Effects of nurse‐led clinical pathway in coronary artery bypass graft surgery: A quasi‐experimental study

Kebapçı, Ayda; Kanan, Nevin

doi:10.1111/jocn.14069

Cited by 8 publications

(4 citation statements)

References 28 publications

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“…First of all, a randomized control trial consisting of 188 patients at a tertiary center in the United Kingdom evaluating a nurse-led support and educational program for patients who are waiting for CABG showed that the patients were very satisfied and appreciated support of the nursing staffs but communication among staffs and with the patients were suggested to be improved since patients’ appreciate physical and psychological preparations prior to surgery [ 21 ]. In a prospective study consisting of patients who were hospitalized for CABG between April 2014 and November 2015, in a hospital in Turkey, the authors demonstrated that the nurse-led clinical pathway was associated with an improvement in the length of hospital stay, that is, patients could be discharged earlier after the open heart surgery, and a significantly lower rate of complications was reported among the participants who were assigned to the nurse-led treatment group showing a benefit of nurse-led intervention following CABG [ 22 ]. Another study evaluated the safety and efficacy of a nurse-led clinic for patients who were recovering after CABG [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Nurse-led intervention in the management of patients with cardiovascular diseases: a brief literature review

Qiu

2024

BMC Nurs

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Coronary artery disease (CAD) is one among the major causes of mortality in patients all around the globe. It has been reported by the World Health Organization (WHO) that approximately 80% of cardiovascular diseases could be prevented through lifestyle modifications. Management of CAD involves the prevention and control of cardiovascular risk factors, invasive and non-invasive treatments including coronary revascularizations, adherence to proper medications and regular outpatient follow-ups. Nurse-led clinics were intended to mainly provide supportive, educational, preventive measures and psychological support to the patients, which were completely different from therapeutic clinics. Our review focuses on the involvement and implication of nurses in the primary and secondary prevention and management of cardiovascular diseases. Nurses have a vital role in Interventional cardiology. They also have major roles during the management of cardiac complications including congestive heart failure, atrial fibrillation and heart transplantation. Today, the implementation of a nurse-led tele-consultation strategy is also gaining positive views. Therefore, a nurse-led intervention for the management of patients with cardiovascular diseases should be implemented in clinical practice. Based on advances in therapy, more research should be carried out to further investigate the effect of nurse-led clinics during the long-term treatment and management of patients with cardiovascular diseases.

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Section: Discussionmentioning

confidence: 99%

Nurse-led intervention in the management of patients with cardiovascular diseases: a brief literature review

Qiu

2024

BMC Nurs

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“…26 Frailty-specific care pathways could identify vulnerable patients and ensure they have the best opportunity for recovery. 27,28 Although frailty-specific pathways already exist for many noncardiac surgical interventions (e.g., colorectal procedures, 29 and hip and knee arthroplasty 30 ) cardiac surgical services have largely focused on postoperative targets (e.g., early extubation and mobilization 31 ) to reduce duration of CVICU and subsequent acute hospital stay. A recent study described a comprehensive perioperative pathway for enhanced recovery after cardiac surgery targeting all nonemergency adult patients; however, this study did not specifically address what may be unique domains related to frailty (e.g., cognitive [delirium], physical strength [sarcopenia], mobilization [slow gait speed], polypharmacy and susceptibility to adverse effects).…”

Section: Discussionmentioning

confidence: 99%

Association between preoperative frailty and outcomes among adults undergoing cardiac surgery: a prospective cohort study

Montgomery

Stelfox

Norris

et al. 2021

cmajo

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F railty, defined as a state of exaggerated vulnerability to adverse health outcomes owing to the accumulation of age-related deficits, is increasingly recognized as an important factor associated with suboptimal outcomes for patients undergoing cardiac surgery. [1][2][3][4] Despite this association, there is no consistent screening strategy for frailty and limited incorporation of frailty-related functional measures into cardiac surgery risk scores or proven care pathways to mitigate the perioperative risk for vulnerable patients living with frailty.As the Canadian population ages, the incidence of frailty and concomitant cardiovascular disease prompting consideration for complex interventions are expected to grow. [5][6][7] Advances in intensive care and anesthetic and surgical techniques have improved outcomes, translating into older, more complex patients now routinely undergoing cardiac surgery. 5 Identifying patients with frailty before cardiac surgery may have relevance for prognostic and recovery purposes and support future improvement in care processes to better inform patients, caregivers, surgeons and decision-makers about preoperative opportunities (e.g., prehabilitation), perioperative risks, and short and longer-term postoperative care needs. The aim of this study was to estimate the prevalence of frailty and describe the associated clinical course and outcomes of patients referred for nonemergent cardiac surgery.

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“…CABG has shown long-lasting benefits compared to angioplasty. Surgical techniques have been standardized since the 1960s, post-operative protocols have been improved, and effective post-operative care has been developed (16). However, coronary artery disease is the leading cause of death and illness in the world.…”

Section: Discussionmentioning

confidence: 99%

Post-Operative Symptoms and Complications in Patients Having Undergone Coronary Artery Bypass Graft in Hamadan: A Descriptive Cross-Sectional Study

Oshvandi

Pakrad

Saleh

et al. 2020

Jundishapur J Chronic Dis Care

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Background: Coronary artery bypass grafting is one of the common treatments for cardiac diseases, despite the numerous complications of CABG. Objectives: This study was carried out to investigate post-operative complications and symptoms in patients undergoing coronary artery bypass graft. Methods: This descriptive cross-sectional study was conducted on 170 patients who were referred to Farshchian heart Center in Hamadan in 2018. The data were collected using a demographic questionnaire and a standard checklist for the assessment of cardiac symptoms. All patients completed the demographic information questionnaire, and patients' contact information was recorded. One month after the discharge, the cardiac symptom questionnaire was completed through the phone interview with the participants. Data were analyzed by the SPSS software version 21. Descriptive statistics, Chi-square, and regression were used for data analysis. Results: Of 170 patients, 130 cases were male, and 70% were under the age of 60 years old. The most common symptom after surgery was leg swelling (40.6%), and the least common complication was a fluttering chest (3.5%). There was a significant relationship between age and chest pain (P = 0.01), smoking and dyspnea (P = 0.032), troubles of sleeping (P = 0.044), and leg swelling (P = 0.035), depression and gender (P < 0.001), BMI and poor appetite (P = 0.042). Conclusions: It is important to consider the symptoms and complications of CABG in these patients. Leg swelling, trouble of sleeping, and fatigue were common symptoms in these patients. It is suggested that appropriate training is provided to patients, particularly smoking cessation.

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Effects of nurse‐led clinical pathway in coronary artery bypass graft surgery: A quasi‐experimental study

Abstract: This study contributes to previous studies supporting clinical pathway use can improve the length of stay and quality of care in patients undergoing coronary artery bypass graft surgery.

Cited by 8 publications

References 28 publications

Nurse-led intervention in the management of patients with cardiovascular diseases: a brief literature review

Nurse-led intervention in the management of patients with cardiovascular diseases: a brief literature review

Association between preoperative frailty and outcomes among adults undergoing cardiac surgery: a prospective cohort study

Post-Operative Symptoms and Complications in Patients Having Undergone Coronary Artery Bypass Graft in Hamadan: A Descriptive Cross-Sectional Study

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