The value of continuous nursing in patients after cardiac mechanical valve replacement
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RESEARCH ARTICLE
Open Access
The value of continuous nursing in patients after cardiac mechanical valve replacement Sai-lan Li†, Sheng-huo Zhou† and Yan-juan Lin*
Abstract Objective: The purpose of this study was to explore the value of continuous nursing in patients after cardiac valve replacement. Methods: The clinical data of 116 patients after cardiac mechanical valve replacement from January 2017 to January 2018 were analysed retrospectively. According to the nursing mode, the patients were divided into two groups: the continuous nursing group (group A, n = 56) and the conventional nursing group (group B, n = 60). Results: The continuous nursing group exhibited significantly decreased SAS and SDS scores 1 year after surgery compared to the preoperative SAS and SDS scores(P < 0.05). The SAS and SDS scores of the continuous nursing group were significantly better than those of the traditional nursing group 1 year after surgery(P < 0.05). There were 4 patients with anticoagulant complications after discharge in the continuous nursing group, and 13 cases of anticoagulant complications in the conventional nursing group. There was a significant difference between the two groups. Conclusion: Continuous nursing improves patient compliance with treatment and reduces the occurrence of postoperative anticoagulation complications. The patient also receives proper psychological evaluations, which relieve patient anxiety and depression. Keywords: Continuous nursing, Cardiac valvular disease, Mechanical valve replacement
Introduction In China, cardiac valve disease is the most common acquired heart disease in adults, and cardiac mechanical valve replacement is the main method for clinical treatment of all kinds of cardiac valve disease in China [1]. However, valve replacement requires lifelong anticoagulation therapy postoperation [2]. The behaviour of many cardiac valve replacement patients after discharge is far different from their health behaviour at the hospital. However, the self-management abilities and compliance with treatment decreased with the extension of discharge time, which resulted in anticoagulant deficiency
or excess and complications, such as embolism and bleeding, that endangered the life of the patient [3, 4]. Conventional nursing includes systematic education and discharge guidance of disease-related knowledge during hospitalization, and it terminates the health guidance of patients after discharge. Continuous nursing is the extension of high-quality medical services to the family to understand the compliance behaviour, treatment effect and psychological state of the patients after discharge from the hospital and provide the patients with medical and psychological guidance to improve their quality of life [5, 6].
* Correspondence: [email protected] † Sai-lan Li and Sheng-huo Zhou are contributed equally to this study and share first authorship. Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou 350001, Fujian, P. R. China
Method This study was approved by the
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