Impact of individualized nursing on postoperative sleep quality after cardiovascular interventions: A retrospective analysis

Sleep problems are a common postoperative complication among patients undergoing cardiovascular procedures, often triggered by emotional distress, surgical discomfort, and the clinical setting itself. These issues may hinder recovery and reduce life quality. A patient-oriented nursing model, known as precision or individualized nursing, delivers customized support tailored to each patient's needs. However, the influence of this approach on sleep disturbances in the cardiovascular patient population has not been definitively established. A total of 140 patients who underwent cardiovascular interventions were retrospectively categorized into 2 groups based on the type of postoperative nursing care received: 70 in a standard care group and 70 in an enhanced care group. To reduce selection bias, propensity score matching was applied based on baseline characteristics such as age, gender, disease type, and preoperative sleep quality. The standard group received conventional nursing care, while the enhanced group received additional personalized strategies, including emotional counseling, structured sleep education, environmental adjustments, and guided relaxation. Sleep quality was assessed using the Pittsburgh sleep quality index before surgery and on postoperative days 3 and 7. Recovery outcomes and patient satisfaction were also measured and compared between groups. The enhanced care group showed a statistically significant improvement in sleep quality, with Pittsburgh sleep quality index scores on postoperative days 3 and 7 markedly lower than those of the standard care group (P < .05). This group also experienced more favorable recovery outcomes, such as reduced pain intensity and shorter hospitalization duration (P < .05), along with notably higher satisfaction scores (P < .05). Tailored nursing care contributes meaningfully to better sleep outcomes and faster recovery in patients after cardiovascular surgery, while also boosting patient satisfaction. These results highlight the clinical value of integrating individualized nursing protocols into routine postoperative care to enhance recovery trajectories and overall patient experience.