Continuous Comprehensive Nursing for Post-CABG Recovery
NCT ID: NCT07062432
Last Updated: 2025-07-14
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
120 participants
INTERVENTIONAL
2020-02-01
2022-06-30
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Continuous Comprehensive Nursing (CCN) System
Participants received a continuous comprehensive care plan delivered by specifically trained cardiac nurses. This plan included:
* Preoperative Phase: Comprehensive education about the surgery, risks, and expected outcomes, along with psychological support.
* Intraoperative Phase: Standard intraoperative nursing care including close monitoring.
* Postoperative Inpatient Phase: In addition to routine care, this phase focused on pain management, wound care, and individualized rehabilitation guidance.
* Post-Discharge Continuous Phase (3 months): This phase included regular follow-up (monthly phone calls, one outpatient visit at 6 weeks), ongoing psychological support, continuous education (medication adherence, diet, activity), structured home-based rehabilitation training, and periodic evaluation of quality of life.
Continuous Comprehensive Nursing System
A multi-faceted nursing plan delivered by trained cardiac nurses, extending from the preoperative phase to 3 months post-discharge. In addition to routine inpatient care, the intervention included: preoperative education and psychological support; postoperative individualized rehabilitation guidance; and a continuous post-discharge program. The post-discharge phase involved structured follow-up (monthly phone calls, one 6-week outpatient visit), ongoing psychological support, reinforcement of education on medication adherence, diet, and activity progression, and guidance on a structured home-based exercise program.
Routine Care
Participants received standard institutional postoperative care for CABG, which primarily focused on the inpatient period. Key elements included:
* Monitoring of vital signs, consciousness, and peripheral circulation.
* Management of respiratory tract patency and urinary catheters.
* Hourly monitoring of drainage tubes initially.
* Wound care and monitoring for bleeding.
* Body temperature monitoring and oral care.
* Guidance on progressing from liquid diets.
* Standard discharge instructions without structured post-discharge follow-up.
Routine Postoperative Care
Standard institutional postoperative care for patients after Coronary Artery Bypass Graft (CABG) surgery. This care was primarily focused on the inpatient period and included monitoring of vital signs, wound and drainage tube management, respiratory and circulatory support, and progressive diet guidance. The care concluded with standard discharge instructions and did not include the structured, continuous, or extended follow-up provided to the intervention group.
Interventions
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Continuous Comprehensive Nursing System
A multi-faceted nursing plan delivered by trained cardiac nurses, extending from the preoperative phase to 3 months post-discharge. In addition to routine inpatient care, the intervention included: preoperative education and psychological support; postoperative individualized rehabilitation guidance; and a continuous post-discharge program. The post-discharge phase involved structured follow-up (monthly phone calls, one 6-week outpatient visit), ongoing psychological support, reinforcement of education on medication adherence, diet, and activity progression, and guidance on a structured home-based exercise program.
Routine Postoperative Care
Standard institutional postoperative care for patients after Coronary Artery Bypass Graft (CABG) surgery. This care was primarily focused on the inpatient period and included monitoring of vital signs, wound and drainage tube management, respiratory and circulatory support, and progressive diet guidance. The care concluded with standard discharge instructions and did not include the structured, continuous, or extended follow-up provided to the intervention group.
Eligibility Criteria
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Inclusion Criteria
* Confirmed diagnosis of coronary heart disease and evidence of coronary artery illness requiring CABG.
* Ability to understand the purpose and procedures of the study.
* Willingness to sign the informed consent form.
Exclusion Criteria
* Severe lung diseases (e.g., chronic obstructive pulmonary disease GOLD stage III/IV).
* Severe kidney diseases (e.g., chronic kidney disease Stage 4/5).
* Significantly impaired left ventricular ejection fraction (EF \< 30%).
* Concurrent participation in other clinical trials or receiving other interventions.
* Presence of severe mental illnesses or cognitive impairments.
18 Years
70 Years
ALL
No
Sponsors
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The First Hospital of Hebei Medical University
OTHER
Responsible Party
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Beibei Xing
Principal investigator
Locations
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The First Hospital of Hebei Medical University
Shijiazhuang, Hebei, China
Countries
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Other Identifiers
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2019-HBLS-ky038
Identifier Type: -
Identifier Source: org_study_id
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