Preoperative Intervention to Reduce Delirium After Cardiac Surgery

Changhua Christian Medical Foundation

Status: Unknown

Conditions: Cardiac Surgery

Treatments: Behavioral: Routine care; Behavioral: Cognitive therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05143580

CCH-CT-MZ01

Details and patient eligibility

About

This research is designed for experimental quantitative research and is conducted by simple random sampling. Both the control group and the experimental group provided preoperative routine nursing treatment and preoperative medical teaching manuals. The latter adds cognitive therapy and gamification evaluation. Both groups used CAM-ICU to assess the occurrence and duration of postoperative delirium, and DRS-R-98 was used to assess the severity of delirium. After collection, use SPSS 22.0 statistical software package for analysis and processing. The expected result is that the incidence of delirium, the duration of delirium, and the severity of delirium in the experimental group were significantly lower than those in the control group.

Full description

This study is an experimental quantitative research design. Both the control group and the experimental group provide routine nursing treatment and preoperative medical teaching manuals before surgery. The latter adds cognitive therapy and gamification evaluation of "Postoperative Care and Environmental Image Data Explanation". The two groups used CAM-ICU to assess the occurrence and duration of delirium after surgery, and DRS-R-98 was used to assess the severity of delirium. From 2021 to 2022, a simple random sampling method is adopted for patients undergoing cardiac surgery in the intensive care unit of a medical center in Central Taiwan, and a lottery is drawn on the first day of each month to determine the belong to which group in the current month. There were 55 persons in each group, and all subjects had no cognitive impairment. After the collected, it was analyzed and processed with SPSS 22.0 statistical package software.

Expected results: The incidence of delirium, the duration of delirium, and the severity of delirium in the experimental group were significantly lower than the control group.

Enrollment: 120 estimated patients

Sex: All

Ages: 20 to 80 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Expected to undergo traditional thoracotomy or minimally invasive surgery for cardiac surgery.
• No cognitive impairment before surgery.

Exclusion criteria

• Diagnosed with aortic dissection.
• Previously admitted to the intensive care unit.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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120 participants in 2 patient groups, including a placebo group

Cognitive Therapy Group

Experimental group

Description:

* The anesthesiologist will provide the patient with instructions for preoperative anesthesia. * The operating room nurses will introduce the operating room environment and surgical care instructions to the patient. * Provide a manual for disease health education. * Provide post-operative care and environmental imaging materials, explain the importance of intensive care unit routines and related equipment, indwelling pipelines, related nursing staff, post-operative care methods, and provide imaging and health education manuals for explanation. * Use gamification to evaluate: pain relief skills, lung expansion skills.

Treatment:

Behavioral: Cognitive therapy

Routine Care Group

Placebo Comparator group

Description:

* The anesthesiologist will provide the patient with instructions for preoperative anesthesia. * The operating room nurses will introduce the operating room environment and surgical care instructions to the patient. * Provide a manual for disease health education.

Treatment:

Behavioral: Routine care