Tan Piaopiao, Wang Dong, Guo Meng
Cardiovascular Disease Center, Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, Hubei Province, China.
Medicine (Baltimore). 2025 Aug 29;104(35):e43871. doi: 10.1097/MD.0000000000043871.
Sleep problems are a common postoperative complication among patients undergoing cardiovascular procedures, often triggered by emotional distress, surgical discomfort, and the clinical setting itself. These issues may hinder recovery and reduce life quality. A patient-oriented nursing model, known as precision or individualized nursing, delivers customized support tailored to each patient's needs. However, the influence of this approach on sleep disturbances in the cardiovascular patient population has not been definitively established. A total of 140 patients who underwent cardiovascular interventions were retrospectively categorized into 2 groups based on the type of postoperative nursing care received: 70 in a standard care group and 70 in an enhanced care group. To reduce selection bias, propensity score matching was applied based on baseline characteristics such as age, gender, disease type, and preoperative sleep quality. The standard group received conventional nursing care, while the enhanced group received additional personalized strategies, including emotional counseling, structured sleep education, environmental adjustments, and guided relaxation. Sleep quality was assessed using the Pittsburgh sleep quality index before surgery and on postoperative days 3 and 7. Recovery outcomes and patient satisfaction were also measured and compared between groups. The enhanced care group showed a statistically significant improvement in sleep quality, with Pittsburgh sleep quality index scores on postoperative days 3 and 7 markedly lower than those of the standard care group (P < .05). This group also experienced more favorable recovery outcomes, such as reduced pain intensity and shorter hospitalization duration (P < .05), along with notably higher satisfaction scores (P < .05). Tailored nursing care contributes meaningfully to better sleep outcomes and faster recovery in patients after cardiovascular surgery, while also boosting patient satisfaction. These results highlight the clinical value of integrating individualized nursing protocols into routine postoperative care to enhance recovery trajectories and overall patient experience.
睡眠问题是接受心血管手术患者常见的术后并发症,通常由情绪困扰、手术不适以及临床环境本身引发。这些问题可能会阻碍康复并降低生活质量。一种以患者为导向的护理模式,即精准或个性化护理,会根据每位患者的需求提供定制化支持。然而,这种方法对心血管病患者群体睡眠障碍的影响尚未明确确立。共有140例接受心血管介入治疗的患者,根据术后接受的护理类型进行回顾性分组:标准护理组70例,强化护理组70例。为减少选择偏倚,根据年龄、性别、疾病类型和术前睡眠质量等基线特征应用倾向得分匹配。标准组接受常规护理,而强化组接受额外的个性化策略,包括情绪咨询、结构化睡眠教育、环境调整和引导式放松。在手术前以及术后第3天和第7天,使用匹兹堡睡眠质量指数评估睡眠质量。还测量并比较了两组之间的康复结果和患者满意度。强化护理组睡眠质量有统计学意义的改善,术后第3天和第7天的匹兹堡睡眠质量指数得分明显低于标准护理组(P < 0.05)。该组还经历了更有利的康复结果,如疼痛强度降低和住院时间缩短(P < 0.05),以及显著更高的满意度得分(P < 0.05)。量身定制的护理对心血管手术后患者获得更好的睡眠结果和更快康复有显著贡献,同时还提高了患者满意度。这些结果凸显了将个性化护理方案纳入术后常规护理以改善康复轨迹和整体患者体验的临床价值。