Jinxia Hao1. 1. Department of Cardiothoracic, Cangzhou Central Hospital Hebei Province, China.
Abstract
OBJECTIVE: To explore the application value of enhanced recovery after surgery (ERAS) for heart valve replacement surgery. METHODS: A total of 86 patients with heart valve diseases admitted to our hospital from Jan. 2018 to Mar. 2020 were selected, and randomized into the control group (n=43) with regular nursing care and the observation group (n=43) with ERAS. The postoperative recovery, rate of adverse events, quality of life, visual analogue scale (VAS) score and nursing care satisfaction rate were compared between the two groups. RESULTS: After surgery, the time to first bowel movement and the first flatulence in the observation group were earlier than those in the control group, and the hospital stay of patients in the observation group was shorter than that in the control group. The rate of adverse events in the observation group was 4.65%, which was lower than that in the control group (18.60%). In addition, the observation group obtained higher life quality scores but lower VAS, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores than the control group, and the observation group showed lower serum levels of corticotropin and cortisol and exhibited a longer 6-minute walking distance than the control group. Moreover, the nursing care satisfaction rate of the observation group was 95.35%, which was higher than that (76.74%) of the control group (all P<0.05). CONCLUSIONS: ERAS can reduce adverse events and pain for patients with heart valve replacement and improve their postoperative recovery, quality of life, and nursing care satisfaction. AJTR
OBJECTIVE: To explore the application value of enhanced recovery after surgery (ERAS) for heart valve replacement surgery. METHODS: A total of 86 patients with heart valve diseases admitted to our hospital from Jan. 2018 to Mar. 2020 were selected, and randomized into the control group (n=43) with regular nursing care and the observation group (n=43) with ERAS. The postoperative recovery, rate of adverse events, quality of life, visual analogue scale (VAS) score and nursing care satisfaction rate were compared between the two groups. RESULTS: After surgery, the time to first bowel movement and the first flatulence in the observation group were earlier than those in the control group, and the hospital stay of patients in the observation group was shorter than that in the control group. The rate of adverse events in the observation group was 4.65%, which was lower than that in the control group (18.60%). In addition, the observation group obtained higher life quality scores but lower VAS, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores than the control group, and the observation group showed lower serum levels of corticotropin and cortisol and exhibited a longer 6-minute walking distance than the control group. Moreover, the nursing care satisfaction rate of the observation group was 95.35%, which was higher than that (76.74%) of the control group (all P<0.05). CONCLUSIONS: ERAS can reduce adverse events and pain for patients with heart valve replacement and improve their postoperative recovery, quality of life, and nursing care satisfaction. AJTR
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