冠狀動脈繞道術後病人生活品質之探討

The Quality of Life of Patients after Coronary Artery Bypass Surgery

林鎂喻(Mei-Yu Lin) ； 何美瑤(Mei-Yao He) ； 蔣秀容(Shiow-Rong Jeang) ； 黃鳳玉(Fung-Yu Huang)

《榮總護理》 30卷1期 (2013/03) Pp. 45-52

https://doi.org/10.6142/VGHN.30.1.45

摘要

本研究採描述性研究設計，於南部某醫學中心心臟外科病房收案，共計72位個案參與此研究，個案在出院1個月後返診時填寫生活品質量表。病人的基本屬性、肺部合併症、14天再住院率為自變項，生活品質為效果指標，分析自變項與生活品質間相互影響關係。研究結果顯示：（1）術後1個月生活品質得分56.2 ± 11.03分，高於常模；（2）術後病人生活品質的得分受到年齡、住院天數、有無慢性病、術後肺部併發症之影響。因此臨床照護除了加強病人心肺復健外，醫護人員應該追蹤、關心及指導心臟手術後的病人返家後的自我照顧，才可以減少疾病所造成的傷害而提升生活品質。

關鍵字

生活品質 ； 冠狀動脈繞道手術

並列摘要

The study aimed to examine the effectiveness of integrated cardiopulmonary nursing care model on patients' quality of life, postoperative pulmonary complications and readmission for those who received a coronary artery bypass surgery. A correlation study design was used with 72 subjects recruited from a cardiac surgery ward in a southern medical center. Patients completed the quality of life scale (SF-36) after they discharged monthly follow-up. Patients Basic attributes were as independent variables, and quality of life, pulmonary complications as the performance metrics. The results showed that the patients' quality of life after bypass surgery for 1 month was at medium level (mean 56.2 ± 10.5). The quality of life for patients who received coronary artery bypass surgery was influenced by age, length of stay, chronic illness, and pulmonary complications. The empirical data derived from this study can serve as a reference for clinical practice. In addition to cardiac rehabilitation, nurses tailored the care plans to individualized needs in order to facilitate the patients' physical, mental and social functions to an optimum health state.

並列關鍵字

quality of life ； coronary artery bypass surgery

參考文獻

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