Perioperative care in cardiac surgery

McCarthy, Ciana; Spray, Dominic W. K.; Zilhani, Gabor; Fletcher, Nick

doi:10.23736/s0375-9393.20.14690-x

Cited by 1 publication

(1 citation statement)

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“…This is because preoperative nursing visits combined with anticipatory nursing conduct a comprehensive evaluation of the patient understanding and the progression of their illness before surgery which helps patients to understand and prepare for the surgery, and can also raise relevant questions about the surgery. [ 21 , 22 ] Meanwhile, nursing staff can explain the surgical process, risks, and expected outcomes to patients in detail based on the patients’ cognitive level. This increases patients’ understanding and knowledge of the disease and can improve their acceptance of the surgery.…”

Section: Discussionmentioning

confidence: 99%

The impact of preoperative interview and prospective nursing on perioperative psychological stress and postoperative complications in patients undergoing TACE intervention for hepatocellular carcinoma

Gao,

Chen,

Qin

et al. 2024

Medicine

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TACE has become one of the main methods for the treatment of liver cancer. The study aimed to investigate the effects of preoperative interview and prospective nursing in patients with hepatic carcinoma undergoing transcatheter chemoembolization (TACE). Eighty-six patients with hepatocellular carcinoma who underwent TACE intervention treatment at our hospital between 2020 and 2023 were selected and randomly assigned to 2 groups using computerized randomization. The control group (n = 43) received routine nursing care, while the study group (n = 43) received preoperative interviews in combination with prospective nursing during the procedure. The patients’ heart rate, mean arterial pressure, and blood pressure variations were recorded, along with their mood changes after intervention. The postoperative pain and satisfaction levels were compared between the 2 groups of patients, and the incidence of postoperative complications was observed. The heart rate, systolic blood pressure, and diastolic blood pressure of the 2 groups of patients were compared 1 day before the operation (P > .05). Compared to 1 day before the operation, there was no significant change for the study group at 10 minutes after entering the room. However, the control group showed an increase. Both groups showed an increase in heart rate, systolic blood pressure, and diastolic blood pressure after the operation, with the study group having lower values than the control group (P < .05). The levels of tension, fatigue, anxiety, energy, anger, depression, self-esteem, and POMS index were compared between the 2 groups before intervention (P > .05). After intervention, there were significant differences between the 2 groups(P < .05). Immediately after the operation, the NRS scores of the 2 groups of patients were compared (P > .05). Compared to the control group, the study group showed a decrease in NRS scores at 12, 24, and 48 hours after the operation (P < .05). The nursing satisfaction rate of the study group patients was 97.67% (42/43), which was higher than the nursing satisfaction rate of the control group of 76.74% (33/43) (P < .05). Compared to routine nursing, preoperative visits and prospective nursing interventions can effectively alleviate patients’ psychological stress reactions, relieve pain, reduce the incidence of complications, and improve patients’ satisfaction with nursing care.

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Section: Discussionmentioning

confidence: 99%