Abstract
ObjectiveTo investigate the application and value of continuous nursing after coronary artery bypass grafting.MethodsThe clinical data of 62 patients after coronary artery bypass grafting from January 2016 to January 2018 were analyzed retrospectively. According to the nursing mode, the patients were divided into two groups: the continuous nursing group (n = 30) and the conventional nursing group (n = 32). All patients completed Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS) at admission and 1 year after operation. All patients completed Seattle Angina Pectoris Questionnaire (SAQ) at discharge and 1 year after operation.ResultsAll patients were followed up for more than one year. One year after operation, SAQ score in five items in continuous nursing group was significantly better than that in conventional nursing group.(P < 0.05) The continuous nursing group exhibited significantly decreased SAS and SDS scores 1 year after surgery compared to the preoperative SAS and SDS scores.(P < 0.05) The SAS and SDS scores of the continuous nursing group were significantly better than those of the conventional nursing group 1 year after surgery.(P < 0.05) Then incidence rate of chest tightness or chest pain and coronary restenosis in continuous nursing group were significantly less than that in conventional nursing group.(P < 0.05).ConclusionContinuous nursing improved patient compliance with treatment and reduces the occurrence of complications. The patient also receives proper psychological evaluations, which relieve patient anxiety and depression and improve the quality of life.
Highlights
Coronary artery disease is a kind of heart disease of myocardial ischaemia, hypoxia or myocardial necrosis caused by organic stenosis or obstruction of the coronary artery, and it is one of the diseases with the highest mortality rates in the world [1, 2]
The aim of this study is to explore a better nursing method for patients who have undergone coronary artery bypass grafting by summarizing the experience of continuous nursing in patients after coronary artery bypass grafting at our hospital
There were no significant differences in the scores of Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) at admission and Seattle Angina Pectoris Questionnaire (SAQ) at discharge between the two groups.(P > 0.05) There was no significant difference in the SAQ score between the two groups at discharge in 5 items: physical activity restriction, stable angina pectoris, frequency of angina pectoris attack, satisfaction with treatment and cognitive degree of disease.(P > 0.05) These results indicated that the two groups were homogeneous and comparable
Summary
Coronary artery disease is a kind of heart disease of myocardial ischaemia, hypoxia or myocardial necrosis caused by organic stenosis or obstruction of the coronary artery, and it is one of the diseases with the highest mortality rates in the world [1, 2]. Coronary artery bypass grafting is an effective method to treat such. Zhou et al Journal of Cardiothoracic Surgery (2020) 15:168 discharge and provide the patients with medical and psychological guidance at the same time [7,8,9,10]. The aim of this study is to explore a better nursing method for patients who have undergone coronary artery bypass grafting by summarizing the experience of continuous nursing in patients after coronary artery bypass grafting at our hospital
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