Yinglu Fan, Xiumin Lin

Outpatient Department, Quanzhou First Hospital, Quanzhou, Fujian, People’s Republic of China

Correspondence: Xiumin Lin, Email fqs924@126.com

Objective: To evaluate the application effect of perioperative comprehensive care in patients with coronary heart disease undergoing coronary stent implantation.
Methods: This retrospective cohort study included 150 patients who underwent coronary stent implantation at our hospital between January 2023 and January 2024. Based on documented perioperative nursing protocols, patients were categorized into an observation group (n=83), which received comprehensive nursing care (including psychological support, structured preoperative preparation, intraoperative coordination, enhanced postoperative management, and complication prevention), and a control group (n=67), which received standard institutional perioperative care. To minimize selection bias, propensity score–based inverse probability weighting was applied using baseline covariates. Outcomes assessed included anxiety levels, postoperative complication rates, length of hospital stay and recovery time, patient satisfaction, and changes in lipid profiles.
Results: After weighting, baseline characteristics were well balanced between groups (standardized mean differences < 0.1). The observation group exhibited significantly lower state and trait anxiety scores at 24 hours postoperatively (P < 0.001). Rates of hematoma/bleeding, radial artery spasm/occlusion, arrhythmia, and fever were significantly lower in the observation group (P < 0.05). Hospital stay and postoperative recovery time were significantly reduced in the observation group (P < 0.001), and patient satisfaction scores were markedly higher (P < 0.001). Additionally, the observation group showed greater improvements in lipid profiles, with significant reductions in total cholesterol and LDL-C levels and an increase in HDL-C (P < 0.05).
Conclusion: Comprehensive perioperative nursing care significantly improves clinical outcomes in patients undergoing coronary stent implantation, by alleviating psychological stress, reducing postoperative complications, shortening hospitalization and recovery time, and enhancing patient satisfaction. These findings support the integration of structured nursing interventions into standard perioperative protocols to optimize patient recovery and long-term cardiovascular management.

Keywords: coronary heart disease, coronary stent implantation, perioperative comprehensive care, cardiology, intraoperative nursing, complications