Application of targeted nursing intervention in patients undergoing synchronous carotid endarterectomy and coronary artery bypass grafting.

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Perfusion-Uk Pub Date : 2025-05-01 Epub Date: 2024-08-12 DOI:10.1177/02676591241271995

Xiumei Chen, Lipeng Zhang, Fan Zhang, Xuemei Li, Hui Li

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引用次数: 0

Abstract

ObjectivesTo investigate the effect of targeted nursing intervention on the short-term prognosis of patients with coronary heart disease and carotid artery stenosis undergoing synchronous coronary artery bypass grafting (CABG) and carotid endarterectomy (CEA).MethodsA total of 58 patients who received OPCABG + CEA from February 2018 to May 2021 at the Beijing Anzhen Hospital were selected as the study subjects. They were randomly divided into two groups, with 29 patients in each group. The control group received routine postoperative nursing care, while the observation group received targeted nursing intervention in addition to the routine care. The incidence of postoperative stroke and the length of postoperative stay were observed.ResultsThere were no statistically significant differences in baseline data between the two groups. Postoperative acute stroke occurred in 2 cases (6.9%) in the control group and 0 cases in the observation group, although this difference was not statistically significant. The median postoperative hospital stay was 13 days in the control group, with the earliest discharge at 10 days. In the observation group, the median postoperative hospital stay was 10 days, with the earliest discharge on the 8th day. This difference was statistically significant.ConclusionsTargeted nursing intervention can improve the short-term prognosis of patients with coronary heart disease and carotid artery stenosis undergoing OPCABG + CEA, and it can also shorten the length of postoperative hospital stay.

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在同步进行颈动脉内膜切除术和冠状动脉旁路移植术的患者中应用针对性护理干预。

目的探讨针对性护理干预对同步接受冠状动脉旁路移植术（CABG）和颈动脉内膜剥脱术（CEA）的冠心病合并颈动脉狭窄患者短期预后的影响：选取2018年2月至2021年5月在北京安贞医院接受OPCABG+CEA的患者共58例作为研究对象。将其随机分为两组，每组 29 例。对照组接受术后常规护理，观察组在常规护理基础上接受针对性护理干预。观察两组患者术后中风发生率和术后住院时间：结果：两组基线数据差异无统计学意义。对照组术后急性中风发生率为 2 例（6.9%），观察组为 0 例，但差异无统计学意义。对照组术后住院时间中位数为 13 天，最早 10 天出院。观察组的术后中位住院时间为 10 天，最早于第 8 天出院。这一差异具有统计学意义：有针对性的护理干预可改善接受 OPCABG + CEA 手术的冠心病合并颈动脉狭窄患者的短期预后，还可缩短术后住院时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Perfusion-Uk 医学-外周血管病

CiteScore

3.00

自引率

8.30%

发文量

203

审稿时长

6-12 weeks

期刊介绍： Perfusion is an ISI-ranked, peer-reviewed scholarly journal, which provides current information on all aspects of perfusion, oxygenation and biocompatibility and their use in modern cardiac surgery. The journal is at the forefront of international research and development and presents an appropriately multidisciplinary approach to perfusion science.