Turkiye Klinikleri Journal of Health Sciences

.: REVIEW
Koroner Arter Baypas Greft Cerrahisi Sonrası Yaşam Kalitesini Değerlendiren Çalışmaların Sistematik Derlemesi
Systematic Review of Studies Evaluating the Quality of Life After Coronary Artery Bypass Graft Surgery
Zuhal ÇAYIRTEPEa, Afsun Ezel ESATOĞLUb, Atilla ARALc
aTÜSEB Türkiye Sağlık Hizmetlerinde Kalite ve Akreditasyon Enstitüsü, İstanbul, TÜRKİYE
bAnkara Üniversitesi Sağlık Bilimleri Fakültesi, Sağlık Kurumları Yönetimi ABD, Ankara, TÜRKİYE
cAnkara Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi ABD, Ankara, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2020;5(3):688-701
doi: 10.5336/healthsci.2020-74150
Article Language: TR
Full Text
ÖZET
 Değer bazlı sağlık hizmet sunumunda, hasta merkezli çalışmalar önem kazanmıştır. Sağlık hizmeti kullanımının en önde gelen nedenlerinden biri olan iskemik kalp hastalıklarının tedavisinde hayatta kalma, morbidite üzerine olan üstünlüğünden dolayı daha fazla sayıda koroner arter baypas greft (KABG) cerrahisi gerçekleştirilmektedir. Kardiyovasküler hastalıklarda, özellikle kalp cerrahisi sonrası prosedürlerde yaşam kalitesi üzerine araştırmalar tüm dünyada artmıştır. Bu çalışma ile sistematik derleme yöntemi kullanılarak, KABG cerrahisi sonrası yaşam kalitesinin değerlendirilmesi konusunda yapılan araştırmaların bir araya getirilmesi amaçlanmıştır. PRISMA sistematik derleme yöntemi kullanılarak, PubMed, ScienceDirect, Medline, Web of Science, Scopus veri tabanlarında KABG cerrahisi sonrası yaşam kalitesinin değerlendirildiği çalışmalar taranmıştır. İzole KABG cerrahisini ele alan İngilizce, 2010 yılı ve sonrasında yayımlanan tam metnine ulaşılabilen kalite değerlendirmesi sonrası, orta ve yüksek kaliteli olarak değerlendirilen 26 araştırma makalesi çalışmaya dâhil edilmiştir. KABG cerrahisi sonrasında yaşam kalitesinin belirlenmesinde jenerik, durum tespit eden, tercihe özel yaşam kalitesi ölçeklerinin kullanıldığı belirlenmiştir. Yaşam kalitesinin ameliyat öncesi değerlendirilmeye başlandığı, ameliyat sonrası en kısa 2. haftada en uzun ise 12. yılda değerlendirildiği bulunmuştur. KABG cerrahisinin hastalara fayda sağladığı ve yaşam kalitesinde iyileşme sağladığını sonucuna ulaşılmıştır. KABG cerrahisi sonrası yaşam kalitesi üzerine düşük fiziksel kondisyon, anksiyete ve/veya depresyon, yalnız yaşama, artmış beden kitle indeksi (BKİ), diyabet, sigara kullanma, KOAH, inme öyküsü ve azalmış sol ventrikül fonksiyonu, postoperatif plevral drenaj, yüksek CK-MB ve akut kardiyak ve serebrovasküler olayların olumsuz etkisinin olduğu belirlenmiştir.

Anahtar Kelimeler: Koroner arter baypas greft cerrahisi; yaşam kalitesi
ABSTRACT
 Patient-centered studies have gained importance in providing value-based healthcare services. In the treatment of ischemic heart diseases, one of the leading causes of healthcare use, more coronary artery bypass graft (CABG) surgeries are performed due to its superiority over morbidity.Research on quality of life especially in procedures after cardiac surgery, has increased worldwide. In this study; it is aimed to bring together researches on the evaluation of quality of life after CABG surgery by using systematic review method. PRISMA systematic compilation method was used for literature review. Studies evaluating "Quality of life after CABG" were reviewed in PubMed, ScienceDirect, Medline, Web of Science, Scopus databases. 26 research articles on isolated CABG surgery, published in 2010 and later, with full text available, determined to be medium and high quality after quality assessment, were included in study. It was determined that quality of life after CABG surgery was evaluated with generic, condition specific, preference based quality of life scales. It was found that the quality of life began to be evaluated preoperatively, and the shortest in the 2nd week after surgery, and the longest in the 12th year. It has been concluded that CABG surgery benefits patients and improves quality of life. Low physical condition, anxiety and/or depression, loneliness, body mass index, diabetes, smoking, COPD, history of stroke, decreased left ventricular function, and postoperative pleural drainage, high CK-MB and acute cardiac and cerebrovascular events was determined to affect the quality of life after CABG surgery.

Keywords: Coronary artery bypass graft surgery; quality of life
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