Construction of Standardized Procedure for Early Activity After Cardiac Surgery in Elderly Based on Critical Care Scoring System and Effect Analysis.

OBJECTIVE: To analyze the construction and effect of standardized procedure of early activity after cardiac surgery in elderly patients based on the critical illness scoring system.

METHODS: A total of 65 elderly patients who underwent cardiac surgery in our hospital from January 2020 to January 2022 were selected as the research objects and divided into the control group (n = 32) and the observation group (n = 33) according to the admission time. The standardized procedure for the early activity after cardiac surgery was implemented based on the critical illness scoring system. The inter-group comparison was conducted in terms of the recovery time, complications, cardiac function, and quality of life pre- and post-nursing.

RESULTS: The observation group recovered faster than the control group following nursing care. The incidence rate of complications was 6.06% in the observation group, noticeably lower than 25.00% in the control group. The observation group exhibited remarkably higher left ventricular ejection fraction (LVEF), noninvasive cardiac output (NICO), and stroke volume (SV) but lower left ventricular end-diastolic dimension (LVED) post-nursing than the control group, which indicated that the cardiac function index was superior in the observation group. Following the nursing, the observation group attained higher scores in each item of the World Health Organization Quality of Living Scale (WHOQOL-BREF) than the control group.

CONCLUSION: The critical illness scoring system is of significant value in constructing a standardized process of early postoperative cardiac surgery in the elderly, which can effectively promote postoperative recovery, reduce the occurrence of complications, protect cardiac function, and improve the quality of life of patients affected.