Effect of Enhanced Recovery After Surgery Protocol on Patients Who Underwent Off-Pump Coronary Artery Bypass Graft

被引：9
作者：
Chen, Lin [1 ]
Zheng, Jing [2 ]
Kong, Dong [1 ]
Yang, Lijuan [1 ]
机构：
[1] Shandong Prov Hosp, Nursing Dept, 324 Jingwu Rd, Jinan 270021, Shandong, Peoples R China
[2] Shandong Prov Hosp, Cardiac Surg Intens Care Unit, Jinan, Shandong, Peoples R China
来源：
ASIAN NURSING RESEARCH | 2020年 / 14卷 / 01期
关键词：
coronary artery bypass; early ambulation; thoracic surgery; walk test; CARDIAC-SURGERY; VENTILATION; DELIRIUM;
D O I：
10.1016/j.anr.2020.01.004
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
Purpose: Enhanced recovery after surgery (ERAS) is an evidence-based perioperative measure to improve outcomes. Although the benefits of ERAS are well proven for other surgeries, little is known about its effect on off-pump coronary artery bypass graft (OPCABG) surgery. Thus, this study aimed to explore the effect of an ERAS protocol in patients who underwent OPCABG surgery. Methods: This quasi-experimental study included 94 participants (traditional care group = 47 vs ERAS group = 47). An ERAS protocol was established by a multidisciplinary team. Knowledge of coronary artery disease, fasting time, water deprivation time, extubation time of the tracheal tube and pericardial and mediastinal drainage tube, off-bed activity participation rate, length of hospital stay, hours of intensive care unit (ICU) stay, expenses in ICU, incidence rates of ICU delirium and postoperative nausea and vomiting, and the 6-Minute Walk Test on postoperative day 7 were recorded and calculated between the groups. Results: Demographics, lifestyle, and disease severity showed no significant difference between the two groups (p > .05). The ERAS group patients had improved understanding of coronary artery disease (t = -3.89, p < .01), shorter fasting time (t = 7.98, p < .01), shorter water deprivation time (t = 9.29, p < .01), increased off-bed activity participation (t = 17.67, p < .01), and the improved 6-Minute Walk Test on postoperative day 7 (t = -3.23, p < .01). Conclusions: The ERAS protocol is safe and effective for patients undergoing OPCABG surgery. (C) 2020 Korean Society of Nursing Science. Published by Elsevier BV.
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收藏
页码：44 / 49
页数：6
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