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摘要
Objective: To explore the feasibility of health education (HE) combined with rapid rehabilitation (RR) in cardiac surgery (CS) nursing intervention. Methods: Sixty patients undergoing CS in The Affiliated Changzhou No. 2 People's Hospital with Nanjing Medical University from December 2016 to December 2017 were randomized into the observation group (n=30) that received the modified nursing intervention and the control group (n=30) that received only routine nursing intervention. Negative emotion (SASS and SDS scale scores), stress (body temperature, systolic pressure and heart rate at 1 h before operation (T1), during operation (T2) and after operation (T3)), quality of life (SF-36 scale score), quality of sleep (PSQI scale score) and degree of pain (BPI and VAS scale scores) were compared between the two groups. The postoperative hospitalization time, anesthesia recovery period, extubation time, gastrointestinal functional recovery time and postoperative adverse reactions of the two groups were also compared. Results: The post-intervention SAS and SDS scores in both groups were significantly lower than the pre-intervention scores (both P<0.001), and the score of each scale was significantly lower in the observation group than in the control group (P<0.001). The body temperature of the observation group was significantly higher than that of the control group (P<0.05) at T2, and that of the control group at T2 was significantly lower than at T1 and T3 (both P<0.001). At T1-T3, systolic pressure and heart rate of the observation group were significantly lower than that of the control group (both P<0.05), and the changes of systolic pressure and heart rate were significantly greater at T2 compared to T1 and T3 (both P<0.001). Compared to the control group, the duration of gastrointestinal function recovery, anesthesia resuscitation, extubation and postoperative hospitalization were significantly shorter in the observation group (all P<0.05). The post-intervention SF-36 scale scores in both groups were significantly higher compared to the pre-intervention scores (both P<0.001), and that of the observation group was significantly higher compared to the control group (P<0.01). The post-intervention PSQI, BPI and VAS scale scores were also significantly higher in both groups than the pre-intervention scores (all P<0.001), and that of the observation group were significantly lower compared to the control group (all P<0.01). The incidence of adverse reactions in the observation group was significantly lower than that in the control group (P=0.015). Conclusion: The combination of HE with the RR nursing intervention in patients undergoing CS can significantly reduce anxiety-depression, relieve physiological stress, aid in recovery of sleep quality and gastrointestinal function, and shorten postoperative hospitalization. Due to an overall good prognosis, the combination method is worthy of clinical application.
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