Objective To observe the nursing effect of continuing nursing in the patients hospitalized in department of cardiovascular surgery. Methods The patients (n=100) were chosen from Jan. 2012 to Jun. 2013 and then randomly divided into observation group and control group (each n=50). After selecting excellent nursing backbones to act as full-time health educators, observation group was given appraisal by using the cognitive level measurement form of cardiovascular disease continuing nursing before nursing intervention. The control group was given routine nursing mode. Results After nursing intervention, in the familiarity appraisal of 4 level-1 dimension, knowledge related to diseases, treatments, rehabilitation and social life, the percentage of patients being very familiar with above-mentioned knowledge was 12.0%, relative familiar was 26.0%, and familiar was 46.0%in observation group. The percentage of patients being very familiar with above-mentioned knowledge was 6%, relative familiar was 14%, and familiar was 24%in control group. The difference had statistical significance between 2 groups (P<0.05). The patients’ satisfaction to nurses was 98.0%in observation group and 80.0%in control group (P<0.05). Conclusion Continuing nursing can improve the cognitive degree to the knowledge related to diseases, treatments and rehabilitation, and patients’ satisfaction to nurses in the patients hospitalized in department of cardiovascular surgery. The nursing efficacy is higher.

目的 研究连续护理对军队心脏瓣膜置换术后患者抗凝治疗依从性的影响.方法 根据是否实施连续护理服务,将心脏瓣膜置换术后患者分为对照组(2009年3月～2011年3月)34例和实验组(2011年4月～2013年4月)36例.通过调查问卷的方法,比较两组患者相关知识的掌握程度、国际化标准比值(INR)的水平和治疗依从性.结果 实验组对相关知识熟悉的占83％,对照组为38％;依从性较好(完全遵守),实验组占83％,对照组占73％,实验组的不遵守率为3％,对照组为15％; INR在2.5～3.5范围内的患者,实验组占86％,高于对照组的53％(P＜0.05).结论 连续护理可提高军队患者对心脏瓣膜置换术和抗凝治疗的认识度、用药的依从性,可使INR水平控制平稳,降低不良因素的影响,从而达到较好的抗凝治疗效果.

Objective To explore the use of the continuum of care approach for patients with coronary artery bypass surgery and the effect of the continuum of care.Methods Collected from January 2009 to June 2010,112 cases of coronary artery bypass surgery patients in the observation group,June 2007 to December 2008,98 patients with coronary artery bypass surgery as the control group. The observation group with implement the continuum of care intervention,the implementation of routine care control group.Results and the nursing effects were compared in two groups.Results The patients care and job satisfaction was higher in observation group,and difference between groups was statistically significant ( x2 =15.38,P ＜ 0.01 ).The patients hospital stay was shorter than that in the control group,the difference between two groups was statistically significant (t =2.521,P ＜ 0.05).After intervention,health related knowledge level was significantly increased,the difference between the two groups was statistically significant (x2 =62.98,95.93,106.66,83.34,respectively;P ＜ 0.01 ).Conclusions Using the continuum of care approach for heart surgery patients with coronary artery bypass grafting help to increase patient understanding of health-related knowledge and improve patient outcomes,shorter hospital stay,increase nursing job satisfaction,and is worthy of reference.

Objective To explore the effects of preoperative visits of nurses in ICU applied in heart surgery clients.Methods A total of 140 clients who had heart surgery from October 2009 to October 2010 were recruited as the experimental group and received preoperative visits from nurses in ICU.And 140 clients who had heart surgery from September 2008 to September 2009 were enrolled as the control group.The patients' satisfaction with nursing services and nursing effects of the two groups were compared.Results The patients satisfaction with nursing services and nursing effects of the experimental group were higher than the control group,the patients' days of experimental group in ICU was less than the control group,the difference was statistically significant(P0.01 or P0.05).Conclusion Preoperative visits can enhance the specialist knowledge of ICU nurses and improve patients satisfaction with nursing services,and shorten the days of hospitalization.