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首页> 外文期刊>Journal of cardiopulmonary rehabilitation >Quality of life and self-efficacy: gender and diagnoses considerations for management during cardiac rehabilitation.
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Quality of life and self-efficacy: gender and diagnoses considerations for management during cardiac rehabilitation.

机译：生活质量和自我效能感：性别，并在心脏康复期间诊断出管理方面的考虑因素。

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PURPOSE: Outcome measurement research has extended beyond traditional clinical and physiologic parameters to include psychosocial aspects. Accordingly, the purpose of this study was to investigate quality-of-life (QOL) and self-efficacy disparities for gender and diagnoses during participation in cardiac rehabilitation. METHODS: For this study, 472 patients (114 women and 358 men) were stratified by gender and then again by diagnosis to include surgical revascularization, myocardial infarction, and percutaneous coronary intervention. Measures obtained at baseline and at the end of the study assessed quality of life (QOL-o = total score), including emotional (QOL-e) and limitation (QOL-l) domains; self-efficacy (SE-o = total score), including ambulatory (SE-a) and muscular (SE-m) domains; and caloric expenditure. RESULTS: Both self-efficacy and QOL were greater at the end of the study across genders (P <.05). The men had greater self-efficacy values for all domains (P <.05). There was a significant gender-time interaction for QOL-e (P <.05) among the women, and for QOL-o, QOL-l, and all self-efficacy domains (P <.05) among the surgical revascularization patients. Percutaneous coronary intervention patients had higher self-efficacy scores throughout. Caloric expenditure was a consistent positive predictor of self-efficacy and QOL-e (P <.05). CONCLUSIONS: Quality of life and self-efficacy improve during cardiac rehabilitation across gender and diagnoses. Female and revascularized patients present with low QOL and self-efficacy scores initially, but improvements in scores similar to or greater than the men can be expected. Because the self-efficacy scores of percutaneous coronary intervention patients are higher and their physical limitations are less prohibitive, these patients can be progressed more aggressively. Improvements in self-efficacy scores parallel caloric expenditure increases.
机译：目的：结果测量研究已经超越了传统的临床和生理参数，涵盖了社会心理方面。因此，本研究的目的是调查生活质量（QOL）和自我效能的性别差异和参与心脏康复期间的诊断。方法：本研究将472例患者（114例女性和358例男性）按性别进行分层，然后再通过诊断进行分层，包括手术血运重建，心肌梗塞和经皮冠状动脉介入治疗。在基线和研究结束时获得的测量值评估了生活质量（QOL-0 =总分），包括情绪（QOL-e）和限制（QOL-1）域;自我效能感（SE-o =总分），包括动态（SE-a）和肌肉（SE-m）域;和热量支出。结果：研究结束时，男女之间的自我效能感和生活质量均更高（P <.05）。男性在所有领域的自我效能感均较高（P <.05）。在女性中，QOL-e（P <.05），外科血运重建患者中的QOL-o，QOL-1和所有自我效能域（P <.05）存在显着的性别-时间相互作用。整个经皮冠状动脉介入治疗患者的自我效能得分较高。热量消耗是自我效能和QOL-e的一致积极预测指标（P <.05）。结论：在跨性别和诊断的心脏康复过程中，生活质量和自我效能得到改善。女性和经血运重建的患者最初表现出较低的QOL和自我效能感评分，但可以预期与男性相似或更高的评分会有改善。由于经皮冠状动脉介入治疗患者的自我效能得分较高，而他们的身体限制较少，因此这些患者可以更积极地发展。自我效能得分的提高与热量消耗的增加平行。

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