Key result
Adequate post-CABG nursing care links to ~1-day faster mobilization and reduced postoperative anxiety.
Why the study?
Nursing care after CABG plays an important role in complication monitoring, pain control, wound care, early mobilization, and health education. Evaluating nursing care practices and their associations with recovery outcomes may help identify priorities for quality improvement.
Do adequate postoperative nursing care practices (such as mobilization assistance and health education) improve recovery outcomes including time to mobilization and psychological status in patients after coronary artery bypass grafting?
Cohort (n=110)
No
Do adequate postoperative nursing care practices (such as mobilization assistance and health education) improve recovery outcomes including time to mobilization and psychological status in patients after coronary artery bypass grafting?
In patients recovering from CABG, high-quality postoperative nursing care—specifically active mobilization support and thorough health education—is significantly associated with earlier patient ambulation and reduced postoperative anxiety.
Answers are grounded in this paper and cite their sources.
May inform nursing protocols in CABG recovery; hypothesis-generating and should not yet alter practice.
Background: Nursing care after coronary artery bypass grafting (CABG) plays an important role in complication monitoring, pain control, wound care, early mobilization, and health education. Evaluating nursing care practices and their associations with recovery outcomes may help identify priorities for quality improvement. Objectives: To describe nursing care practices and analyze selected associations between nursing care activities and recovery outcomes among patients after CABG at Hanoi Heart Hospital. Methods: A prospective descriptive study was conducted in 110 patients after CABG. Patients were assessed on postoperative days 1, 3, and 5 and at discharge. Nursing care was evaluated across 12 domains, each scored from 0 to 2; a total score ≥80% was classified as good nursing care. Recovery outcomes included time to mobilization, postoperative complications, functional independence assessed by the Barthel Index, and anxiety status[1][2]. Data were analyzed using SPSS version 22.0. Results: The proportion of patients receiving good nursing care increased from 90.9% on postoperative day 1 to 99.1% at discharge. Complete wound care was achieved in 97.3% of patients on day 1 and 94.5% at discharge. Complete health education increased from 41.8% to 100%. A total of 61,8% of patients began mobilization within the first 2 postoperative days. Adequate assistance with mobilization was significantly associated with earlier mobilization (p<0,05). Health education and counseling were significantly associated with patients’ psychological status (p <0,05). No statistically significant associations were found between the nursing care activities assessed and posto perative complications or length of hospital stay (p >0,05). Conclusion: Nursing care after CABG was performed at a good level and improved progressively throughout the postoperative period. Adequate support for early mobilization was associated with earlier mobilization, while health education should continue to be prioritized from the early postoperative days.
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Bach et al. (2026) conducted a cohort in Post-coronary artery bypass grafting (CABG) (n=110). Postoperative nursing care practices (including mobilization assistance and health education/counseling) vs. Inadequate or unperformed nursing care practices was evaluated on Absence of postoperative anxiety status associated with health education and counseling (OR 0.013, 95% CI 0.004-0.045, p=<0.05). Adequate postoperative nursing care after CABG was associated with earlier mobilization (median 2 vs 3 days, p=0.048) and lower anxiety with health education (OR 0.013, 95% CI 0.004-0.045, p<0.05).
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