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Comparing the association of cardiovascular nursing care with blood pressure and length of stay of in-patients with coronary artery disease in Wuhan,China
Authors:Fatina B Ramadhani  Yilan Liu  Xue Jing  Ye Qing  Han Xiong  Fengjian Zhang  Pian Wei
Institution:1. Department of Nursing, Tongji Medical College, Huazhong University of Science and Technology;2. Department of Nursing, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology;3. Department of cardiology, Union Hospital of Tongji Medical College, Huazhong University of science and Technology;4. Department of Clinical Nursing, Muhimbili University of Health and Allied Sciences;5. College of Arts and Science of Jianghan University
Abstract:BackgroundCoronary artery disease is a leading cause of morbidity and mortality worldwide. Comorbidity-like hypertension has been among the major risks of coronary artery disease. Recent evidence identified multiple benefits of cardiovascular nursing care to coronary patients. However, little has been appraised on benefits regarding patients'' blood pressure control and length of hospitalisation.ObjectiveTo compare the association of cardiovascular nursing care delivered to coronary artery patients with patients'' blood pressure and length of stay.MethodsRecords based retrospective design was applied at a large teaching hospital in Wuhan, China. SPSS 21 version was used for data entry and analysis with univariate and multivariate logistic regression models for comparing study variables.ResultsOf 300 patients, 224 (74.7%) were known to be hypertensive and admitted with subnormal blood pressure. Cardiovascular nursing care like “assess to grade pain severity on 1–10 scale” and “counsel patient to cope with stress” were six and three times more likely to contribute improved patients'' blood pressure (AOR=5.8; 95%CI: 2.8–12.2, p=0.001) and (AOR=3.1; 95%CI: 1.2–7.8, p=0.015) respectively. No significant difference with length of stay (p>0.05).ConclusionThere is a possibility of coronary artery patients to recover with normal blood pressure following reception of evidence-based cardiovascular nursing care.
Keywords:Cardiovascular nursing care  blood pressure  in-patients  coronary artery  Wuhan  China
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