Effectiveness of Postoperative Delirium Prevention, Diagnosis and Intervention Protocol on Patients Monitored in the Intensive Care Unit After Cardiac Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 64
- 试验地点
- 2
- 主要终点
- Confusion Assessment Scale in the Intensive Care Unit (CAM-ICU)
研究概览
简要总结
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.
详细描述
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".
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •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.
研究组 & 干预措施
Control group (standard clinical care)
Control group receiving standard care administered by doctors and nurses for delirium management in the intensive care unit
Intervention group (care with protocol)
The intervention group received care in line with the postoperative delirium prevention, diagnosis and intervention protocol after the delirium training given by the researcher to intensive care unit nurses.
干预措施: training nurses and caring for patients to prevent, diagnose, and intervene in postoperative delirium. (Other)
结局指标
主要结局
Confusion Assessment Scale in the Intensive Care Unit (CAM-ICU)
时间窗: 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.
次要结局
- Glasgow Coma Scale (GCS)(Three weeks)
- Richmond Agitation-Sedation Scale (RASS)(Three weeks)
- Information Assessment Form for Postoperative Delirium (Pretest-Posttest)(One week)
研究者
Gonul Kara Soylemez
Instructor
Mustafa Kemal University