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MA/PhD Theses Abstracts of Current Students & Alumni |
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Kominski, Kathleen Ann, December 1993 - INVESTIGATION OF PATIENTS' PERCEIVED INDICATORS OF QUALITY OF LIFE (STATE OF WELL-BEING AND LIFE SATISFACTION) FOLLOWING CORONARY ARTERY BYPASS SURGERY (CABGS)
Abstract: This study used a biocultural ecosystem orientation to investigate patients' perceived indicators of "Quality of Life' (QOL) after Coronary Artery Bypass Surgery (CABGS). The nature of the patients' environment (biological and cultural), the patterns and dynamics of adaptive responses, and the patients' beliefs about their QOL after CABGS were specific objectives of the study. Twenty, first-time CABGS subjects (14 males, 6 females, ages 45-81) comprised Group I (N=10) and Group II (N=10) convenience sample groups. Group I was followed pre CABGS to 3 months post CABGS. Group II was contacted 1-3 years post CABGS. Questionnaire and interview data were collected about the subjects' QOL. Similar QOL indicators were mentioned by both Groups I and II: (100%) being with family/friends, a more proactive role in their health care, and enjoying life more; (95%) feelings of well-being and being active; (80%) religious beliefs strengthened; (60%) altruistic behavior and stress reduction. Coping resources utilized by the subjects (N=20) included: (100%) family support/friends; religious beliefs; (70%) work/hobbies; (60%) support from others with CABGS/heart condition; and (55%) pets. Concerns/barriers expressed by the subjects (N=20) to maintain QOL included: (35%) family health/relationship problems, (20%) other personal health problems, (15%) money, and (10%) further cardiovascular problems. Although a global index of QOL was not calculated, 90% of the subjects (N=20) and their spouses expressed satisfaction with expected CABGS outcomes. Similar findings for both Groups I and II suggested that QOL indicators and coping strategies existed along a continuum from 3 months to 1-3 years post CABGS, which reflected life cycle as well as adaptive changes after CABGS. Adaptive potential implies a maximizing of the efficacy and diversity of the ecology (biological, cultural, environmental) in which individuals are situated. Deficiencies in long-term adaptive potential (information and behavioral modification strategies) to maintain QOL were demonstrated by both Groups I and II.
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