Ns. Redeker et al., 1ST POSTOPERATIVE WEEK ACTIVITY PATTERNS AND RECOVERY IN WOMEN AFTER CORONARY-ARTERY BYPASS-SURGERY, Nursing research, 43(3), 1994, pp. 168-173
The purpose of this study was to examine the relationship between acti
vity-rest patterns and recovery in women during the first week after c
oronary artery bypass surgery (CABS). Twenty-five women wore wrist act
igraphs to measure activity objectively throughout the first postopera
tive week. The Sickness Impact Profile (SIP) and length of postoperati
ve hospital stay (LOS) were used as measures of recovery. Analysis of
the activity data indicated that 21 (84%) of the participants had stat
istically significant positive linear trends in activity. Spectrum ana
lysis indicated that 18 participants had periods that could be defined
as circadian, 1 had a shorter period, and 6 had longer periods. After
controlling for the effect of preoperative functional status, the per
iod and linear trend of activity explained 28% of the variance in the
SIP score at 1 week and 33% of the variance in length of stay. Positiv
e linear trends in activity and circadian activity periods were relate
d to better functioning and shorter length of stay.