Safety, quality & education

Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial

Perioper Med (Lond)Published Randomised controlled trial

Authors' conclusion

Safety care and clinical nursing pathways may be effective in reducing anxiety and depression, lowering adverse reactions, shortening operation and puncture preparation times, increasing the success rate of vascular puncture, improving health knowledge, boosting patient satisfaction, and enhancing quality of life in patients undergoing cardiovascular intervention.

Study context

Population
Patients undergoing cardiovascular intervention
Participants
100 patients
Comparison
Experimental vs Control
  • Experimentaln = 50
  • Controln = 50reference
Primary endpoint
Anxiety and depression symptoms (HAMA and HAMD rating scales)
Follow-up
Post-intervention
Methodological detailssingle-centre, single-blind
  • Single-centre
  • Single-blind

Primary result

As reported in the abstract

HAMA and HAMD scores
GroupValueHAMD
Experimental6.42 ± 2.416.32 ± 1.44
Control9.24 ± 1.528.76 ± 1.59

Value

Experimental6.42 ± 2.41
Control9.24 ± 1.52

HAMD

Experimental6.32 ± 1.44
Control8.76 ± 1.59
  • Experimental vs Control: P < 0.05 — HAMA and HAMD significantly lower in experimental group

Secondary outcomes

OutcomeExperimental
Surgery time, puncture preparation time, vascular puncture success ratePer_group value = surgery time45.60 ± 2.98 min
Puncture preparation time5.08 ± 1.09 min
Vascular puncture success rate96.0%

Surgery time, puncture preparation time, vascular puncture success rate

Surgery and puncture preparation times shorter, puncture success rate higher in experimental group

Quality of life and nursing satisfaction

Higher in experimental group (p < 0.05)

Safety

Adverse reactions

P < 0.05

Original publication

Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial. Perioper Med (Lond). Published 17 July 2026. doi:10.1186/s13741-026-00718-w

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