摘要:

This study describes the perceived learning priorities of patients undergoing reoporative coronary artery bypass surgery (CABS). The study also examines whether reoperative CABS patients learning priorities are different from those of patients undergoing initial CABS. Data were collected by moans of a 40-item questionnaire from 16 reoperative and 20 initial CABS patients during the postintensive care hospital period and again 3 months after discharge. Reoperative patients most frequently rated most items as “very important” to learn about. Few of the 40 items wore rated differently by reoporative and initial CABS patients. Inhospital, reoperativo patients more frequently rated “knowing who all the doctors and nurses are” as very important. After discharge, reoporative pationts more frequently rated “waiting before surgery” and “sharing a room with others” as very important while loss frequently rating “coping with stress” as very important. The results suggest that reoperative CABS patients rate learning as very important and that reoporative CABS patients have learning priorities similar to those of initial CABS patients.

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Hypertrophic cardiomyopathy (HCM) has been intriguing health care professionals for years. It is a disease of the cardiac muscle characterized by hypertrophy with or without loft ventricular outflow tract obstruction. It affects people of all ages and is commonly associated with sudden death. The clinical presentation and treatment of HCM varies widely with the individual and therefore offers the cardiovascular nurse a unique challenge. This article assists the nurse in providing caro to these patients by reviewing the cause and prognosis, pathophysiology, clinical manifestations, surgical and medical therapy, and the nursing caro following surgical intervention for HCM.

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Surgical methods of augmenting cardiac function are gaining credibility among researchers as animal and human clinical trials continue around the world. The procedures themselves may vary slightly depending upon protocol and surgeon preference, but generally involve the use of skeletal muscle such as the latissimus dorsi. The muscle may be wrapped around the heart or the aorta, or fashioned into a separate pumping chamber. The muscle is then stimulated with specialized burst pacing, the resultant contractions providing circulatory support. This article describes preoperative, intraoperative, postoperative, and follow-up patient and family care for those undergoing skeletal muscle wrap procedures. If trials continue to produce positive results, those interventions may become an important bridge to transplant. Moreover, with the scarcity of donor hearts, tho implications for skeletal muscle wrapping as a long-term alternative to transplant are promising.

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Epicardial pacing wire removal (EPWR) is a procedure performed on postoperative cardiac surgery patients. Nurses who assist with or perform this procedure need to be aware of its possible complications; these include bleeding, pericardial or mediastinal tamponade, ventricular dysrhythmias, wire fragment migration, and infection secondary to retained wire fragments. Patients undergoing EPWR should bo monitored for signs of complications; appropriate emergency equipment should bo readily available, and nurses should educate patients on possible problems and interventions.

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Although infrequent, neurologic complications incurred following cardiac surgery represent significant morbidity. This article presents probable mechanisms of nervous system injury and discusses assessment techniques to identify the stated dysfunctions. Diagnoses for problems amenable to nursing interventions are also presented.

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Penetrating cardiac injuries occur not only in military settings, but also in tho civilian arena. This article focusos on the incidence, etiology, and pathophysiology of gunshot wounds and stabbing injuries. Diagnosis, treatment, and surgical approaches of penetrating cardiac injuries aro presontod. A clinical caso study of a loft vontricular stabbing injury is doscribod and rolovant nursing interventions and follow-up care addrossod.

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Illegal drug use predisposes the intravenous drug abuser to bacterial endocarditis, primarily of the tricuspid valve. The prevalence and clinical symptomatology of tricuspid valve endocarditis is reviewed, as are surgical options available to these patients. Nursing care issues that are discussed include postoperative hemodynamic monitoring, fluid resuscitation, and the psychosocial elements surrounding these patients.

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

The pediatric cardiovascular surgery patient has many needs, based not only on the complexity of the surgical procedure, but also on anatomic, physiologic, and emotional differences. These differences have implications for nursing care in the postoperative period. This article focuses on the special needs of a child who required correction of a congenital heart defect. The specialized knowledge required by the podiatric critical care nurse to make accurate assessments of the child's status and to intervene appropriately are emphasized. Issues surrounding the care of the family of the child who experiences cardiac surgery are highlighted.

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Sleep pattern disturbance is a recognized phenomenon during the postoperative period of hospitalized adult cardiac surgical patients. Sleep disturbances may decrease healing and tissue repair and delay recovery. The nursing research study reviewed and critiqued in this column investigated the effect of a specific intervention (taped ocean sounds) on sleep in hospitalized postoperative coronary artery bypass graft patients. Implications for clinical practice and further research are discussed.

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:0889-4655    

出版商:OVID    

年代:1993

数据来源: OVID