PERIOPERATIVE PSYCHO-EDUCATIONAL INTERVENTION CAN REDUCE POSTOPERATIVE DELIRIUM IN PATIENTS AFTER CARDIAC SURGERY: A PILOT STUDY

被引:17
作者
Lee, Jeewon [1 ]
Jung, Joonho [1 ]
Noh, Jai Sung [1 ]
Yoo, Seungmin [1 ]
Hong, You Sun [1 ]
机构
[1] Ajou Univ, Med Ctr, Suwon 443721, South Korea
关键词
postoperative delirium; psycho-educational intervention; cardiac surgery; BYPASS GRAFT-SURGERY; HOSPITALIZED OLDER PATIENTS; CONTROLLED-TRIAL; RISK-FACTORS; SURGICAL RECOVERY; ELDERLY-PATIENTS; PREVENTION; STRESS; REPLACEMENT; DONEPEZIL;
D O I
10.2190/PM.45.2.d
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: Postoperative delirium after cardiac surgery is associated with many consequences such as poorer functional recovery, more frequent postoperative complications, higher mortality, increased length of hospital stay, and higher hospital costs. The aim of this study was to evaluate the efficacy of perioperative psycho-educational intervention in preventing postoperative delirium in post cardiac surgery patients. Method: We conducted a comparative retrospective study between 49 patients who had received perioperative psycho-educational intervention and 46 patients who had received standard care. The primary outcome was the incidence of postoperative delirium. Secondary outcomes included length of ICU stay, and severity and duration of postoperative delirium among the patients who had developed delirium. Results: The incidence of postoperative delirium was significantly lower in the intervention group than that in the control group (12.24% vs. 34.78%, P = 0.009). Among the patients who had developed postoperative delirium, there was no statistical difference between the two groups regarding secondary outcomes. Conclusions: Our results show that the patients who received perioperative psycho-educational intervention were associated with a lower incidence of postoperative delirium after cardiac surgery than those who received standard care. Clinicians would be able to implement this psycho-educational intervention as part of routine practice to reduce delirium.
引用
收藏
页码:143 / 158
页数:16
相关论文
共 50 条
[41]   Postoperative delirium after cardiac surgery of elderly patients as an independent risk factor for prolonged length of stay in intensive care unit and in hospital [J].
Kirfel, Andrea ;
Menzenbach, Jan ;
Guttenthaler, Vera ;
Feggeler, Johanna ;
Mayr, Andreas ;
Coburn, Mark ;
Wittmann, Maria .
AGING CLINICAL AND EXPERIMENTAL RESEARCH, 2021, 33 (11) :3047-3056
[42]   Postoperative delirium after cardiac surgery of elderly patients as an independent risk factor for prolonged length of stay in intensive care unit and in hospital [J].
Andrea Kirfel ;
Jan Menzenbach ;
Vera Guttenthaler ;
Johanna Feggeler ;
Andreas Mayr ;
Mark Coburn ;
Maria Wittmann .
Aging Clinical and Experimental Research, 2021, 33 :3047-3056
[43]   Effect of Ascorbic Acid on the Incidence of Postoperative Delirium Among Elderly Patients Undergoing Cardiovascular Surgery: A Pilot Study [J].
Iizuka, Yusuke ;
Fukano, Kentaro ;
Oki, Sayaka ;
Sawada, Ikumi ;
Miyazawa, Keika ;
Ono, Shohei ;
Yoshinaga, Koichi ;
Sanui, Masamitsu ;
Yamaguchi, Atsushi .
JOURNAL OF CLINICAL MEDICINE RESEARCH-CANADA, 2025, 17 (03) :145-152
[44]   Can nurse-led preoperative education reduce anxiety and postoperative complications of patients undergoing cardiac surgery? [J].
Kalogianni, Antonia ;
Almpani, Panagiota ;
Vastardis, Leonidas ;
Baltopoulos, George ;
Charitos, Christos ;
Brokalaki, Hero .
EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 2016, 15 (06) :447-458
[45]   Establishment and validation of a nomogram of postoperative delirium in patients undergoing cardiac surgery: a retrospective study of MIMIC-IV [J].
Mei, Huaxian ;
Liao, Gang ;
Ye, Baning ;
Wen, Mingxiang ;
Li, Jianquan .
BMC CARDIOVASCULAR DISORDERS, 2025, 25 (01)
[46]   Risk factors for postoperative delirium after elective major abdominal surgery in elderly patients: A cohort study [J].
Janssen, T. L. ;
Steyerberg, E. W. ;
Faes, M. C. ;
Wijsman, J. H. ;
Gobardhan, P. D. ;
Ho, G. H. ;
van der Laan, L. .
INTERNATIONAL JOURNAL OF SURGERY, 2019, 71 :29-35
[47]   Butyrylcholinesterase activity in patients with postoperative delirium after cardiothoracic surgery or percutaneous valve replacement- an observational interdisciplinary cohort study [J].
Konstantin Schlake ;
Johannes Teller ;
Lukas Hinken ;
Hans Laser ;
Ralf Lichtinghagen ;
Andreas Schäfer ;
Christine Fegbeutel ;
Karin Weissenborn ;
Carolin Jung ;
Hans Worthmann ;
Maria Magdalena Gabriel .
BMC Neurology, 24
[48]   Butyrylcholinesterase activity in patients with postoperative delirium after cardiothoracic surgery or percutaneous valve replacement- an observational interdisciplinary cohort study [J].
Schlake, Konstantin ;
Teller, Johannes ;
Hinken, Lukas ;
Laser, Hans ;
Lichtinghagen, Ralf ;
Schaefer, Andreas ;
Fegbeutel, Christine ;
Weissenborn, Karin ;
Jung, Carolin ;
Worthmann, Hans ;
Gabriel, Maria Magdalena .
BMC NEUROLOGY, 2024, 24 (01)
[49]   Predisposing and Precipitating Factors Associated With Postoperative Delirium in Patients Undergoing Cardiac Surgery at a Veterans Affairs Medical Center: A Pilot Retrospective Analysis [J].
Russell, Matthew D. ;
Pinkerton, Carolyn ;
Sherman, Katherine A. ;
Ebert, Thomas J. ;
Pagel, Paul S. .
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2020, 34 (08) :2103-2110
[50]   Perioperative dexmedetomidine reduces delirium in elderly patients after non-cardiac surgery: a systematic review and meta-analysis of randomized-controlled trials [J].
Pan, Hao ;
Liu, Chengxiao ;
Ma, Xiaochun ;
Xu, Yanbing ;
Zhang, Mengyuan ;
Wang, Yan .
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 2019, 66 (12) :1489-1500