Perioperative care for patients undergoing secondary Stanford B-type aortic dissection / 中国实用护理杂志

ABSTRACT

Objective To explore the perioperative nursing experience of Stanford B- type aortic dissection patients who underwent re- do operations. Methods Preoperative and postoperative nursing data were collected from 14 Stanford B-type aortic dissection patients who were received reoperations from January 2015 to April 2018. Results Thirteen patients were discharged successfully postoperatively,and 1 patient was transferred to the rehabilitation hospital for further treatment. Conclusions The most important nursing principles are detailed understanding of the complicated illness of patients and personalized perioperative psychological nursing for such kind patients. It is so vital to observe preoperative clinic signs, to evaluate pain, to control of blood pressure and heart rate, to strengthen basic nursing, to monitor postoperative body temperature, respiration, and blood oxygen. Besides that, evaluating patients′ consciousness and physical activities, strengthening wound care and complications nursing,educating functional exercise and health knowledge, could make patients recover earlier and better.