The Role of Nurse-Surgeons in Advancing Global Surgical Care: Challenges and Contributions in Care After Open Heart Operations with a Focus on Biochemical Markers | ||||
| Egyptian Journal of Chemistry | ||||
| Volume 67, Issue 13, December 2024, Page 1307-1316 PDF (599.34 K) | ||||
| Document Type: Review Articles | ||||
| DOI: 10.21608/ejchem.2024.335099.10773 | ||||
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| Authors | ||||
Ayed Bedah Alotaibi  1; Mohammed Abdullah Alnodali2; Anouda Ali Gaidai Alenzi3; Faiz Awad Alanazi4; Halima Suliman Qunfuthi5; Wafa Johar Amber6; Moataz Hadi Abbas Hakami7; Eman Fayez Mohammed Albishi8; Ibraheem Mohamed Alwazrah9; Fatima Milfe Alrashidi10; Afrah Ali Ahmed Alqaissi11; Abdullah Falah Alotaibi12; Thamer Khaled Alotaibi13; Maha Matar Suwayhid Alenezi14; Radhyah Hassan Alfaifi15
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| 1Shaqra General Hospital, Ministry of Health, Saudi Arabia | ||||
| 2Forensic Medical Services Center in Riyadh, Ministry of Health, Saudi Arabia | ||||
| 3Municipal Health Center, Ministry of Health, Saudi Arabia | ||||
| 4Forensic Medical Services Center, Ministry of Health, Saudi Arabia | ||||
| 5King Fahd Central Hospital in Jazan, Ministry of Health, Saudi Arabia | ||||
| 6King Salman Hospital in Riyadh, Ministry of Health, Saudi Arabia | ||||
| 7Irada Hospital and Mental Health in Jazan, Ministry of Health, Saudi Arabia | ||||
| 8Al Imam Abdulrahman Al Faisal Hospital, Ministry of Health, Saudi Arabia | ||||
| 9Wadi Al Dawasir General Hospital, Ministry of Health, Saudi Arabia | ||||
| 10Al Nahda Health Care Center in Sudair, Ministry of Health, Saudi Arabia | ||||
| 11Eastern Naseem Health Care Center, Ministry of Health, Saudi Arabia | ||||
| 12Airport Health Center, Ministry of Health, Saudi Arabia | ||||
| 13Al Jazeera Health Center, Ministry of Health, Saudi Arabia | ||||
| 14Medical Center in Arar, Ministry of Health, Saudi Arabia | ||||
| 15Faifa General Hospital, Ministry of Health, Saudi Arabia | ||||
| Abstract | ||||
| Background: Congenital heart disease (CHD) surgeries are complex procedures that require the collaboration of multidisciplinary teams, including nurse-surgeons, to ensure optimal patient outcomes. Postoperative care, particularly in the realm of wound healing and infection control, plays a pivotal role in the recovery process following open heart surgery. Nursing interventions, which include aseptic techniques, wound care, and patient education, are integral to minimizing postoperative complications such as surgical site infections (SSIs) and promoting effective healing. Aim: This study explores the impact of nurse-surgeons' interventions in the postoperative care of CHD patients, focusing on the efficacy of nursing practices in improving wound healing outcomes and preventing SSIs after open heart surgeries. Methods: A retrospective analysis was conducted on a cohort of patients who underwent CHD surgeries. Two groups were analyzed: an intervention group, where enhanced nursing interventions were applied, and a control group, where standard postoperative care was provided. Key nursing interventions included the application of aseptic techniques, meticulous wound monitoring, and patient education on post-discharge care. The efficacy of these interventions was evaluated by comparing wound healing outcomes across the two groups, using a standardized grading system for wound recovery. Results: The study found significant differences between the groups. The intervention group showed a higher incidence of Grade A wound healing, indicating optimal recovery without complications, at 73.3%, compared to 30% in the control group (p < 0.01). The incidence of Grade B complications (seroma or hematoma without suppuration) was also lower in the intervention group (26.7%) compared to the control group (58.3%) (p < 0.01). Notably, the control group had a 11.7% incidence of Grade C wound healing (requiring drainage), while no cases were observed in the intervention group (p < 0.05). Conclusion: The results highlight the critical role of nurse-surgeons in advancing surgical care, particularly in the postoperative management of patients undergoing open heart surgery. The enhanced nursing interventions were associated with better wound healing outcomes, fewer complications, and a more rapid recovery process. These findings underscore the importance of rigorous nursing protocols and patient education in improving postoperative recovery, emphasizing the need for standardized care approaches to optimize patient outcomes in global surgical settings. | ||||
| Keywords | ||||
| Nurse-surgeons; congenital heart disease; wound healing; surgical site infections; postoperative care; nursing interventions; open heart surgery | ||||
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