The Research Of Smoking On Quality Of Life In Patients After Coronary Artery Bypass Graft Surgery

Objective: To discuss early quality of life in smoking patients after coronary arterybypass grafting (CABG) by SF-36scale. Analyze the differences of scale in patients ofnon-smoking, continued smoking and smoking cessation before or after operation,explore the effect of smoking and smoking cessation on the quality of life after CABG,to provide scientific evidence for taking early targeted intervention measures andimproving the postoperative quality of life in smoking patients.Methods:118hospitalized male patients with coronary artery bypass surgery wereselected from September2012to December2013. According to the definition of WHOin diagnosis of smoking, exclude the standard definitely; Record the basic data ofpatients in great detail being split into non-smoking group, smoking cessation groupand continued smoking group in accordance with the demands.Score the patientsbefore operation and3months,6months,12months after operation with the SF-36scaleby facing or phone interview. Apply the SF-36scale to discuss early postoperativesurvival quality of smoking patients suffered form CABG and analyze the varieties ofscale statistical differences of non-smoking group, continued smoking group andsmoking cessation group of patients before or after operation.Results:1. Compered with the preoperative, physical component summary (PCS) andmental component summary (MCS) of non-smoking group and smoking patients(including smoking cessation group and continued smoking group) were significantlyincreased at3months,6months and12months after CABG, the difference wasstatistically significant (P<0.05).2. Compered with non-smoking group, the bodily pain, social functions, mentalhealth, physical health scores and mental health scores of smoking patients were lower at3months after CABG, the difference was statistically significant (P<0.05); thesocial functions, mental health and MCS of smoking group were lower at6monthsand12months after CABG, the difference was statistically significant (P<0.05), thedifference of PCS was not statistically significant (P>0.05).3.The difference of PCS and MCS between non-smoking group and smokingcessation group at3months,6months,and12months after CABG was not statisticallysignificant.（P>0.05）.4. Compared with smoking cessation group, the bodily pain, social function,mental health,PCS and MCS of continued smoking group were lower at3monthsafter CABG, the difference was statistically significant (P<0.05). The social functions,mental health and MCS of smoking group were lower at6months and12months afterCABG, the difference was statistically significant (P<0.05), however the difference ofPCS was not statistically significant (P>0.05).Conclusion:1.The early quality of life about non-smoking group and continuedsmoking group and smoking cessation group after CABG were generally improvedcompered with preoperative.2.Compared with non-smoking group, quality of life about smoking group after CABG were lower. Smoking is a risk factor of poor postoperative recoveryfor the quality of life.3.The quality of life for smoker after CABG were lower significantly than non-smoking, smoking cessation could improve the quality of life for smoker after CABG.4.The mental health score of continued smoking patients were lower than smokingcessation patients and non-smoking patients at3months,6months and12monthsafter CABG,smoking affects mental health and social functions after CABG.