Çalışan kalpte yapılan koroner baypas cerrahisi ile kardiyopulmoner baypas altında yapılan koroner arter baypas cerrahisinin yaşam kalitesi üzerine etkisinin karşılaştırılması
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Date
2013
Authors
Binicier, Nöfel Ahmet
Journal Title
Journal ISSN
Volume Title
Publisher
Uludağ Üniversitesi
Abstract
Bu çalışmada çalışan kalpte koroner arter baypas greft (off-pump KABG = grup 1) ile pompalı koroner arter baypas greft (on-pump KABG = grup 2) cerrahisi geçiren hastaların yaşam kalitesi üzerine etkisini karşılaştırmayı amaçladık. Uludağ Üniversitesi Tıp Fakültesinde 01.08.2012 - 31.01.2013 tarihleri arasında koroner arter baypas greft (KABG) ameliyatı olan, çalışmaya katılmayı kabul eden grup 1'de 25 hasta, grup 2'de 25 hasta toplamda 50 hasta çalışmaya alındı. Preoperatif özellikleri açısından hastalar açısından anlamlı fark yoktu. Çalışma SF-36 ölçeği kullanılarak KABG'den 1 hafta ve 1 ay sonra gerçekleştirildi. Çalışmanın analizleri SPSS 20.0 programında yapılmış olup p<0.05 istatistikel olarak anlamlı kabul edildi. Off pump KABG'den 1 hafta sonra fiziksel fonksiyon, fiziksel rol, sosyal fonksiyon ve emosyonel rol; 1 ay sonra fiziksel rol on pump KABG'den anlamlı çıktı. KABG'den 1 hafta sonra kadın cinsiyette fiziksel fonksiyon erkeklerden anlamlı çıktı. Off pump ve on pump KABG'den 1 hafta sonra mental sağlık, zindelik/yorgunluk, ağrı ve genel sağlık açısından anlamlı fark yoktu. Off pump, on pump KABG ve her iki cinsiyette ameliyattan 1 ay sonra fiziksel fonksiyon, sosyal fonksiyon, emosyonel rol, mental sağlık, zindelik-yorgunluk, ağrı, cinsiyet ve genel sağlık açısından anlamlı fark yoktu. Bu çalışmamızın sonucunda yaşam kalitesi açısından 1.hafta sonuçları off pump KABG lehine anlamlı olmasına rağmen 1.ay sonuçları açısından on pump ile off pump grupları arasında anlamlı fark görülmedi.
In this study, we aimed to compare the impact of beating-heart coronary artery bypass graft (off-pump CABG = group 1) and on-pump coronary artery bypass graft (on-pump CABG = group 2) on quality of life. Of fifty patients who agreed to participate in the study and performed coronary artery bypass graft (CABG) in Uludag University Faculty of Medicine between 01.08.2012 - 31.01.2013, 25 patients performed off-pump CABG and 25 patients performed on-pump CABG, enrolled in this study. There is no significant difference between patients in terms of preoperative features. Study conducted a week and a month after CABG using SF-36 scale. SPSS 20.0 was used for study analysis and p <0.05 was considered statistically significant. Physical function, physical role, social function and emotional role has been significant one week after off-pump CABG surgery; and physical role has been significant 1 month after on-pump CABG in Group 1. Physical function was significant in females compared with males a week after CABG. There was no significant difference in terms of mental health, fitness-/ fatigue, pain, and general health a week after off-pump and on-pump CABG. There was no significant difference in off-pump CABG, on-pump CABG and both in terms of physical function, social function, emotional role, mental health, fitness-fatigue, pain, and general health genders a month after surgery. In our study, although results of first week were significant in favor of off-pump CABG in terms of life quality, we found that there was no significant difference between on-pump and off-pump groups in terms of results of first month.
In this study, we aimed to compare the impact of beating-heart coronary artery bypass graft (off-pump CABG = group 1) and on-pump coronary artery bypass graft (on-pump CABG = group 2) on quality of life. Of fifty patients who agreed to participate in the study and performed coronary artery bypass graft (CABG) in Uludag University Faculty of Medicine between 01.08.2012 - 31.01.2013, 25 patients performed off-pump CABG and 25 patients performed on-pump CABG, enrolled in this study. There is no significant difference between patients in terms of preoperative features. Study conducted a week and a month after CABG using SF-36 scale. SPSS 20.0 was used for study analysis and p <0.05 was considered statistically significant. Physical function, physical role, social function and emotional role has been significant one week after off-pump CABG surgery; and physical role has been significant 1 month after on-pump CABG in Group 1. Physical function was significant in females compared with males a week after CABG. There was no significant difference in terms of mental health, fitness-/ fatigue, pain, and general health a week after off-pump and on-pump CABG. There was no significant difference in off-pump CABG, on-pump CABG and both in terms of physical function, social function, emotional role, mental health, fitness-fatigue, pain, and general health genders a month after surgery. In our study, although results of first week were significant in favor of off-pump CABG in terms of life quality, we found that there was no significant difference between on-pump and off-pump groups in terms of results of first month.
Description
Keywords
Off pump KABG, On pump KABG, Yaşam kalitesi, Off-pump CABG, On-pump CABG, Quality of life
Citation
Binicier, N. A. (2013). Çalışan kalpte yapılan koroner baypas cerrahisi ile kardiyopulmoner baypas altında yapılan koroner arter baypas cerrahisinin yaşam kalitesi üzerine etkisinin karşılaştırılması. Yayınlanmamış uzmanlık tezi. Uludağ Üniversitesi Tıp Fakültesi.