NURSING CARE OF PATIENTS WITH OPEN HEART SURGERY IN CRITICAL PERIOD: RESEARCH UTILIZATION TO CLINICAL PRACTICE

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Siwaphan Yutthasaen
Teepatad Chintapanyakun
Kessara Thikheaw

Abstract

             Open-heart surgery is one of the recommended treatments for coronary artery disease and valvular heart disease. Open-heart surgery is also a significant cardio-thoracic operation that cures heart conditions; however, it may impact the patient’s physical, mental, and social conditions. Therefore, providing critical care for open-heart surgery patients is crucial, particularly during the first 72 hours post-operation, which has a high risk of developing complications after surgery. Excellent nursing care can support patients’ recovery and enhance expected positive treatment outcomes. This article synthesized guidelines, academic articles, research articles, and empirical evidence of significant roles and nursing care for patients with open-heart surgery during the critical period. The information consisted of essential elements of care, including the low cardiac output, bleeding and cardiac tamponade, respiratory care, cardiac arrhythmias, and pain management. The findings of this article may be practical and beneficial for nurses in designing an appropriate care practice and developing an efficient nursing care intervention for patients with open-heart surgery during the critical period.

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How to Cite
Yutthasaen ศ., Chintapanyakun ท., & Thikheaw เ. (2021). NURSING CARE OF PATIENTS WITH OPEN HEART SURGERY IN CRITICAL PERIOD: RESEARCH UTILIZATION TO CLINICAL PRACTICE. JOURNAL OF THE POLICE NURSES, 13(2), 452–463. Retrieved from https://he01.tci-thaijo.org/index.php/policenurse/article/view/250272
Section
Academic Articles

References

Ball, L., Costantino, F., & Pelosi, P. (2016). Postoperative complications of patients undergoing cardiac surgery. Current Opinion in Critical Care, 22(4), 386–392.

Baumgartner, H., Falk, V., Bax, J. J., de Bonis, M., Hamm, C., Holm, P. J., . . . Wojakowski, W. (2017). 2017 ESC/EACTS guidelines for the management of valvular heart disease. European Heart Journal,38(36), 2739–2791.

Burrage, P. S., Low, Y. H., Campbell, N. G., & O'Brien, B. (2019). New-onset atrial fibrillation in adult patients after cardiac surgery. Current Anesthesiology Reports, 9(2), 174–193.

Chintapanyakun, T. (2019). Nursing care for patients with valve heart surgery in critical period. Bangkok: Faculty of Medicine Ramathibodi Hospital, Mahidol University.

Crawford, T. C., Magruder, J. T., Grimm, J. C., Suarez-Pierre, A., Sciortino, C. M., Mandal, K., . . . Whitman, G. J. (2017). Complications after cardiac operations: All are not created equal. The Annals of Thoracic Surgery, 103(1), 32-40.

Edwards, F. H., Ferraris, V. A., Kurlansky, P. A., Lobdell, K. W., He, X., O'Brien, S. M., . . . Shahian, D. M. (2016). Failure to rescue rates after coronary artery bypass grafting: An analysis from The Society of Thoracic Surgeons Adult Cardiac Surgery database. The Annals of Thoracic Surgery, 102(2), 458-464.

Fairley, J. L., Zhang, L., Glassford, N. J., & Bellomo, R. (2017). Magnesium status and magnesium therapy in cardiac surgery: A systematic review and meta-analysis focusing on arrhythmia prevention. Journal of Critical Care, 42, 69-77.

Greenberg, J. W., Lancaster, T. S., Schuessler, R. B., & Melby, S. J. (2017). Postoperative atrial fibrillation following cardiac surgery: A persistent complication. European Journal of Cardio-Thoracic Surgery, 52(4), 665–672.

Hardin, S. R., & Kaplow, R. (2019). Cardiac surgery essentials for critical care nursing (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

Hillis, L. D., Smith, P. K., Anderson, J. L., Bittl, J. A., Bridges, C. R., Byrne, J. G., . . . Winniford, M. D. (2011). 2011 ACCF/AHA guideline for coronary artery bypass graft surgery: Executive summary: A report of the American College of Cardiology Foundation/ American Heart Association Task Force on Practice Guidelines. Circulation, 124(23), 2610–2642.

Hodge, T. (2016). Fast facts for the cardiac surgery nurse (2nd ed.). New York, NY: Springer.

Kabes, A. M., Graves, J. K., & Norris, J. (2009). Further validation of the nonverbal pain scale in intensive care patients. Critical Care Nurse, 29(1), 59–66.

Matos, A. A., Silva, D. B., De Jesus, M. L., Guimarães, A. R., & Cordeiro, A. L. L. (2020). Incidence of complications after cardiac surgery. International Physical Medicine & Rehabilitation Journal, 5(1), 25-28.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare. A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins.

Moore, M., Chen, J., Mallow, P. J., & Rizzo, J. A. (2016). The direct health-care burden of valvular heart disease: Evidence from US national survey data. Clinico Economics and Outcomes Research, 8, 613–627.

Muenrangsri, J., Thongchai, C., & Somrarnyart, M. (2013). Efficiency of clinical practice guideline for pain-management in heart surgery patients in the thoracic and cardiovascular stepdown unit. Thai Journal of Nursing Council, 28(2), 30-43.

Poungsombut, J., Sindhu, S., Thosingha, O., & Laksanabunsong, P. (2012). Factors related to complications in postoperative open heart surgery patients during critical period. The Journal of Faculty of Nursing Burapha University, 20(1), 22-32.

Sawangsri, K. (2017). Pain management in patients undergoing open heart surgery. Thai Journal of Cardio-Thoracic Nursing, 28(1), 2-15.

Stephens, R. S., & Whitman, G. J. (2015). Postoperative critical care of the adult cardiac surgical patient: Part I: Routine postoperative care. Critical Care Medicine, 43(7), 1477–1497.

Stephens, R. S., & Whitman, G. J. (2015). Postoperative critical care of the adult cardiac surgical patient: Part II: Procedure-specific considerations, management of complications, and quality improvement. Critical Care Medicine, 43(9), 1995–2014.

Thourani, V. H., Badhwar, V., Shahian, D. M., O'Brien, S., Kitahara, H., Vemulapalli, S., . . . Jacobs, J. P. (2019). The society of thoracic surgeons adult cardiac surgery database: 2019 update on research. The Annals of Thoracic Surgery, 108(2), 334–342.

Udzik, J., Sienkiewicz, S., Biskupski, A., Szylinska, A., Kowalska, Z., & Biskupski, P. (2020). Cardiac complications following cardiac surgery procedures. Journal of Clinical Medicine, 9(10), 3347.

Uppanisakorn, S., & Boonyarat, S. (2014). Caring for intensive care unit patients: Application of the FASTHUG and BANDAIDS concepts. Thai Journal of Nursing Council, 29(3), 19-30.

Vincent, W. R., & Hatton, K. W. (2009). Critically ill patients need “FAST HUGS BID” (an updated mnemonic). Critical Care Medicine, 37(7), 2326–2327.

Virani, S. S., Alonso, A., Aparicio, H. J., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., . . . Tsao, C. W. (2021). Heart disease and stroke statistics-2021 update: A report from the American Heart Association. Circulation, 143(8), e254–e743.