Influence of applying fast-track surgery to optimize the process in perioperative period of cardiac intervention on rehabilitation of patients with radial artery stenting surgery: A randomized controlled trial
10.7507/1007-4848.201807040
- VernacularTitle:应用快速康复理念优化心脏介入围术期流程对桡动脉支架植入术后患者康复影响的随机对照试验
- Author:
YANG Xuemei
1
;
NI Zhao
2
;
REN Yuying
1
;
PENG Yong
1
Author Information
1. Department of Cardiology, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
2. School of Nursing, Duke University, Durham, North Caroline, 27710, USA
- Publication Type:Journal Article
- Keywords:
Fast-track surgery;
perioperative process optimization;
radial artery puncture;
stent implantation;
cardiac rehabilitation
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2019;26(4):364-368
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influence of applying the fast-track surgery (FTS) to optimize the process in the perioperative period of cardiac intervention on the rehabilitation of patients with radial artery stenting surgery. Methods A total of 190 patients with radial artery stenting surgery in the Department of Cardiology, West China Hospital from June 2017 to May 2018 were enrolled. They were randomized into a control group (n=95) and a FTS group (n=95) by random umber table. There were 60 males and 35 females aged 35-88 (65.2±9.6) years in the control group as well as 62 males and 33 females aged 34-86 (61.5±11.3) years in the FTS group. Patients in the control group received routine perioperative care, but patients in the FTS group received individual precision interventions by applying the FTS concept to optimize the process of perioperative care, including individual care management before being admitted into hospital, during hospital, and after discharge from hospital. Duration of hospital stay, satisfaction scores, number of comorbidities after surgery, disease self-management ability, and readmission rates were compared between the two groups. Results Compared to the control group, the FTS group had significantly shorter duration of hospital stay, less comorbidities, higher satisfaction scores and disease self-management ability, and lower readmission rate to hospital (P<0.05). Conclusion Applying FTS into the perioperative period of cardiac interventions to optimize its process can help patients recover from radial artery stenting surgery, increase patients’ self-management abilities, shorten duration of hospital stay and decrease comorbidities and cardiac adverse events.
