Nursing approach to rehabilitation after open-heart surgery with standard sternotomy: systematic review
Shakirov, Nurali (2019)
2019
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2019081317810
https://urn.fi/URN:NBN:fi:amk-2019081317810
Tiivistelmä
Cardiovascular diseases represent one of the main causes of worldwide mortality with a
significant economic burden on health care systems. Cardiosurgical progress made it
possible to provide better medical care resulting in the effective treatment and survival
benefits. Nurse-led post-surgery rehabilitation programs have already demonstrated
positive outcomes on cardiac mortality in the short and long-term recovery. The objective
of this systematic review was to evaluate the effectiveness of home-based nurse-led
interventions following open-heart surgery using standard sternotomy. The aim was to
investigate the effects of home-based nursing-led programs on the quality of life of the
patients following the surgery. 329 patients aged over 18 years who underwent cardiac
bypass surgery were included in this study in order to evaluate the effect of nurse-led postsurgery interventions compared to standard care. Only randomized clinical trials in English published between 2005–2019 were considered. The CINAHL, Scopus, Pubmed and ClinicalTrials.gov databases were searched for completed clinical trials. No meta-analysis was done as the data was heterogeneous. Only 3 studies were identified that fulfilled the inclusion criteria. Home-based nursing cardiac intervention programs were assessed at six weeks to six months, no suitable studies that evaluated the re-admission frequencies were found. The home-based nurse-led programs showed a significant improvement in the quality of life of the patients after coronary artery bypass surgery in the post-surgery period. There is sparse literature and only few studies available to evaluate the effectiveness of nursing-led interventions on the quality of life of the patients who underwent cardiac artery bypass surgery graft. Therefore, there is a need to perform
standardized randomized control studies evaluating the effect of the programs on the
short and long-term recovery after the open-heart surgery.
significant economic burden on health care systems. Cardiosurgical progress made it
possible to provide better medical care resulting in the effective treatment and survival
benefits. Nurse-led post-surgery rehabilitation programs have already demonstrated
positive outcomes on cardiac mortality in the short and long-term recovery. The objective
of this systematic review was to evaluate the effectiveness of home-based nurse-led
interventions following open-heart surgery using standard sternotomy. The aim was to
investigate the effects of home-based nursing-led programs on the quality of life of the
patients following the surgery. 329 patients aged over 18 years who underwent cardiac
bypass surgery were included in this study in order to evaluate the effect of nurse-led postsurgery interventions compared to standard care. Only randomized clinical trials in English published between 2005–2019 were considered. The CINAHL, Scopus, Pubmed and ClinicalTrials.gov databases were searched for completed clinical trials. No meta-analysis was done as the data was heterogeneous. Only 3 studies were identified that fulfilled the inclusion criteria. Home-based nursing cardiac intervention programs were assessed at six weeks to six months, no suitable studies that evaluated the re-admission frequencies were found. The home-based nurse-led programs showed a significant improvement in the quality of life of the patients after coronary artery bypass surgery in the post-surgery period. There is sparse literature and only few studies available to evaluate the effectiveness of nursing-led interventions on the quality of life of the patients who underwent cardiac artery bypass surgery graft. Therefore, there is a need to perform
standardized randomized control studies evaluating the effect of the programs on the
short and long-term recovery after the open-heart surgery.