其变化，分析两者之间的关系，为改善其生活质量提供理论依据。方法：于2011年6月~2013年7月采用便利抽样的方法，抽取我院行CABG的88例患者，分别于术后2周（出院前）和术后12周患者在复查或上门回访时对患者的生活质量和自我效能进行追踪调查，并进行相关性分析。结果：术后2周CABG术后患者的自我效能平均分低于正常人群（P﹤0.05），术后12周与正常人群比较差异无统计学意义（P﹥0.05），术后2周和术后12周比较差异有统计学意义（P﹤0.05）。术后6周、12周总生存质量总分比较差异有统计学意义（P﹤0.05），其中躯体疼痛、社会功能、躯体健康和躯体角色术后2周较低，随着时间延长术后12周后明显好转，两者比较差异有统计学意义（P﹤0.05）。自我效能得分与生活质量各维度得分呈正相关（r＝0.453，P﹤0.01）。结论：CABG术后患者生活质量和自我效能水平术后2周最低，随着时间延长12周后明显好转，二者有良好的相关性，故应对此患者进行早期干预，以提高自我效能水平，改善其生活质量。
목적：조사여분석불동시단적관상동맥탑교（ CABG）술후환자자아효능화생활질량상황급기변화，분석량자지간적관계，위개선기생활질량제공이론의거。방법：우2011년6월~2013년7월채용편리추양적방법，추취아원행CABG적88례환자，분별우술후2주（출원전）화술후12주환자재복사혹상문회방시대환자적생활질량화자아효능진행추종조사，병진행상관성분석。결과：술후2주CABG술후환자적자아효능평균분저우정상인군（P﹤0.05），술후12주여정상인군비교차이무통계학의의（P﹥0.05），술후2주화술후12주비교차이유통계학의의（P﹤0.05）。술후6주、12주총생존질량총분비교차이유통계학의의（P﹤0.05），기중구체동통、사회공능、구체건강화구체각색술후2주교저，수착시간연장술후12주후명현호전，량자비교차이유통계학의의（P﹤0.05）。자아효능득분여생활질량각유도득분정정상관（r＝0.453，P﹤0.01）。결론：CABG술후환자생활질량화자아효능수평술후2주최저，수착시간연장12주후명현호전，이자유량호적상관성，고응대차환자진행조기간예，이제고자아효능수평，개선기생활질량。
Objective:To investigate and analyze the status and change of self-efficacy and quality of life of the patients in different pe-riod after coronary artery bypass grafting( CABG)in order to provide theoretical basis for the improvement of the patientˊs quality of life. Methods:The tracking survey was conducted to investigate the quality of life and self-efficacy of 88 selected patients( June 2011 to July 2013)respectively in 2 and 12 weeks(before discharged from hospital)after the operation and the correlation was analyzed. Results:The average scores of self-efficacy of the patients with CABG were lower than those of normal people after operation for 2 weeks(P﹤0. 05), but no significant differences compared with normal people after operation for 12 weeks(P﹥0. 05);the average scores of self-efficacy of the patients were significantly different after operation for 2 weeks compared with those after operation for 12 weeks(P﹤0. 05);the total score of life quality was significantly different after operation for 6 week compared with that after operation for 12 weeks(P﹤0. 05);the bodily pain,social function,physical health and role physical was worse and poor after operation for 2 weeks and significantly improved af-ter operation for 12 weeks(P﹤0. 05);the score of self-efficacy and the score of life quality of the patients were positively correlated(r=0. 453,P﹤0. 01). Conclusion:The early intervention can improve the level of self-efficacy and the quality of life of the patients.