{"title":"专科协同护理对老年冠状动脉搭桥术患者觉醒质量和应激状态的影响：一项随机对照研究。","authors":"Lulu Lv, Mengting Wang","doi":"10.1016/j.jopan.2025.04.003","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Exploring the effect of specialized collaborative nursing model during the awakening period for elderly patients undergoing coronary artery bypass surgery.</p><p><strong>Design: </strong>Prospective randomized controlled trial.</p><p><strong>Methods: </strong>A total of 200 elderly patients who underwent coronary artery bypass surgery at our hospital from January 2020 to January 2023 were selected as study subjects. They were randomly divided into a control group and an observation group, with 100 patients in each group. The control group received routine nursing care, while the observation group received specialized collaborative nursing care during the awakening period. The stress status during the awakening period [heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP)], awakening time, awakening quality [Observer Assessment of Alertness and Sedation (OAAS)], and the incidence of complications were compared between the two groups.</p><p><strong>Findings: </strong>At the time of extubation and 2 minutes after extubation, the levels of HR, SBP, DBP, and MAP in both groups were higher than at the time of eye opening. However, the levels of these indicators in the observation group were lower than those in the control group, with statistically significant differences (P < 0.05). The OAAS scores at different time points after extubation in the observation group were higher than those in the control group. The times for the recovery of spontaneous breathing, extubation, eye opening upon calling, and length of stay in the postanesthesia care unit were shorter in the observation group compared to the control group, with statistically significant differences (P < 0.05). The incidence of complications in the observation group was lower than in the control group, with statistically significant differences (P < 0.05).</p><p><strong>Conclusions: </strong>Specialized collaborative nursing during the awakening period can significantly reduce the stress status of elderly patients undergoing coronary artery bypass surgery, improve the quality of awakening, and reduce the incidence of related complications.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Effect of Specialized Collaborative Nursing on the Awakening Quality and Stress Status of Elderly Patients Undergoing Coronary Artery Bypass Surgery: A Randomized Controlled Study.\",\"authors\":\"Lulu Lv, Mengting Wang\",\"doi\":\"10.1016/j.jopan.2025.04.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Exploring the effect of specialized collaborative nursing model during the awakening period for elderly patients undergoing coronary artery bypass surgery.</p><p><strong>Design: </strong>Prospective randomized controlled trial.</p><p><strong>Methods: </strong>A total of 200 elderly patients who underwent coronary artery bypass surgery at our hospital from January 2020 to January 2023 were selected as study subjects. They were randomly divided into a control group and an observation group, with 100 patients in each group. The control group received routine nursing care, while the observation group received specialized collaborative nursing care during the awakening period. The stress status during the awakening period [heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP)], awakening time, awakening quality [Observer Assessment of Alertness and Sedation (OAAS)], and the incidence of complications were compared between the two groups.</p><p><strong>Findings: </strong>At the time of extubation and 2 minutes after extubation, the levels of HR, SBP, DBP, and MAP in both groups were higher than at the time of eye opening. However, the levels of these indicators in the observation group were lower than those in the control group, with statistically significant differences (P < 0.05). The OAAS scores at different time points after extubation in the observation group were higher than those in the control group. The times for the recovery of spontaneous breathing, extubation, eye opening upon calling, and length of stay in the postanesthesia care unit were shorter in the observation group compared to the control group, with statistically significant differences (P < 0.05). The incidence of complications in the observation group was lower than in the control group, with statistically significant differences (P < 0.05).</p><p><strong>Conclusions: </strong>Specialized collaborative nursing during the awakening period can significantly reduce the stress status of elderly patients undergoing coronary artery bypass surgery, improve the quality of awakening, and reduce the incidence of related complications.</p>\",\"PeriodicalId\":49028,\"journal\":{\"name\":\"Journal of Perianesthesia Nursing\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-08-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Perianesthesia Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jopan.2025.04.003\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Perianesthesia Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jopan.2025.04.003","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
The Effect of Specialized Collaborative Nursing on the Awakening Quality and Stress Status of Elderly Patients Undergoing Coronary Artery Bypass Surgery: A Randomized Controlled Study.
Purpose: Exploring the effect of specialized collaborative nursing model during the awakening period for elderly patients undergoing coronary artery bypass surgery.
Design: Prospective randomized controlled trial.
Methods: A total of 200 elderly patients who underwent coronary artery bypass surgery at our hospital from January 2020 to January 2023 were selected as study subjects. They were randomly divided into a control group and an observation group, with 100 patients in each group. The control group received routine nursing care, while the observation group received specialized collaborative nursing care during the awakening period. The stress status during the awakening period [heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP)], awakening time, awakening quality [Observer Assessment of Alertness and Sedation (OAAS)], and the incidence of complications were compared between the two groups.
Findings: At the time of extubation and 2 minutes after extubation, the levels of HR, SBP, DBP, and MAP in both groups were higher than at the time of eye opening. However, the levels of these indicators in the observation group were lower than those in the control group, with statistically significant differences (P < 0.05). The OAAS scores at different time points after extubation in the observation group were higher than those in the control group. The times for the recovery of spontaneous breathing, extubation, eye opening upon calling, and length of stay in the postanesthesia care unit were shorter in the observation group compared to the control group, with statistically significant differences (P < 0.05). The incidence of complications in the observation group was lower than in the control group, with statistically significant differences (P < 0.05).
Conclusions: Specialized collaborative nursing during the awakening period can significantly reduce the stress status of elderly patients undergoing coronary artery bypass surgery, improve the quality of awakening, and reduce the incidence of related complications.
期刊介绍：
The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.
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