冠狀動脈繞道移植(CABG)手術為冠狀動脈疾病(CAD)常見的一種外科療法，然而 有關手術後病人的活動進展以及心理社會預後方面的資料卻非常有限。本研究旨在探討 CABG 病人，出院後二個月內的身體恢復、心理社會調適情形及相關影響因素。 本研究採方 便取樣，樣本取自北部某醫學中心之 CABG 病人，共計 27 人。本研究採用基本資料調查表 、恢復情況調查表及心理社會調適量表，分別以面對面訪談、電話訪談及問卷調查法來收集 資料。敘述性統計以百分比及平均值來呈現；以 t-test 測試恢復情形及症狀之改善；使用 Likelihood Ratio Chi-Square 與 ANOVA 檢定身體恢復與心理社會調適之影響因素； 及以 Pearson，積差相關測試身體恢復與心理社會調適之間的關係。 病人自覺的身體恢復情形及 症狀的嚴重度，隨著出院週數的增加而改善, 然出後院活動之進展卻相當緩慢。傷口疼痛為 症狀中發生率最高者。手術前心臟功能較佳者，在出院滿一個月時症狀嚴重度較低，且於出 院滿兩個月時之活動程度較高。百分之七的病人出現心理社會調適功能失常。腦血管意外病 史及糖尿病史影響病人整體的心理社會調適表現。冠狀動脈繞道移植病人之身體功能恢復並 不一定能預測正向的心理社會預後。

　　　　　Coronary artery bypass grafting (CABG) is the most common modality in treating the patients with coronary artery disease (CAD). While surgical management is well documented, there has been a paucity of information regarding activity and psychosocial outcomes after surgery. The purpose of this study was to investigate physical recovery, psychosocial adjustment and related factors over a 2-month period after discharge from the hospital. The convenient sample consisted of 27 patients having CABG, The instrument for data collection included Personal and Illness Survey, Patients' Recovery From CABG Survey, and Psychosocial Adjustment to Illness Scale. Face-to-face structured interviews, telephone interviews, and self-report questionnaire were data collection methods. Descriptive statistics, t-test, Likelihood Ratio Chi-Square, ANOVA, and Pearson correlation were used to analyze data. The patients' perceptions of physical recovery and severity of symptoms gradually improved over time, however, activity level advanced slowly. The incidence of complaints of incisional discomforts was the highest among symptoms. Those patients with better cardiac function prior to surgery reported less severe symptoms at the first month after discharge and higher level of activity at the second month after discharge. Seven percent of the patients indicated psychosocial maladjustment at the second month after discharge from the hospital. The overall psychosocial adjustment were affected by history of cerebral vascular accident (CVA) and diabetes mellitus (DM). There is no relationship between physical recovery and psychosocial adjustment.