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Quality of Life after Open Heart Surgery (Paperback, Softcover reprint of the original 1st ed. 1992)
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Quality of Life after Open Heart Surgery (Paperback, Softcover reprint of the original 1st ed. 1992)
Series: Developments in Cardiovascular Medicine, 132
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primary goal of all forms of therapy is not just prolonging life,
but improving the quality of life, has forced analysis of what
constitutes quality of life, a concept whose structure pervades all
walks of life and eludes definition. Global well being, happiness,
morale, vitality, fullness of social life, and satisfaction must be
integrated and assessed for the effects of the disease and the
therapy, in the context of specific personality traits, attitudes
to life, family situation, and socio-economic and political
freedom. A growing inter est in research on this subject has led to
a clearer understanding of the components which come to determine
quality of a patient's life, and how they can be measured in a
reproducible manner so that valid comparisons can be made. Keeping
these recommendations of analysing quality of life within the
context of patients who have undergone open heart surgery, it
seemed appro priate to me to separate the influence of various
forms of open heart surgery into five aspects of life which can
comprehensively reflect the quality of life outcome of the
operation. These five 'components' are (1) Physiological state,
which summarises the traditionally reported incidence of operative
mortality and morbidity, objectively and subjectively measured
physical ca pacity, and the residual symptoms, treatment and
long-term survival. (2) Intellectual functioning relates to the
psychoneurolgocial deficit in memory, reasoning or judgement
because of cerebral microembolism and hypo perfusion during
cardiopulmonary bypass.
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