Quality Of Life amongst Post Coronary Artery Bypass Patients at the National Heart Institute, Malaysia

Quality of life in post coronary bypass patients
Vol. 5 No. 2 : 2010 (77-85)

Ho SE Ho SE
Noor Siah AA Noor Siah AA
Zaidah Z Zaidah Z
Teoh KH Teoh KH
Gurbinder JS Gurbinder JS
Ismail MS Ismail MS
Choy YC Choy YC
Mazeni A Mazeni A

Abstract
Coronary Artery Bypass Grafting (CABG) surgery has increased the survival rate for in­dividuals suffering from myocardial infarction or coronary ischemia.  The present study aimed to examine the perception of quality of life amongst post CABG patients at the National Heart Institute Malaysia. A total of 69 post CABG patients, were studied using the Medical Outcomes Short Form 36 (SF-36). The findings showed that post CABG respondents possessed good level of quality of life (SF-36) physically and mentally. There were significant differences between the role physical in the physical functioning do­mains of quality of life with gender (t=0.286, p<0.05). Duration of physi­cal exercises of more than 20 minutes have positive effects on both physical (t=2.738, p<0.05) and mental components (t=7.326, p<0.05). The level of income influenced both the physical component (F=3.100, p<0.05), and mental component (F=4.272, p<0.05). Post CABG patients were found to have high quality of life post operatively. They were able to make comprehensive lifestyle changes through frequent physical exercises to accommodate their needs.
Keywords : Coronary artery bypass, grafting, post-surgery, quality of life,
Abstrak
Pembedahan pintasan arteri koronari jantung telah menambahkan kadar kemandirian terhadap individu yang menghidapi infarksi miokardium atau iskemia koronari. Kajian ini adalah untuk mengenalpasti persepsi tahap kualiti hidup di kalangan pesakit sele­pas pembedahan pintasan arteri koronari jantung di Institut Jantung Negara. Seramai 69 responden selepas pembedahan pintasan arteri koronari jantung telah menyertai penye­lidikan ini dengan  menggunakan borang soal selidik SF 36. Penemuan kajian menun­jukkan responden selepas pembedahan pintasan arteri koronari jantung mem­punyai ta­hap baik kualiti hidup (SF-36) fizikal dan mental. Terdapat perbezaan yang signifikan antara peranan fizikal dalam domain fungsi fizikal kualiti hidup dengan gender respon­den (t=0.286, p<0.05). Tempoh latihan fizikal lebih dari 20 minit mem­punyai kesan positif pada kedua-dua komponen fizikal (t=2,738, p<0.05) dan mental (t=7,326, p<0.05). Pendapatan responden mempengaruhi  kedua-dua komponen fi­zikal (F=3.100, p<0.05) dan mental (F=4.272, p<0.05). Kesimpulannya, pesakit sele­pas pembedahan pintasan arteri koronari jantung mempunyai  kualiti hidup yang tinggi. Mereka mampu membuat perubahan gaya hidup yang menyeluruh  melalui senaman fizikal yang kerap untuk menampung keperluan mereka.
Kata Kunci : Kualiti hidup, pembedahan pintasan arteri koronari, selepas pembedahan,

Correspondance Address
Ho Siew Eng, Department of Nursing, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur. Tel: 603-9145 6262. Fax: 603-9173 8254. Email: ho@ppukm.ukm.my