Empirical study of Cox interaction model of client health behavior in stress response and rehabilitation outcomes in patients undergoing coronary artery bypass graft
10.3760/cma.j.cn211501-20230822-00337
- VernacularTitle:Cox健康行为互动模式在冠状动脉搭桥术患者应激反应及康复结局中的实证研究
- Author:
Yuan HU
1
;
Shuangfeng ZHENG
;
Min FENG
;
Li LI
Author Information
1. 新疆医科大学护理学院，乌鲁木齐 830000
- Keywords:
Rehabilitation outcome;
Coronary artery bypass graft;
Cox interaction model of client health behavior;
Stress response
- From:
Chinese Journal of Practical Nursing
2024;40(13):992-1000
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the impact of Cox interaction model of client health behavior (IMCHB) on stress response and rehabilitation outcome in patients undergoing coronary artery bypass graft, and to provide reference for caregivers to reduce stress response in such patients and improve rehabilitation outcomes.Methods:This was a quasi-experimental study, and 62 surgical patients undergoing coronary artery bypass graft in the cardiac surgery department of the First Affiliated Hospital of Xinjiang Medical University were selected from January to June 2023.Among them, 31 patients admitted from January to March 2023 were in the control group, and routine nursing measures were taken; 31 patients admitted from April to June 2023 were in the intervention group with IMCHB nursing based on this routine nursing. The anxiety, depression, quality of life, hemodynamic indicators, postoperative activity time, evacuation time, pericardial/mediastinal drainage time, ICU stay length and total hospitalization length between the two groups were compared.Results:There were 31 cases were admitted in each group. There were 28 males and 3 females,aged (57.42 ± 7.38) years old in the control group. There were 27 males and 4 females, aged (56.29 ± 7.29) years old in the intervention group. After intervention, the total score of anxiety and depression and SF-36 in the intervention group were respectively (16.87 ± 4.83) points and (78.32 ± 13.41) points, and the control group were (20.81 ± 6.35) points and (69.97 ± 11.37) points, respectively, and the differences between the two groups were statistically significant ( t=2.75, -2.65, both P<0.05). Immediately after completion of cardiopulmonary bypass (T3), the mean arterial pressure in the intervention group was (85.55 ± 8.46) mmHg (1 mmHg=0.133 kPa), higher than (74.33 ± 17.40) mmHg in the control group, heart rate was (77.72 ± 10.97) times/min, lower than (88.35 ± 15.96) times/min in the control group. At the beginning of cardiopulmonary bypass (T2), and when leaving the operation room (T4), the heart rate of patients in the intervention group was (69.50 ± 10.94), (81.11 ± 10.22) times/min, significantly lower than (77.98 ± 14.51), (90.47 ± 15.44) times/min in the control group, the differences were statistically significant ( t values were -3.23 to 3.06, all P<0.05). In the intervention group, first ambulation, exhaust, pericardial/mediastinal drain retention, ICU stay, total hospitalization were (7.48 ± 2.83), (3.06 ± 0.99), (6.52 ± 2.39), (5.35 ± 3.20), (28.90 ± 5.63) d, all were significantly lower than (12.81 ± 4.84),(4.55 ± 1.65), (8.87 ± 3.30), (12.74 ± 7.31), (35.94 ± 8.82) d in the control group with statistical differences ( t values were 3.21-5.29, all P<0.05). Conclusions:The application of Cox health behavior interaction mode can reduce the anxiety and depression in coronary artery bypass graft patients, improve the quality of life, reduce the stress response of patients, and improve the rehabilitation outcomes.
