Abstract
ObjectiveThe purpose of this study was to explore the value of continuous nursing in patients after cardiac valve replacement.MethodsThe clinical data of 116 patients after cardiac mechanical valve replacement from January 2017 to January 2018 were analysed retrospectively. According to the nursing mode, the patients were divided into two groups: the continuous nursing group (group A, n = 56) and the conventional nursing group (group B, n = 60).ResultsThe 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 traditional nursing group 1 year after surgery(P < 0.05). There were 4 patients with anticoagulant complications after discharge in the continuous nursing group, and 13 cases of anticoagulant complications in the conventional nursing group. There was a significant difference between the two groups.ConclusionContinuous nursing improves patient compliance with treatment and reduces the occurrence of postoperative anticoagulation complications. The patient also receives proper psychological evaluations, which relieve patient anxiety and depression.
Highlights
In China, cardiac valve disease is the most common acquired heart disease in adults, and cardiac mechanical valve replacement is the main method for clinical treatment of all kinds of cardiac valve disease in China [1]
The self-management abilities and compliance with treatment decreased with the extension of discharge time, which resulted in anticoagulant deficiency or excess and complications, such as embolism and bleeding, that endangered the life of the patient [3, 4]
The Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores of the continuous nursing group were significantly decreased 1 year after surgery compared to the preoperative SAS and SDS scores, and the differences were statistically significant
Summary
In China, cardiac valve disease is the most common acquired heart disease in adults, and cardiac mechanical valve replacement is the main method for clinical treatment of all kinds of cardiac valve disease in China [1]. Valve replacement requires lifelong anticoagulation therapy postoperation [2]. The behaviour of many cardiac valve replacement patients after discharge is far different from their health behaviour at the hospital. The self-management abilities and compliance with treatment decreased with the extension of discharge time, which resulted in anticoagulant deficiency or excess and complications, such as embolism and bleeding, that endangered the life of the patient [3, 4]. Continuous nursing is the extension of high-quality medical services to the family to understand the compliance behaviour, treatment effect and psychological state of the patients after discharge from the hospital and provide the patients with medical and psychological guidance to improve their quality of life [5, 6]
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