Loading

logo

Archives of Nursing and Healthcare

ISSN: 2769-7835

Original Research Open Access

Effectiveness of a nursing intervention program for saphenous vein donor site care after coronary artery bypass grafting 

Trinh Nguyen Thi Kim1, Tue Vo Minh1, Vinh Bui Duc An1, Nhan Tran Thanh Thai1, Dung Nguyen Duc1,*
  • 1Department of Thoracic and Cardiovascular Surgery, Hue Central Hospital, Vietnam
+ Affiliations - Affiliations

Corresponding Author

Dung Nguyen Duc, ducdungsoi@gmail.com

Received Date: December 10, 2025

Accepted Date: July 21, 2026

Citation:

 Kim TNT, Minh TV, An VBD, Thai NTT, Duc DN. “Effectiveness of a nursing intervention program for saphenous vein donor site care after coronary artery bypass grafting”. Arch Nurs Healthc. 2026;4(1):17-24.


Copyright: © 2026 Kim TNT, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Objective: To evaluate the effectiveness of a standardized saphenous vein care program compared with unstandardized care on pain levels, lower extremity edema, surgical site infection, skin complications, and compliance with home care in patients after coronary artery bypass grafting (CABG).

Methods: A prospective, controlled interventional study was conducted on 110 patients undergoing coronary artery bypass grafting (CABG) at the Department of Postoperative Cardiovascular Surgery, Hue Central Hospital (July–September 2025).

Intervention group (n=55): received a standardized program including: bedside care according to a nursing checklist, sterile dressing changes according to standards, health education upon discharge using leaflets and instruction cards.

Control group (n=55): received unstandardized care lacking standardized protocols.

Observational variables: pain (VAS 0–10), lower limb edema (scale 0–3), surgical site infection, skin complications (seroma, hematoma, skin laceration), compliance with home care (%). Data were analyzed using SPSS 26; Continuous variables were analyzed using paired/independent t-test, categorical variables were analyzed using chi-square/Fisher Exact test, with p < 0.05 being significant.

Results: Pain (1): intervention group decreased from 4.2±1.1 to 1.7±0.9; control group decreased from 4.0±1.2 to 3.2±1.1 (p<0.001 between groups).

Lower limb edema: intervention group decreased from 2.1±0.7 to 0.8±0.5; The control group decreased from 2.0± 0.6 to 1.5±0.6 (p<0.001).

Surgical site infection: Reduced by 16% → 4% in the intervention group, reduced by 14% → 12% in the control group (p=0.02).

Skin complications: Reduced by 12% → 2% in the intervention group, reduced by 10% → 8% in the control group (p=0.03).

Home care compliance: 92% in the intervention group, 60% in the control group (p<0.001).

Conclusion: The standardized saphenous vein wound care program significantly reduced pain, edema, infection, and skin complications, and increased compliance with home care compared with standard care. The results of this study support the widespread adoption of standardized nursing interventions in post-coronary artery bypass graft (CABG) care.

Keywords

Wound care, Saphenous vein, Coronary artery bypass graft surgery, Nursing interventions, Post-operative care

Recommended Articles

The effect of preoperative in-person education on the pain severity of patients undergoing coronary artery bypass graft (CABG) surgery

Pain is one of the most common symptoms experienced by patients undergoing coronary artery bypass graft (CABG) surgery. Adequate pain management is critical to the well-being and overall recovery of these patients. This study aimed to evaluate the effect of preoperative in-person pain education on the pain severity experienced by patients undergoing CABG surgery in Rajaie Cardiovascular, Medical and Research Center in Tehran in 2022.

Review of delayed sternal closure after congenital heart surgery

Since introduced for the first time in 1975 by Riahi et al, delayed sternal closure (DSC) remains a commonly utilized strategy in congenital heart surgery (CHS) for patients with anticipated hemodynamic instability based upon complexity of the performed procedure or in patients who exhibit instability during surgery [1].

A case of sentinel node-negative breast cancer with axillary lymph node recurrence 10 years after surgery

Introduction: Sentinel node biopsy is currently the standard of care for axillary treatment of clinically axillary node-negative breast cancer. In this report, we describe a case of axillary lymph node recurrence 10 years after surgery in a patient with a negative sentinel node biopsy at the time of initial surgery.

Ocular surface disease management in cataract surgery

According to the literature, 80% of patients undergoing cataract surgery suffer from ocular surface disease (OSD). Along with postoperative refractive surprise, the onset of OSD is the main cause of dissatisfaction in cataract surgery patients, accounting for 35% of cases. These patients are characterized by persistent dysregulation of ocular surface para-inflammation, leading to chronic low- grade inflammation with significant consequences on daily activities and work productivity. This study aims to investigate the effects of topical desonide sodium phosphate 0.025% eye drops on the signs and symptoms of OSD in patients undergoing cataract surgery.

Interaction effects of FTO polymorphisms on post-surgery weight, and post-BMI after bariatric surgery

Obesity is associated with increased morbidity and mortality and is a risk factor for cardiovascular disease. Therefore, preventing and treating obesity has become a major public health goal. Bariatric surgery is considered the intervention most effective for patients with severe obesity (BMI ≥40 kg/m2 or ≥35 kg/m2) with comorbidities and to maintain weight loss and glycemic control in the long-term.

Full Text
Cite
Download PDF
Author Information X