Key result
Continuous nursing linked to ~67% fewer anticoagulant complications versus conventional care after mechanical valve replacement.
Why the study?
The study was conducted to explore the value of continuous nursing in patients after cardiac valve replacement.
Does continuous nursing improve psychological scores and reduce anticoagulant complications in patients after cardiac mechanical valve replacement?
Cohort (n=116)
No
Does continuous nursing improve psychological scores and reduce anticoagulant complications in patients after cardiac mechanical valve replacement?
Absolute Event Rate: 7.1% vs 21.7%
p-value: p=0.027
Continuous nursing after cardiac mechanical valve replacement improves psychological well-being and reduces postoperative anticoagulation complications.
Continuous nursing was associated with fewer anticoagulant complications after valve replacement; hypothesis-generating and requires randomized confirmation.
OBJECTIVE: The purpose of this study was to explore the value of continuous nursing in patients after cardiac valve replacement. METHODS: The clinical data of 116 patients after cardiac mechanical valve replacement from January 2017 to January 2018 were analysed retrospectively. According to the nursing mode, the patients were divided into two groups: the continuous nursing group (group A, n = 56) and the conventional nursing group (group B, n = 60). RESULTS: The continuous nursing group exhibited significantly decreased SAS and SDS scores 1 year after surgery compared to the preoperative SAS and SDS scores(P < 0.05). The SAS and SDS scores of the continuous nursing group were significantly better than those of the traditional nursing group 1 year after surgery(P < 0.05). There were 4 patients with anticoagulant complications after discharge in the continuous nursing group, and 13 cases of anticoagulant complications in the conventional nursing group. There was a significant difference between the two groups. CONCLUSION: Continuous nursing improves patient compliance with treatment and reduces the occurrence of postoperative anticoagulation complications. The patient also receives proper psychological evaluations, which relieve patient anxiety and depression.
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Li et al. (2020) conducted a cohort in Cardiac mechanical valve replacement (n=116). Continuous nursing vs. Conventional nursing was evaluated on Anticoagulant complications (p=0.027). Continuous nursing significantly reduced the incidence of anticoagulant complications (7.1% vs 21.7%) at 1 year compared to conventional nursing in patients after cardiac mechanical valve replacement.
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