Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 16, 2024; 12(17): 3035-3044
Published online Jun 16, 2024. doi: 10.12998/wjcc.v12.i17.3035
Impact of specialized nursing outpatient case management on post-coronary artery bypass grafting patients
Tong Li, Fang-Hui Lu, Qing Zhao
Tong Li, Fang-Hui Lu, Qing Zhao, Department of Outpatient, Comprehensive Medical Service Center, The First Affiliated Hospital of Air Force University of Military Medicine, Xi’an 710032, Shaanxi Province, China
Author contributions: Li T and Zhao Q designed the study; Li T and Lu FH performed the study and analyzed the data; Li T and Zhao Q wrote the manuscript.
Institutional review board statement: It has been cleared by The First Affiliated Hospital of Air Force University of Military Medicine Ethics Committee.
Informed consent statement: The data used in the study were not involved in the patients’ privacy information, and all patient data obtained, recorded, and managed only used for this study, without any harm to the patient. So, the informed consent was waived by the ethics committee of The First Affiliated Hospital of Air Force University of Military Medicine.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: Please contact the corresponding author at 15929560628@163.com for access if required.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qing Zhao, MNurs, RN, Chief Nurse, Department of Outpatient, Comprehensive Medical Service Center, The First Affiliated Hospital of Air Force University of Military Medicine, No. 127 Xijing Hospital, Xincheng District, Xi’an 710032, Shaanxi Province, China. 15929560628@163.com
Received: February 29, 2024
Revised: April 23, 2024
Accepted: May 14, 2024
Published online: June 16, 2024
Processing time: 96 Days and 7.5 Hours
Abstract
BACKGROUND

Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events (MACE) and require readmission after Coronary Artery Bypass Grafting (CABG) surgery. This is often attributed to patients' unhealthy lifestyles and dietary habits, inadequate understanding of the disease, and poor disease management compliance. Thus, searching for more targeted nursing intervention models that can enhance patients' self-management abilities and reduce the risk of readmission after CABG surgery is significant.

AIM

To observe the impact of specialized nursing outpatient case management on patients after CABG surgery.

METHODS

A total of 103 patients who underwent CABG surgery in our hospital between April 2021 and April 2022 comprised the study sample. The patients were divided into two groups using an odd-even number grouping method. The control group received routine nursing care, while the case management group received specialized nursing outpatient case management. The differences in psychological status, adherence to medical treatment, self-care ability, knowledge mastery, quality of life scores, and the occurrence rate of MACE were compared between the two groups.

RESULTS

After the intervention, the case management group had lower scores on the self-rating depression scale and self-rating anxiety scale and lower MACE rate, as well as higher scores for adherence to a healthy diet, medication adherence, good lifestyle habits, regular exercise, and timely follow-up, higher scores on the Coronary Heart Disease Self-Management Scale, higher scores for managing adverse habits, symptoms, emotional cognition, emergency response, disease knowledge, general lifestyle, and treatment adherence, higher scores for understanding coronary heart disease, recognizing the importance of medication adherence, understanding self-care points after CABG surgery, and being aware of post-CABG precautions, higher scores for physical well-being, disease condition, general health, social-psychological well-being, and work-related aspects (P < 0.05).

CONCLUSION

Specialized nursing outpatient case management can enhance patient adherence to medical treatment, knowledge mastery, psychological well-being, and overall quality of life in patients after CABG surgery.

Keywords: Specialized nursing; Case management; Coronary artery bypass grafting; Adherence to medical treatment; Knowledge mastery; Psychological status

Core Tip: This study compared the incidence of major adverse cardiovascular events (MACE) between the case management group and control group. The findings revealed a significantly lower MACE rate in the case management group (P < 0.05), suggesting that personalized nursing care can mitigate the risk of cardiovascular complications and enhance patient outcomes. These results emphasize the efficacy and benefits of the case management approach, which offer the empirical support for its wide application.