Department of Cardiology, Medical Centre Alkmaar, Alkmaar, the Netherlands.
Neth Heart J. 2012 Jan;20(1):5-11. doi: 10.1007/s12471-011-0225-y.
The nurse practitioner may be the ideal healthcare worker to create a new environment and may facilitate in the process of expediting discharge and improving patient safety. They can play an intermediary role between the consultants, nurses and patients, thereby combining the aspects of care (nursing) and cure (physicians).
We describe the contribution and role of the nurse practitioner in a teaching hospital and provide an overview of the changes in care and cure that were facilitated by two nurse practitioners in the treatment of cardiac surgery patients or non-complicated acute coronary syndrome patients.
The nurse-led clinic for postoperative patients has registered 1967 patients in the past 10 years. These patients were transferred at a mean of 5.5 days after their bypass operation. All patients had an uneventful clinical course in our hospital and were discharged alive. The period between discharge and outpatient clinic visit could be set at 4 weeks. The post-acute coronary syndrome (ACS) group included 1236 patients. Mortality in this patient cohort was 4% while 0.4% of these patients experienced a re-myocardial infarction. Additional surgery was needed in only 2% of these stable post-infarction patients. The mean length of stay was 5.9 ± 14.5 days.
This observational study confirms that a nurse-led postoperative care unit and post-ACS care unit is feasible and effective for the treatment of patients returning from cardiac surgery or transferred after uncomplicated ACS to a general cardiology ward.
护士从业者可能是创造新环境的理想医疗工作者，并可以促进出院过程并提高患者安全性。他们可以在顾问、护士和患者之间发挥中介作用，从而将护理和治疗（医生）方面结合起来。
我们描述了护士从业者在教学医院中的贡献和角色，并概述了两位护士从业者在治疗心脏手术患者或非复杂急性冠脉综合征患者方面促进的护理和治疗方面的变化。
术后患者的护士主导诊所过去 10 年已登记了 1967 名患者。这些患者在旁路手术后平均 5.5 天转移。所有患者在我们医院都经历了顺利的临床过程并存活出院。出院和门诊就诊之间的时间可以设定为 4 周。急性冠脉综合征（ACS）后组包括 1236 名患者。该患者队列的死亡率为 4%，而 0.4%的患者经历了再心肌梗死。这些稳定的梗死后患者中仅需额外手术的患者占 2%。平均住院时间为 5.9±14.5 天。
这项观察性研究证实，护士主导的术后护理单元和 ACS 后护理单元对于治疗从心脏手术返回或转至普通心脏病病房的无并发症 ACS 患者是可行且有效的。
