冠状动脉搭桥术患者的术后护理路径：一项观察性研究

IF 2.6 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care Pub Date : 2025-04-25 DOI:10.1016/j.aucc.2025.101234

Dima Nasrawi RN , Sharon Latimer RN, PhD , Debbie Massey RN, PhD , Brigid M. Gillespie RN, PhD

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引用次数: 0

摘要

目的本研究的目的是描述澳大利亚昆士兰一家大医院成年患者冠状动脉旁路移植术（CABG）术后的护理途径，包括一期心脏康复（CR）交付。设计和方法本观察性研究包括结构化观察、患者电子病历审计和收集术后数据的现场记录。在1个月期间（2023年2月至3月）的12天内，每隔30分钟对患者和医疗保健专业人员（HCP）进行连续4小时的观察。我们观察了cabg后患者和参与直接护理的HCPs。收集临床护理、时间、交付方式和教育内容方面的数据。结果观察10例冠脉搭桥术后患者和9例HCPs。HCPs提供的术后护理侧重于临床护理任务和患者教育活动。患者参与了以呼吸练习、伤口护理、抗凝治疗和血栓威慑教育为重点的教育。医护人员与两名患者讨论了疼痛管理。结论：教育是HCPs对CABG患者在术后护理路径和1期CR期间的主要策略；然而，许多患者被他们收到的复杂信息所淹没。通过发展以患者为中心的教育干预措施，存在改善一期CR术后护理途径的机会。

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Postoperative care pathways for patients following coronary artery bypass grafting surgery: An observational study

Aims

The aim of this study was to describe the postoperative care pathway, with phase 1 cardiac rehabilitation (CR) delivery, for adult patients following coronary artery bypass grafting (CABG) surgery at one large hospital in Queensland, Australia.

Design and methods

This observational study involved structured observations, patient electronic medical record audits, and field notes to gather postoperative data. Four continuous hours of patient and healthcare professional (HCP) observations gathered at 30-min intervals occurred on 12 separate days over a 1-month period (February–March 2023). We observed post-CABG patients and HCPs involved in delivering direct care. Data were gathered on the clinical care, timing, delivery mode, and education content.

Results

Ten post-CABG patients and nine HCPs were observed. Postoperative care delivered by HCPs focussed on clinical care tasks and patient education activities. Patients participated in education focussed on respiratory exercises, wound care, anticoagulant therapy, and thromboembolic deterrent education. HCPs discussed pain management with two patients.

Conclusion

Education was the primary strategy delivered by HCPs to CABG patients during the postoperative care pathway and phase 1 CR; however, many patients were overwhelmed by the complicated information they received. Opportunities exist to improve the postoperative care pathway with phase 1 CR delivery by developing patient-centred education interventions.

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来源期刊

Australian Critical Care NURSING-NURSING

CiteScore

4.90

自引率

9.10%

发文量

148

审稿时长

>12 weeks

期刊介绍： Australian Critical Care is the official journal of the Australian College of Critical Care Nurses (ACCCN). It is a bi-monthly peer-reviewed journal, providing clinically relevant research, reviews and articles of interest to the critical care community. Australian Critical Care publishes peer-reviewed scholarly papers that report research findings, research-based reviews, discussion papers and commentaries which are of interest to an international readership of critical care practitioners, educators, administrators and researchers. Interprofessional articles are welcomed.