Effect of early intervention on prevention of delirium in patients with elective surgery
10.3760/cma.j.issn.1672-7088.2019.35.009
- VernacularTitle: 早期干预对预防择期手术患者谵妄的效果研究
- Author:
Fenlian LIU
1
;
Fangbao HU
1
;
Zhenfeng YU
2
;
Xianghong CAI
3
;
Jia HU
1
;
Ying WANG
1
Author Information
1. ICU, Shanghai Fengxian Central Hospital, Shanghai 201499, China
2. Research Department, Shanghai Fengxian Central Hospital, Shanghai 201499, China
3. General Surgery Department, Shanghai Fengxian Central Hospital, Shanghai 201499, China
- Publication Type:Journal Article
- Keywords:
Delirium;
Early stage;
Intervention;
Elective surgery
- From:
Chinese Journal of Practical Nursing
2019;35(35):2761-2765
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of early intervention on the prevention of delirium in patients undergoing elective surgery.
Methods:Totally 200 patients scheduled for surgery and admitted to ICU during Oct. 2016 to Jun. 2018 were assigned to two groups (n=100). Both the observation group (group A) and the control group (group B) received routine nursing care from wards, operating room and ICU nurses. In addition, the observation group (group A) were intervened by ICU nurses by means of nursing measures to prevent delirium the day before surgery. The differences of delirium incidence, delirium duration, and length of stay in ICU, satisfaction and anxiety scores between the two groups were measured.
Results:The incidence and duration of delirium, length of stay in ICU, satisfaction rate of ICU, S-AI scores between group A and B were 16% (16/100) vs. 29% (29/100), 4(3.1, 10.6) h vs. 12(9.2, 14.6) h, (33.06 ±16.06) h vs. (39.96±25.47) h and (56.25 ±5.74) vs. (41.59 ±4.94), (50.17±1.56) vs.(52.37±3.52) respectively (χ2=4.129, Z=-2.757, t=2.291,-19.349, 5.718, all P < 0.05).
Conclusion:Early intervention can effectively prevent and reduce the incidence of ICU delirium in patients undergoing elective surgery.
