Observation on the Effect of Implementing Comprehensive Nursing Interventions for Cardiothoracic Surgery Patients
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Keywords

Cardiothoracic surgery
Surgery
Integrated care
Respiratory function
Quality of life (QOL)
Complications

DOI

10.26689/ijgpn.v3i1.9718

Submitted : 2025-02-15
Accepted : 2025-03-02
Published : 2025-03-17

Abstract

Objective: To observe the rehabilitation effect of cardiothoracic surgery patients after the implementation of comprehensive nursing intervention. Methods: Eighty patients who underwent cardiothoracic surgery in a hospital from April 2023 to March 2024 were selected and divided into the control group (n=40) and the observation group (n=40) according to the method of randomized numerical table, with the control group adopting conventional nursing interventions and the observation group implementing comprehensive nursing interventions. Comparison of respiratory function, complication rate, and quality of life (QOL) score indexes in the two groups. Results: Comparing the respiratory function of the two groups, the ratio of the 1st second exertion respiratory volume to the exertion lung capacity of the patients in the observation group (0.57 ± 0.01)%,     Exertion respiratory volume at 1st second (1.45 ± 0.04)L,         (2.54 ± 0.31)L, and partial pressure of oxygen (94.03 ± 5.17)mmHg were higher than those of the control group (0.41 ± 0.02)%, (90.12 ± 5.28)L, (2.29 ± 0.28)L, and (94.03 ± 5.17)mmHg, and partial pressure of carbon dioxide of the observation group patients (36.55 ± 3.15)mmHg was lower than that of the control group (41.47 ± 3.23) mmHg. The difference was statistically significant (P < 0.05); 1 case of lower limb deep vein thrombosis occurred in the observation group,           lung infection in the observation group, with a total incidence rate of 5.00%, and 1 case of incision infection in the control group. In the control group, there were 2 cases of postoperative bleeding, 3 cases of cardiac arrhythmia, 3 cases of lower limb deep vein thrombosis, and 1 case of pulmonary infection, with a total incidence rate of 22.50%, and the difference between the groups was statistically significant (P < 0.05); the scores of social function, physical function, emotional function, physical function, mental health, general health, vitality, and physical pain in each dimension of the patients in the observation group were significantly higher than those in the control group, and the difference was statistically significant (P < 0.05). Conclusion: The implementation of comprehensive nursing interventions for cardiothoracic surgery patients can effectively improve patients’ pulmonary function indexes, reduce the risk of related complications, and improve patients’ quality of life, which is worth promoting.

References

Li WP, 2021, Exploring the Application of Quality Care in Cardiothoracic Surgical Care. Health Care Literature, 22(10): 126–127.

Zheng T, 2023, Effect of Nursing Intervention on Postoperative Sleep Disorders in Cardiothoracic Surgery Patients. World Journal of Sleep Medicine,10(4): 884–886.

Shen L, Pan J, Guo X, et al., 2023, Integrated Nursing Program to Reduce the Incidence of Postoperative Cognitive Dysfunction after Cardiac Surgery in QC Circle Practice. Famous Doctors, 2023(5): 191–194.

Chen QQ, 2023, Effect of Comprehensive Nursing Intervention on Sputum Expulsion Effect and Lung Infection in Postoperative Thoracic Surgery Patients. China Medical Guide, 21(3): 33–36.

Ren T, 2022, Causes of Poor Sleep Quality in Cardiothoracic Surgery Patients after Surgery and the Effect of Graded Nursing Intervention. World Journal of Sleep Medicine, 9(5): 937–940.

Cheng ZZ, Ai XW, Jiang N, et al., 2022, Research Progress of Postoperative Pain Care in Cardiothoracic Surgery. Practical Clinical Medicine, 23(1): 135–138.

Wang Q, 2021, Effect of Comprehensive Nursing Intervention on Sputum Expulsion Effect and Lung Infection in Postoperative Cardiothoracic Surgery Patients. Chinese Community Physician, 37(36): 154–155.

Shen Y, Zhang XR, 2021, The Effect of Implementing Health Education Nursing in Minimally Invasive Cardiothoracic Surgery Patients. China Medical Guide, 19(14): 222–223.

Liu HP, 2021, Analysis of the Impact of Cardiothoracic Surgery Nursing Grading Model on Patient Care Effect. Primary Medical Forum, 25(9): 1303–1304.

He D, 2021, Exploration of the Effect of Nursing Intervention on the Rehabilitation Effect of Cardiothoracic Surgery Patients. China Rural Health, 13(4): 63–64.

Liu HM, 2021, Research on the Causes of Mental Disorders in Patients after Cardiothoracic Surgery and Nursing Intervention Methods. China Medical Guide, 19(5): 202–203.

Lin QL, 2021, Analysis of the Effect of Preoperative Administration of Meropenem and Comprehensive Nursing Care on Perioperative Prevention of Postoperative Infection in Surgical Patients. Northern Pharmacy, 18(2): 26–27.