การพยาบาลผู้ป่วยที่ได้รับการผ่าตัดหัวใจแบบเปิดในระยะวิกฤต :  การนำผลงานวิจัยสู่การปฏิบัติทางคลินิก

Siwaphan  Yutthasaen; Teepatad Chintapanyakun; Kessara  Thikheaw

Authors

Siwaphan Yutthasaen Intensive Care Unit, Department of Nursing Service, Somdech Phra Debaratana Medical Center, Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Teepatad Chintapanyakun Intensive Care Unit, Department of Nursing Service, Somdech Phra Debaratana Medical Center, Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Kessara Thikheaw Intensive Care Unit, Department of Nursing Service, Somdech Phra Debaratana Medical Center, Faculty of Medicine, Ramathibodi Hospital

Keywords:

open heart surgery, critical care nursing, research utilization

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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