Volume 29, Issue 3


DOI: 10.24205/03276716.2020.909

Effect Of Intraoperative Nursing In Operating Room On Off-Pump Coronary Artery Bypass Grafting And Analysis Of Postoperative Incision Infection


Abstract
Objective:This study aimed to probe into the effect of intraoperative nursing in operating room on off-pump coronary artery bypass grafting (OPCAB) and the influence of postoperative incision infection. Methods: A total of 124 patients who came to our hospital for OPCAB operation from January 2017 to January 2020 were selected and divided into observation group (OG, comprehensive nursing in operation room, 65 cases) and control group (CG, routine nursing, 59 cases). At first, the operation indexes of the two groups were recorded and compared, and then the self-care ability of patients was evaluated by Banhel index. Their pain was evaluated by VAS score, the negative emotions of both groups were evaluated by self-rating anxiety scale (SAS) and self-rating depression scale (SDS), and their complications, quality of life and nursing satisfaction were evaluated. Results: There was no marked difference in operation time, blood loss and blood transfusion between the two groups (P>0.05). One week after operation, the Barthel index and VAS scores in the OG were better than those in the CG (P<0.05), and the SAS and SDS scores in the OG were also dramatically better than those in the CG (P<0.05). The incidence of postoperative complications in the OG was remarkably lower than that in the CG (P<0.05), and the scores of qualities of life and nursing satisfaction in the OG were remarkably higher than those in the CG (P<0.05). Conclusion: Operating room nursing can effectively promote postoperative recovery of OPCAB, improve patients’ quality of life and enhance nursing satisfaction through comprehensive, timely and accurate nursing mode, which is worthy of clinical application.

Keywords
operating room nursing, off-pump coronary artery bypass grafting, incision infection, quality of life

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