Application of family empowerment model in postoperative delirium management of patients with Stanford type A aortic dissection
10.3760/cma.j.cn115682-20221212-05969
- VernacularTitle:家属赋能模式在Stanford A型主动脉夹层患者术后谵妄管理中的应用
- Author:
Jun ZHAO
1
;
Shan ZHANG
;
Hongxia ZHAO
;
Xiaohong HU
;
Yanrong QIN
;
Ying WU
Author Information
1. 首都医科大学附属北京安贞医院主动脉外科中心一区，北京 100029
- Keywords:
Aortic dissection;
Intensive Care Unit;
Postoperative delirium;
Family empowerment
- From:
Chinese Journal of Modern Nursing
2023;29(21):2886-2891
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the application effect of family empowerment model on postoperative delirium management in Stanford type A aortic dissection patients.Methods:Using the convenient sampling method, a total of 316 patients with Stanford type A aortic dissection who underwent surgery in Beijing Anzhen Hospital from February to December 2019 were selected as the research objects. The research objects were divided into the observation group ( n=204) and the control group ( n=112) based on whether they have received postoperative delirium management based on family empowerment mode. The Richmond Agitation and Sedation Scale (RASS) and Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) were used to evaluate postoperative delirium in patients. The incidence of delirium, length of ICU stay, the total length of hospital stay and incidence of ICU acquired infection were compared between the two groups. The duration of delirium was recorded and compared between the two groups. Results:The incidence of delirium in the control group was 16.96% (19/112), and the duration of delirium was 3 (3, 4) d. The incidence of delirium in the observation group was 9.31% (19/204), and the duration of delirium was 3 (2, 3) d. The differences between the two groups were statistically significant ( P<0.05). The length of ICU stay in the observation group was (3.38±1.12) d, while that in the control group was (3.74±1.44) d. There was statistically significant difference in the length of ICU stay between the two groups ( P< 0.05). There was no statistically significant difference in the total hospital stay and incidence of ICU acquired infection between the two groups ( P>0.05) . Conclusions:Family empowerment based postoperative delirium management can reduce the incidence and duration of postoperative delirium in Stanford type A aortic dissection patients. Family empowerment mode can reduce the length of ICU hospitalization for patients without increasing the incidence of ICU acquired infections.
