Open AccessFamily nursing with the assistance of network improves clinical outcome and life quality in patients underwent coronary artery bypass grafting
Author(s) -
Liying Jin,
Ruijin Pan,
Lihua Hu,
Haixia Zhang,
Mi Zu Jiang,
Hang Zhao
Publication year - 2020
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000023488
Subject(s) - medicine , pittsburgh sleep quality index , hamd , quality of life (healthcare) , off pump coronary artery bypass , vital capacity , coronary artery disease , physical therapy , anxiety , nursing , cardiology , artery , bypass grafting , lung , psychiatry , lung function , cognition , diffusing capacity , sleep quality
Background: Family nursing with the assistance of network (FNAN) improves nurses’ practice and provides family/community-oriented nursing care. This study aimed to explore the effects of FNAN on the clinical outcome and life quality of coronary atherosclerotic heart disease (CHD) patients underwent coronary artery bypass grafting (CABG). Trial Design: This study is a randomized, placebo-controlled and double-blind trial. Methods: One-hundred and twelve patients underwent CABG were randomly divided into control group (CG, routine family nursing care) and experimental group (EG, FNAN) and the allocation ratio was 1:1. The situation of anxiety and depression were analyzed using the Hamilton Anxiety Scale (HAMA) scale and Hamilton Depression Scale (HAMD). Sleep quality was measured by using Pittsburgh Sleep Quality Index (PSQI). Lung function parameters were measured, including minute ventilation (MVV), partial pressure of oxygen (PaO 2 ), partial pressure of arterial carbon dioxide (PaCO 2 ), oxygen saturation measurement by pulse oximetry (SpO 2 ), forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC). Life quality was measured by using Chronic Obstructive Pulmonary Disease Assessment Test (CAT). Results: After a 3-month intervention, 10 and 6 patients were lost in the CG and EG groups, respectively. The scores of HAMA, HAMD, PSQI and CAT were reduced in the EG group when compared with the CG group ( P < .05). The values of MVV, PaO 2 , SpO 2 , FEV1 and FVC in the EG group was higher than those in the CG group whereas the levels of PaCO 2 in the EG group was lower than those in the CG group ( P < .05). PSQI score had a strong relationship with the values of MVV, PaO 2 , PaCO 2 , SpO 2 , FEV1, and FVC. Conclusion: FNAN improves the clinical outcome and life quality in the patients underwent CABG.