Impact of quantitative evaluation nursing on intraoperative risk events and stress responses in patients undergoing radiofrequency ablation for atrial fibrillation

This study aimed to analyze the impact of intervention room nursing based on quantitative evaluation strategies on intraoperative risk events and stress responses in patients undergoing radiofrequency ablation (RFA) for atrial fibrillation (AF). A quantitative retrospective cohort study was conducted. A total of 126 patients with AF were selected and divided into a quantitative evaluation nursing group of 63 cases and a routine nursing group of 63 cases. The 2 groups were compared in terms of visual analog scale (VAS), Chinese version of disease uncertainty scale, Chinese version of psychological resilience scale, intraoperative risk events, sinus rhythm, recovery, levels of norepinephrine (NE) and cortisol (CORT). The VAS scores for pre- and post-surgery room entry were significantly lower in the quantitative evaluation nursing group compared to the routine nursing group. Following intervention, the Chinese version of disease uncertainty scale scores and incidence of intraoperative risk events were significantly reduced in the quantitative evaluation nursing group, while the Chinese version of psychological resilience scale was notably higher. Additionally, the quantitative evaluation nursing group exhibited significantly higher rates of sinus rhythm maintenance on the day of surgery, at discharge, and 1 to 3 months post-surgery. Quantitative assessment further indicated significantly lower levels of NE and CORT in the quantitative evaluation nursing group. Quantitative evaluation strategies can effectively reduce the level of surgical fear and decrease the incidence of intraoperative risk events in patients undergoing RFA for AF. Patients undergoing RFA for AF were integral to our study. We engaged them through feedback sessions during the design phase to ensure our interventions addressed their concerns. Their experiences informed data interpretation, helping us understand the real-world impact of nursing strategies. Additionally, patients and caregivers reviewed the manuscript, providing insights that enhanced its clarity and relevance to those affected by AF.