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https://hdl.handle.net/20.500.14094/0100496606
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2025-07-16
17:24 集計
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0100496606 (fulltext)
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メタデータID
0100496606
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open access
出版タイプ
Version of Record
タイトル
Changes in Physical Function, Cognitive Function, Mental Health, and Sleep Quality After Cardiac Surgeries and Procedures
著者
Kawahara, Yoshimi ; Nakanishi, Nobuto ; Nomura, Keiko ; Doi, Satoshi ; Oto, Jun
著者名
Kawahara, Yoshimi
著者ID
A3713
研究者ID
1000020793376
ORCID
0000-0002-2394-2688
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail.html?systemId=db7bf09edfe90b32520e17560c007669
著者名
Nakanishi, Nobuto
中西, 信人
ナカニシ, ノブト
所属機関名
医学研究科
著者名
Nomura, Keiko
著者名
Doi, Satoshi
著者名
Oto, Jun
言語
English (英語)
収録物名
Nursing Reports
巻(号)
15(6)
ページ
209
出版者
MDPI
刊行日
2025-06-11
公開日
2025-06-30
抄録
Background: Patients who undergo cardiac surgery and procedures often experience functional impairments. However, few studies have compared changes in physical function, cognitive function, mental health, and sleep quality before and after the interventions. Methods: Intensive care unit (ICU) nurses visited the ward and conducted the assessments. The Japanese version of the Cardiovascular Health Study (J-CHS) and the Barthel index for physical function, mini-mental state examination (MMSE) for cognitive function, hospital anxiety and depression scale for anxiety (HADS-A) and depression (HADS-D) for mental health, and a 5-point Likert scale for sleep quality were used. Results: Of the 210 cases, 156 were included. Cardiac surgeries and procedures included valve replacement or valvuloplasty (43%), coronary artery bypass graft (9%), and transcatheter aortic valve implantation (39%). At a median of 7 (4–9) days after ICU discharge, the J-CHS score worsened from 2 (1–3) to 3 (2–3) (p < 0.01), and the Barthel index worsened from 95 (85–100) to 75 (55–85) (p < 0.01). The HADS-A score improved from 3 (1–6) to 1 (0–4) (p < 0.01), and the HADS-D score improved from 4 (1–7) to 2 (1–6) (p < 0.01). The MMSE score remained unchanged at 26 (24–29; p = 0.91). Sleep quality worsened from 4 (3–5) to 3 (2–4) (p < 0.01). In the multivariate analysis, sleep quality deterioration was associated with open thoracotomy. Conclusions: After cardiac surgeries and procedures, physical function and sleep quality worsened, whereas anxiety and depression improved, and cognitive function remained unchanged.
キーワード
nurse
cardiac surgery
physical function
cognitive function
mental health problem
sleep quality
カテゴリ
医学研究科
学術雑誌論文
権利
© 2025 by the authors. Licensee MDPI, Basel, Switzerland.
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license
関連情報
DOI
https://doi.org/10.3390/nursrep15060209
PMID
40559500
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資源タイプ
journal article
ISSN
2039-439X
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eISSN
2039-4403
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