Application of the best evidence of phase Ⅰ cardiac rehabilitation after coronary artery bypass grafting
10.3760/cma.j.cn115682-20200311-01614
- VernacularTitle:冠状动脉旁路移植术I期心脏康复运动锻炼最佳证据的应用
- Author:
Huawei CHENG
1
;
Shu HAN
;
Qingxia LI
;
Huiting ZHOU
;
Xiao SUN
;
Yingying ZOU
Author Information
1. 青岛大学附属医院心血管外科，青岛 266000
- Keywords:
Evidence-based nursing;
Coronary artery bypass grafting;
Cardiac rehabilitation;
Exercise;
Best evidence
- From:
Chinese Journal of Modern Nursing
2020;26(29):4022-4027
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To apply the best evidence of phaseⅠ cardiac rehabilitation after coronary artery bypass grafting (CABG) into clinical practice and evaluate its effects.Methods:Following the Australian Jonna Briggs Institute (JBI) clinical evidence program and evidence transformational practice application system, the evidence of phaseⅠ cardiac rehabilitation exercise after CABG was retrieved, screened and evaluated, and the review indicators were formulated. From September 2019 to February 2020, 41 nurses and 109 CABG patients from the Cardiovascular Surgery Ward of the Affiliated Hospital of Qingdao University were selected. The data of 56 patients were collected before the application of the best evidence, and those of 53 patients were collected after the application of the best evidence. The implementation rate of the review indicators, the degree of knowledge of the best evidence among nurses and patients, the Six Minute Walk Test (6MWT) distance and the left ventricular ejection fraction (LVEF) before and after the application of the best evidence were compared.Results:After the application of the evidence, the nurses' implementation rate of the 13 review indicators of phaseⅠ cardiac rehabilitation exercises was improved, and the difference was statistically significant ( P<0.05) ; the nurses' exercise knowledge score increased from (53.66±14.01) points to (71.59±14.93) points; the patients' exercise knowledge score increased from (26.22±17.46) points to (60.49±15.52) points, and the differences were statistically significant ( t=-5.61, -9.40; P<0.01) . After the application of the evidence, the patients' 6MWT distance increased from (241.82±72.05) m to (246.25±69.26) m, and the difference was statistically significant ( t=-2.238, P<0.05) ; however, there was no statistically significant difference in LVEF before and after the application of the evidence ( P>0.05) . Conclusions:The clinical application of the best evidence for phase I cardiac rehabilitation exercises in CABG patients can standardize nurses' behaviors, improve nurses and patients' knowledge of evidence, and increase the 6MWT distance of CABG patients.
