Effectiveness of Postoperative Delirium Prevention, Diagnosis and Intervention Protocol on Patients Monitored in the Intensive Care Unit After Cardiac Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Delirium, Postoperative
- Sponsor
- Gonul Kara Soylemez
- Enrollment
- 64
- Locations
- 1
- Primary Endpoint
- Confusion Assessment Scale in the Intensive Care Unit (CAM-ICU)
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
This study was conducted as a quasi-experimental study to determine the effectiveness of the postoperative delirium prevention, diagnosis and intervention protocol in patients monitored in the intensive care unit after cardiac surgery.
Detailed Description
This study was conducted as a quasi-experimental study to determine the effectiveness of the postoperative delirium prevention, diagnosis and intervention protocol in patients monitored in the intensive care unit after cardiac surgery. The research was conducted at Antalya Training and Research Hospital between 06.03.2023 and 22.05.2023. The sample of the study consisted of 64 patients who underwent cardiac surgery and met the inclusion criteria. Within the scope of the study, patients were divided into two groups: control (32) and intervention (32). While the patients in the intervention group received care in line with the "Postoperative delirium prevention, diagnosis and intervention protocol", the patients in the control group received routine nursing care for delirium. The data of the study were collected using the Patient Identification Form, Acute Physiological and Chronic Health Evaluation, Glasgow Coma Scale, Richmond Agitation-Sedation Scale, Confusion Assessment Scale in the Intensive Care Unit, Nurse Diagnosis Form, Information Assessment Form for Postoperative Delirium (Pretest-Posttest) and Postoperative Delirium Prevention, Diagnosis and Intervention Protocol Checklist. In the first stage of the study, which consisted of three stages, the incidence of delirium in the control group patients receiving routine nursing care and the delirium diagnosis status of the nurses were determined. In the second stage, nurses were given training on postoperative delirium prevention, diagnosis and intervention protocol, and a preliminary study of the protocol was conducted. In the third phase, which is the last phase, patients in the intervention group received care in line with the "Postoperative Delirium Prevention, Diagnosis and Intervention Protocol".
Investigators
Gonul Kara Soylemez
Instructor
Mustafa Kemal University
Eligibility Criteria
Inclusion Criteria
- •Volunteering to participate in the study,
- •Being 18 years or older,
- •Ability to speak and communicate in Turkish,
- •Having undergone cardiac surgery and being on the first postoperative day,
- •Richmond Agitation and Sedation Scale (RASS) score of -3 and above,
- •Having a Glasgow Coma Scale (GCS) score of 8 and above,
- •Not having a serious psychiatric or neurological diagnosis,
- •No serious visual or auditory problems
Exclusion Criteria
- •Undergoing surgeries other than cardiac surgery (such as abdominal endovascular aneurysm repair, thoracic endovascular aneurysm repair, deep vein thrombosis, peripheral artery disease, carotid endarterectomy),
- •Previous cardiac surgery,
- •Postponing or canceling the surgery,
- •No preoperative admission to the cardiovascular surgery service and no emergency surgery.
Outcomes
Primary Outcomes
Confusion Assessment Scale in the Intensive Care Unit (CAM-ICU)
Time Frame: Three weeks
With the application of CAM-ICU, an evaluation is made as "there is delirium" or "there is no delirium". CAM-ICU; It consists of four items including sudden change of consciousness or fluctuation in the patient's level of consciousness, attention assessment, and evaluation of thought organization and level of consciousness. According to this scale, in order for patients to be diagnosed with delirium, the first and second items and one of the third or fourth items must result in favor of delirium.
Secondary Outcomes
- Glasgow Coma Scale (GCS)(Three weeks)
- Richmond Agitation-Sedation Scale (RASS)(Three weeks)
- Information Assessment Form for Postoperative Delirium (Pretest-Posttest)(One week)