Evaluating the Efficacy of a Continuous Comprehensive Nursing System on Postoperative Hemoglobin Levels and Quality of Life in Patients Undergoing Coronary Artery Bypass Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Change in Hemoglobin (Hb) Levels from Baseline to Day 7 Post-Surgery
研究概览
简要总结
This study evaluates the effectiveness of a continuous comprehensive nursing (CCN) system compared to routine care for patients after coronary artery bypass graft (CABG) surgery. The primary goal is to determine if the CCN system improves postoperative hemoglobin levels. The study also investigates the effects on quality of life, mental health (anxiety and depression), red blood cell indices, immune markers, and patient satisfaction.
详细描述
Coronary artery bypass surgery (CABG) is a major procedure, and the postoperative recovery process is complex, often impacting patients' hemoglobin levels and quality of life. Standard nursing care is often limited to the inpatient period. A continuous comprehensive nursing (CCN) system is a holistic, patient-centered model that extends care beyond hospital discharge. This model includes preoperative education, continuous monitoring, personalized care plans, psychological support, rehabilitation guidance, and structured follow-up. While the benefits of comprehensive nursing are recognized, its specific impact on hemoglobin recovery and quality of life after CABG has not been extensively studied. This randomized controlled trial was designed to compare the outcomes of patients receiving a CCN plan with those receiving routine postoperative care to provide evidence for optimizing post-CABG nursing strategies.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 18 and 70 years.
- •Confirmed diagnosis of coronary heart disease and evidence of coronary artery illness requiring CABG.
- •Ability to understand the purpose and procedures of the study.
- •Willingness to sign the informed consent form.
排除标准
- •Presence of serious complications such as unstable myocardial ischemia or significant arrhythmia.
- •Severe lung diseases (e.g., chronic obstructive pulmonary disease GOLD stage III/IV).
- •Severe kidney diseases (e.g., chronic kidney disease Stage 4/5).
- •Significantly impaired left ventricular ejection fraction (EF < 30%).
- •Concurrent participation in other clinical trials or receiving other interventions.
- •Presence of severe mental illnesses or cognitive impairments.
研究组 & 干预措施
Continuous Comprehensive Nursing (CCN) System
Participants received a continuous comprehensive care plan delivered by specifically trained cardiac nurses. This plan included:
- Preoperative Phase: Comprehensive education about the surgery, risks, and expected outcomes, along with psychological support.
- Intraoperative Phase: Standard intraoperative nursing care including close monitoring.
- Postoperative Inpatient Phase: In addition to routine care, this phase focused on pain management, wound care, and individualized rehabilitation guidance.
- Post-Discharge Continuous Phase (3 months): This phase included regular follow-up (monthly phone calls, one outpatient visit at 6 weeks), ongoing psychological support, continuous education (medication adherence, diet, activity), structured home-based rehabilitation training, and periodic evaluation of quality of life.
干预措施: Continuous Comprehensive Nursing System (Behavioral)
Routine Care
Participants received standard institutional postoperative care for CABG, which primarily focused on the inpatient period. Key elements included:
- Monitoring of vital signs, consciousness, and peripheral circulation.
- Management of respiratory tract patency and urinary catheters.
- Hourly monitoring of drainage tubes initially.
- Wound care and monitoring for bleeding.
- Body temperature monitoring and oral care.
- Guidance on progressing from liquid diets.
- Standard discharge instructions without structured post-discharge follow-up.
干预措施: Routine Postoperative Care (Other)
结局指标
主要结局
Change in Hemoglobin (Hb) Levels from Baseline to Day 7 Post-Surgery
时间窗: Baseline (preoperatively) and Day 7 post-surgery.
The change in hemoglobin concentration (g/L) was measured from the preoperative baseline value to the value at 7 days after the surgery. Venous blood samples were analyzed using an automatic biochemical analyzer.
次要结局
- Change in Hemoglobin (Hb) Levels at Other Time Points(Baseline, 12 hours, 72 hours, and 14 days post-surgery.)
- Depressive Symptoms(Day 14 post-surgery.)
- Red Blood Cell Indices(Day 7 post-surgery.)
- Quality of Life (QoL)(Day 14 post-surgery.)
- Levels of Immune-Related Inflammatory Markers(Day 7 post-surgery.)
- Anxiety Symptoms(Day 14 post-surgery.)
- Patient Satisfaction(Up to 14 days post-surgery (at time of hospital discharge).)
研究者
Beibei Xing
Principal investigator
The First Hospital of Hebei Medical University