探討冠狀動脈繞道手術後病患身體功能的改變

郭雯芳

doi:10.6342/NTU.2011.01892

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探討冠狀動脈繞道手術後病患身體功能的改變

Changes of Physical Function in Patients Undergoing Coronary Artery Bypass Graft Surgery

郭雯芳 , Masters　　Advisor：陳佳慧　　

繁體中文 DOI： 10.6342/NTU.2011.01892

冠狀動脈繞道手術；身體功能；日常活動功能；肌肉力量；行動能力； CABG ； activity of daily living ； hand muscle strength ； functional capacity

Abstract │ Reference (106) │ Times Cited (1) │ Altmetrics

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Decline in physical function is common among patients undergoing coronary 
artery bypass graft (CABG) surgery. The purpose of this study was to explore the changes of physical function 2-4 weeks following hospitalization and their correlates in patients underwent CABG surgery. From April to September 2010, 42 subjects who scheduled for an elective CABG were enrolled from a 2200-bed medical center in Taipei. Data on demographics, severity of illness, perception of pain, activities of daily function (ADLs; measured by Barthel Index), hand muscle strength (measured by hand-held dynamometer), and functional capacity (measured by 6-minute walking test) were assessed at three time points: admission, discharge, and 2-4 weeks after discharge.
The results showed that physical function including ADLs, hand muscle strength, and functional capacity were at the lowest point by discharge but ADLs and functional capacity recovered to admission baseline by 2-4 weeks after discharge. Subjects with lower NYHA functional levels had significant more improvement on Barthel Index (p=0.009). Conversely, more improvement on functional capacity were seen in the subjects whose LVEF ≧60% compared to their counterparts (65.3 m vs. -8.2 m; p=0.019). These findings provided insights on changes of physical function for Taiwanese patients underwent CABG surgery.

Reference ( 106 ) 〈TOP〉

石佑翎、李瑋君、陳嘉弘、胡名霞（2002）．年輕人與老年人握力和蹠屈肌力之比較．物理治療，27(1)，25-32。
連結：
吳麗娟（2008）．住院老人於腹部手術後接受早期漸進性活動之成效探討．未發表的碩士論文，台北：台灣大學護理研究所。
連結：
邱亨嘉、陳怡君、毛莉雯、蕭世槐、劉宏文、黃明賢（1997）．中文版多元功能評估問卷之信度效度考驗．中華衛誌，16(2)，119-132。
連結：
洪素鶯、吳英黛、曹昭懿、周正亮、楊銘欽、王水深（2004）．門診運動訓練對冠狀動脈繞道手術病患品質調整存活時間之影響．物理治療，29(5)，374-383。
連結：
唐心如（2006）．影響冠狀動脈繞道術後病患參與復健運動因素之探討．未發表的碩士論文，高雄：高雄醫學大學護理學研究所。
連結：

Times Cited (1) 〈TOP〉

歐乃欣(2013)。心臟手術後卡路里攝取差異對身體活動功能之影響。臺灣大學護理學研究所學位論文。2013。1-77。

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