Impact and significance of early rehabilitation intervention based on Kano model on postoperative negative emotions in patients with aortic coarctation

WANG Ying; JI Duosong; WANG Anhong; CHENG Juan; LI Juan

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Journal of Hunan Normal University(Medical Science) ›› 2025, Vol. 22 ›› Issue (2) : 154-160.

Impact and significance of early rehabilitation intervention based on Kano model on postoperative negative emotions in patients with aortic coarctation

WANG Ying, JI Duosong, WANG Anhong, CHENG Juan, LI Juan

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Abstract

Objective To evaluate the effect and clinical significance of early rehabilitation intervention based on Kano model on postoperative patients with acute aortic dissection (AAD) from the perspectives of rehabilitation process, pain and negative emotion. Methods 120 patients who underwent AAD surgery in the First Affiliated Hospital of Xi’an Jiaotong University from September 2020 to September 2023 were included in this study, and were divided into an observation group (n=62) with Kano model-based early rehabilitation nursing care, and a control group (n=58) with conventional nursing care intervention by using randomized number table method. The patients' TNF-α, IL-6 and CRP levels were measured by ELISA, their pain was evaluated by VAS score, their psychological status was evaluated by SAS and SDS score, and their quality of life was evaluated by SF-36; the patients' rehabilitation process indicators and complication rates were counted. Results ①VAS score, TNF-α, IL-6 and CRP levels showed a gradual decrease in both groups on the 3rd and 7th days after the operation, and VAS score, TNF-α, IL-6 and CRP levels in the observation group were significantly lower than those in the control group; ②SAS and SDS scores showed a gradual decrease in both groups in the 2nd, 4th weeks and three months after the intervention, and SAS and SDS scores were significantly lower than those of the control group, and SF-36 scores were significantly higher than those of the control group; ③The recovery process indicators of the observation group: postoperative ventilator removal, first time out of bed, ICU stay, drain removal, urinary catheter removal, hospitalization time, and complication rate were significantly lower than those of the control group. Conclusion Early rehabilitation nursing based on the Kano model can improve the rehabilitation process and pain of postoperative AAD patients, reduce their negative emotions, and effectively improve their quality of life.

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Kano model / early rehabilitation intervention / aortic coarctation / recovery

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WANG Ying, JI Duosong, WANG Anhong, CHENG Juan, LI Juan. Impact and significance of early rehabilitation intervention based on Kano model on postoperative negative emotions in patients with aortic coarctation[J]. Journal of Hunan Normal University(Medical Science). 2025, 22(2): 154-160

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