题名

Gender Differences in Quality of Life for Post Coronary Artery Bypass Grafting Patients in Taiwan

并列篇名

台灣冠狀動脈手術後個案之生活品質-談兩性差異

作者

童恆新(Heng-Hsin Tung);魏崢(Jen Wei);張忠毅(Chung-Yi Chang)

关键词

冠狀動脈繞道手術 ; 性別差異 ; 生活品質 ; 角色功能 ; Coronary Artery Bypass Grafting ; gender difference ; quality of life ; role function

期刊名称

The Journal of Nursing Research

卷期/出版年月

15卷4期(2007 / 12 / 01)

页次

275 - 284

内容语文

英文

中文摘要

The purpose of this study was to investigate gender differences in quality of life for post Coronary Artery Bypass Grafting (CABG) patients in Taiwan. Cross-sectional survey research design and purposive sampling were used in this study, for which 100 subjects, including 50 males and 50 females, were recruited from a medical center in northern Taiwan. Quality of life was measured by Short Form 36, while gender role function and demographic data were collected using a demographic questionnaire. An Independent t test and one way ANOVA were employed to analyze data. Study results showed significant differences in quality of life between genders. There was a statistically significant difference in the physical component summary score, post-CABG, between males (M=45.5) and females (M=40.1, p<.05), which indicates that men demonstrated higher physical functioning than women. Within this component, the greatest difference between the genders was noted in sub-items related to physical functions. Men and women achieved mean scores of 42.2 and 37.9, respectively (p<.05). For the mental component summary section, sub-items related to vitality also demonstrated statistical significance; with men achieving a mean score of 49.6 and women a mean score of 45.2 (p<.05). Of interest, post-CABG patients who had greater role responsibilities, such as taking care of elderly or doing housework, obtained significantly higher quality of life scores.

英文摘要

The purpose of this study was to investigate gender differences in quality of life for post Coronary Artery Bypass Grafting (CABG) patients in Taiwan. Cross-sectional survey research design and purposive sampling were used in this study, for which 100 subjects, including 50 males and 50 females, were recruited from a medical center in northern Taiwan. Quality of life was measured by Short Form 36, while gender role function and demographic data were collected using a demographic questionnaire. An Independent t test and one way ANOVA were employed to analyze data. Study results showed significant differences in quality of life between genders. There was a statistically significant difference in the physical component summary score, post-CABG, between males (M=45.5) and females (M=40.1, p<.05), which indicates that men demonstrated higher physical functioning than women. Within this component, the greatest difference between the genders was noted in sub-items related to physical functions. Men and women achieved mean scores of 42.2 and 37.9, respectively (p<.05). For the mental component summary section, sub-items related to vitality also demonstrated statistical significance; with men achieving a mean score of 49.6 and women a mean score of 45.2 (p<.05). Of interest, post-CABG patients who had greater role responsibilities, such as taking care of elderly or doing housework, obtained significantly higher quality of life scores.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. Lu, J. F.,Tseng, H. M.,Tsai, Y. J.(2003).Assessment of health related quality of life in Taiwan (I): Development of psychometric testing of SF-36 Taiwan version.Taiwan Public Health Journal,22(6),501-511.
    連結:
  2. Heart and stroke facts. Statistical update
  3. Artinian, N. T.,Duggan, C. H.(1995).Sex differences in patient recovery patterns after coronary artery bypass surgery.The Journal of Acute and Critical Care,24(6),483-494.
  4. Artinian, N. T.,Duggan, C.,Miller, P.(1993).Age differences in patient recovery patterns following coronary artery bypass surgery.American Journal of Critical Care,2(6),453-461.
  5. Bandura, A.(1997).Self-efficacy: The exercise of control.New York:Freeman.
  6. Beery, T. A.(1995).Diagnosis and treatment of coronary artery disease.Heart & Lung,24(6),427-434.
  7. Chao, S. Y.,Roth, P.(2000).The experiences of Taiwaneses women caring for parents in law.Journal of Advanced Nursing,31(3),631-639.
  8. Chen, S. K.,Chau, P. C.,Chang, A. M.(2005).Acute coronary syndromes: Cardiac rehabilitation programmes and quality of life.Journal of Advanced Nursing,49(6),591-599.
  9. Conaway, D. G.,House, H.,Bandt, K.,Hayden, L.,Borkon, A. M.,Spertus, J. A.(2003).The elderly: Health status benefits and recovery of function one year after coronary artery bypass surgery.Journal of the American College of Cardiology,42(8),1421-1426.
  10. Corcoran, W. E.,Durham, D. F.(2000).Quality of life as an outcome-based evaluation of coronary artery bypass graft critical paths using the SF-36.Quality Managed Health Care,8(2),72-81.
  11. Mortality causes statistics
  12. Emery, C. F.,Frid, D. J.,Engeberetson, T. O.,Alonzo, A. A.,Fish, A.,Ferketich, A. K.(2004).Gender differences in quality of life among cardiac patients.Psychosomatic Medicine,66,190-197.
  13. Flanagan, N. A.(1998).An analysis of patients` psychosocial adjustment and values before and after coronary artery surgery.Rehabilitation Nursing,23(5),234-239.
  14. Frank-Stromborg, M.,Olsen, S.(2004).Instruments for clinical health care research.Sudbury, CT:Jones & Bartlett.
  15. Hawthorne, M. H.(1994).Gender differences in recovery after coronary artery surgery.Image: Journal of Nursing Scholarship,26(1),75-80.
  16. Healthy people 2010
  17. Hunt, J.(2000).Quality of life 12 months after coronary artery bypass graft surgery.Heart & Lung: The Journal of Acute & Critical Care,29(6),401-411.
  18. Jeng, C.(1999).An investigation of maximal oxygen uptake, fitness self-efficacy, and quality of life among coronary artery bypass graft patients.Nursing Research,7(6),531-542.
  19. Keresztes, P. A.,Merritt, S. L.,Holm, K.,Penckofer, S.,Patel, M.(2003).The coronary artery bypass experience: Gender differences.Heart & Lung: The Journal of Acute & Critical Care,32(5),308-319.
  20. Kiebzak, G.(2003).Use of the SF36 general health status survey to document health-related quality of life in patients with coronary artery disease: Effect of disease and response to coronary artery bypass grafting surgery.Heart & Lung: The Journal of Acute & Critical Care,31(3),213.
  21. Ku, S.,Ku, C.,Ma, F.(2002).Effects of phase I cardiac rehabilitation on anxiety of patients hospitalized for coronary artery bypass graft in Taiwan.Heart & Lung: The Journal of Acute & Critical Care,31(2),133-140.
  22. Lee, W. L.(1999).Baltimore,University of Maryland.
  23. Lei, Y. H.,Chiou, C. P.(2000).Quality of life: A concept analysis.Medical Digest,31(2),163-169.
  24. Lu, L. Y.(2000).Taiwan,Chang-Gang University, Li-Kau.
  25. Lukkarinen, H.,Hentinen, M.(1998).Assessment of quality of life with the Nottingham Health Profile among women with coronary artery disease.Heart & Lung: The Journal of Acute & Critical Care,27(3),189-199.
  26. Miller, K. H.,Grindel, C. G.(2001).Recovery from coronary artery bypass surgery: Age-related outcomes.Outcomes Management for Nursing Practice,5(3),127-133.
  27. Penckofer, S.(2005).Quality of life in women following coronary artery bypass graft surgery.Nursing Science Quarterly,18(2),176-183.
  28. Plach, S. K.,Heidrich, S. M.(2003).Relationship of social role quality to psychological well-being in women with rheumatoid arthritis.Research in Nursing & Health,26,190-202.
  29. Plach, S. K.,Heidrich, S. M.(2001).Women`s perceptions of their social roles after heart surgery and coronary angioplasty.Heart & Lung,30(2),117-127.
  30. Plach, S. K.,Heidrich, S. M.(2002).Social role quality, physical health and psychological well-being in women after heart surgery.Research in Nursing &Health,25,189-202.
  31. Treat-Jacobson, D.,Lindquist, R. A.(2004).Functional recovery and exercise behavior in men and women 5 to 6 years following coronary artery (CABG) surgery.Western Journal of Nursing Research,26(5),479-498.
  32. Vaccarino, V.,Krumholz, H. M.,Yarzebski, J.,Gore, J. M.,Goldberg, R. J.(2001).Sex different in 2-year mortality after hospital discharge for myocardial infarction.Annals of Internal Medicine,124(3),173-181.
  33. Vaccarino, V.,Lin, Z. Q.,Kasl, S. V.,Mattera, J. A.,Roumanis, S. A.,Abramson, J. L.(2003).Sex differences in health status after coronary artery bypass surgery.Circulation,108,2642-2647.
  34. Wang, S.(2000).Adaptation of coronary artery bypass surgery.Clinical Medicine,45(2),82-87.
  35. Ware, J. E.,Sherbourne, C. D.(1992).The MOS 36-item Short Form Health Survey (SF-36): I. Conceptual framework and item selection.Medical Care,30(6),473-483.
  36. You, M. H.(1996).Salt Lake City,The University of Utah.