Application of programmed nursing in cardiopulmonary bypass cardiac surgery / 中国实用护理杂志

ABSTRACT

Objective:Study the application of programmed nursing in the cooperation of cardiopulmonary bypass surgery.Methods:From January 2018 to December 2018, 111 consecutive patients undergoing elective cardiopulmonary bypass cardiac surgery in Dalian Municipal Central Hospital were selected as the research objects. According to the random number table method, they were divided into two groups. 54 cases in the control group and 57 cases in the study group.The control group adopted the routine intraoperative care model, and the observation group was adopted the nursing of cardiac surgery under programmed cardiopulmonary bypass. The mechanical ventilation time, operation time, hospitalization time, incidence of adverse events of intraoperative nursing and complications were compared between the two groups.Results:The operation time, mechanical ventilation time and hospitalization time in the study group were (152.89 ± 18.10) min, (8.30 ± 2.27) h and (11.75 ± 2.54) d respectively, which were less than those in the control group (182.04 ± 18.39) min, (11.72 ± 2.93) h and (14.26 ± 2.97) d, and the difference was statistically significant ( t=8.41, 6.91, 4.78, all P<0.05). There were 8 cases of intraoperative nursing adverse events in the control group and no intraoperative adverse events in the study group, the difference was statistically significant ( χ2=9.03, P<0.01). All patients had no two or more complications at the same time. There were 3 cases (5.26%) of postoperative complications in the study group, lower than 14 cases (25.92%) in the control group, the difference was statistically significant ( χ2=9.03, P<0.05). Conclusions:In cardiopulmonary bypass surgery, programmed nursing can effectively reduce the operation time and hospitalization time, reduce the incidence of adverse events and postoperative complications, improve the efficiency of the operation.