Application value of "NEW" pre-rehabilitation strategy in elderly patients treated with coronary artery bypass grafting

Objective To investigate the application value of "NEW" pre-rehabilitation strategy in elderly patients treated with coronary artery bypass grafting.

Methods A total of 84 elderly patients treated with thoracotomy CABG were selected as the study subjects, and divided into the observation group and control group(42 cases in each group) according to the time of admission.The control group received the routine preoperative nursing, and the observation group received "NEW" pre-rehabilitation strategy.The results of 6MWT, Barthel score, anxiety score, depression score, PSQI score, length of ICU stay, first time of getting out of bed and total length of stay were compared between two groups.

Results At discharge, the Barthel score and 6MWT in two groups were higher than those before intervention(P<0.05), and the Barthel score and 6MWT in the observation group were higher than those in control group(P<0.05 and P<0.01).At discharge, the anxiety scores, depression scores and PSQI scores in two groups were lower than those before intervention(P<0.01), and the anxiety scores, depression scores and PSQI scores in the observation group were significantly lower than those in control group(P<0.01).The length of ICU stay, first time of getting out of bed and total length of hospital stay in the observation group were significantly shorter than those in control group(P<0.01).

Conclusions The "NEW" pre-rehabilitation strategy can improve the cardiopulmonary function and daily activity ability, psychological state and sleep state, and shorten the rehabilitation process in elderly patients after coronary bypass grafting.