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Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
Published on: March 27, 2018
Impact of specialized nursing outpatient case management on post-coronary artery bypass grafting patients
Tong Li1, Fang-Hui Lu1, Qing Zhao2
1Department of Outpatient, Comprehensive Medical Service Center, The First Affiliated Hospital of Air Force University of Military Medicine, Xi'an 710032, Shaanxi Province, China.
Insights
Specialized nursing case management improved outcomes for patients after Coronary Artery Bypass Grafting (CABG) surgery. This intervention reduced major adverse cardiac events (MACE) and enhanced patient self-care and quality of life.
Area of Science:
- Cardiovascular Nursing
- Patient Case Management
- Surgical Recovery
Background:
- Coronary atherosclerotic heart disease patients face risks of major adverse cardiac events (MACE) and readmission post-Coronary Artery Bypass Grafting (CABG).
- Poor lifestyle, limited disease understanding, and low compliance contribute to adverse outcomes.
- Effective nursing interventions are crucial for improving self-management and reducing readmission rates after CABG.
Purpose of the Study:
- To evaluate the effectiveness of specialized nursing outpatient case management for patients following CABG surgery.
- To assess the impact of this intervention on patient recovery and health outcomes.
Main Methods:
- A study involving 103 patients who underwent CABG, divided into a control group (routine care) and a case management group.
- The case management group received specialized nursing outpatient care.
- Comparison of psychological status, treatment adherence, self-care ability, knowledge, quality of life, and MACE rates between groups.
Main Results:
- The case management group showed significantly lower depression and anxiety scores, and a reduced MACE rate (P < 0.05).
- Patients in the case management group demonstrated higher adherence to healthy diets, medication, and lifestyle habits, alongside improved self-care abilities and disease knowledge.
- Enhanced quality of life was observed in the case management group, including physical, social-psychological, and general health aspects.
Conclusions:
- Specialized nursing outpatient case management is effective in improving post-CABG patient outcomes.
- The intervention enhances treatment adherence, knowledge, psychological well-being, and overall quality of life.
- This model offers a targeted approach to reduce MACE and improve recovery for CABG patients.
Background:
Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events (MACE) and require readmission after Coronary Artery Bypass Grafting (CABG) surgery. This is often attributed to patients' unhealthy lifestyles and dietary habits, inadequate understanding of the disease, and poor disease management compliance. Thus, searching for more targeted nursing intervention models that can enhance patients' self-management abilities and reduce the risk of readmission after CABG surgery is significant.
Aim:
To observe the impact of specialized nursing outpatient case management on patients after CABG surgery.
Methods:
A total of 103 patients who underwent CABG surgery in our hospital between April 2021 and April 2022 comprised the study sample. The patients were divided into two groups using an odd-even number grouping method. The control group received routine nursing care, while the case management group received specialized nursing outpatient case management. The differences in psychological status, adherence to medical treatment, self-care ability, knowledge mastery, quality of life scores, and the occurrence rate of MACE were compared between the two groups.
Results:
After the intervention, the case management group had lower scores on the self-rating depression scale and self-rating anxiety scale and lower MACE rate, as well as higher scores for adherence to a healthy diet, medication adherence, good lifestyle habits, regular exercise, and timely follow-up, higher scores on the Coronary Heart Disease Self-Management Scale, higher scores for managing adverse habits, symptoms, emotional cognition, emergency response, disease knowledge, general lifestyle, and treatment adherence, higher scores for understanding coronary heart disease, recognizing the importance of medication adherence, understanding self-care points after CABG surgery, and being aware of post-CABG precautions, higher scores for physical well-being, disease condition, general health, social-psychological well-being, and work-related aspects (P < 0.05).
Conclusion:
Specialized nursing outpatient case management can enhance patient adherence to medical treatment, knowledge mastery, psychological well-being, and overall quality of life in patients after CABG surgery.
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