Gilliss C L
Nurs Clin North Am. 1984 Mar;19(1):103-11.
Based on the findings of this study of couples after coronary artery bypass surgery, there are numerous stresses and unmet needs that might be addressed by hospital-based nurses. The study demonstrated that, as a group, the spouses of the bypass patients report higher levels of stress than the patients did while in the hospital. Together, patients and spouses reported high levels of marital conflict, dissatisfaction, and discord during the first 6 months after the surgery. Many indicated that they were unprepared for these experiences. Further, they found it difficult to maintain continuity with a provider who could answer their questions about recovery. As a result of these findings a program of nursing care that focuses on the family during and after coronary artery bypass surgery has been proposed. The model program consists of preparation for surgery, preparation for discharge, and continuous contact with the family after discharge, at least through the first follow-up appointment with the surgeon at 6 weeks. For each phase it is necessary to consider content that is appropriate to the individual patient, but it is essential to include content aimed at reducing the stresses and risk experienced by the family as well. By doing so hospital-based nurses are treating the family as well as nursing the patient through this episode of acute illness.
基于这项针对冠状动脉搭桥手术后夫妻的研究结果，存在许多压力和未满足的需求，而医院护士或许可以解决这些问题。该研究表明，总体而言，搭桥患者的配偶在医院期间所承受的压力水平高于患者。患者及其配偶共同表示，在手术后的头6个月里，婚姻冲突、不满和不和的程度很高。许多人表示，他们对这些经历毫无准备。此外，他们发现很难与能解答他们康复问题的医护人员保持联系。基于这些研究结果，有人提出了一项在冠状动脉搭桥手术期间及术后关注患者家庭的护理计划。该示范计划包括术前准备、出院准备以及出院后与患者家庭的持续联系，至少持续到术后6周与外科医生的首次随访预约。对于每个阶段，有必要考虑适合个体患者的内容，但同样重要的是，也要纳入旨在减轻患者家庭所承受压力和风险的内容。这样一来，医院护士在护理患者度过这一急性病发作期的同时，也在关照其家庭。
