Nursing care practices and their association with recovery outcomes among patients after coronary artery bypass grafting at Hanoi Heart Hospital

Abstract

Background: Nursing care after coronary artery bypass grafting (CABG) plays an important role in complication monitoring, pain control, wound care, early mobilization, and health education. Evaluating nursing care practices and their associations with recovery outcomes may help identify priorities for quality improvement. Objectives: To describe nursing care practices and analyze selected associations between nursing care activities and recovery outcomes among patients after CABG at Hanoi Heart Hospital. Methods: A prospective descriptive study was conducted in 110 patients after CABG. Patients were assessed on postoperative days 1, 3, and 5 and at discharge. Nursing care was evaluated across 12 domains, each scored from 0 to 2; a total score ≥80% was classified as good nursing care. Recovery outcomes included time to mobilization, postoperative complications, functional independence assessed by the Barthel Index, and anxiety status[1][2]. Data were analyzed using SPSS version 22.0. Results: The proportion of patients receiving good nursing care increased from 90.9% on postoperative day 1 to 99.1% at discharge. Complete wound care was achieved in 97.3% of patients on day 1 and 94.5% at discharge. Complete health education increased from 41.8% to 100%. A total of 61,8% of patients began mobilization within the first 2 postoperative days. Adequate assistance with mobilization was significantly associated with earlier mobilization (p<0,05). Health education and counseling were significantly associated with patients’ psychological status (p <0,05). No statistically significant associations were found between the nursing care activities assessed and posto perative complications or length of hospital stay (p >0,05). Conclusion: Nursing care after CABG was performed at a good level and improved progressively throughout the postoperative period. Adequate support for early mobilization was associated with earlier mobilization, while health education should continue to be prioritized from the early postoperative days.