Effect of Programmed Comprehensive Nursing for Postoperative Delirium in Intensive Care Unit Patients

Liao, Juanjuan; Kui, Chuanran; Zhou, Yangchun; Huang, Li; Zuo, Dunwen; Huang, Yuqin; Pan, Ruihong

doi:10.1155/2022/1227659

Cited by 4 publications

(5 citation statements)

References 23 publications

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“…It is similar to Yamada et al (2018). Liao et al (2022) showed that postoperative hypoxemia in ICU patients might cause negative emotions such as directional disorder, hallucinations and irritability, easily leading to SSD. In addition, the brain tissue of older adult patients, which is very sensitive to hypoxia and has a low tolerance, is easily damaged during hypoxia, leading to central nervous system dysfunction and mental disorders.…”

Section: Discussionmentioning

confidence: 55%

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Predictive factors for the duration of subsyndromal delirium in the intensive care unit

Song,

Wang,

Liu

et al. 2024

Journal of Clinical Nursing

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ObjectivesTo evaluate the duration of subsyndromal delirium (SSD) in intensive care unit (ICU) patients and the factors associated with SSD duration.MethodsThis retrospective study included adult patients admitted to the ICU of Affiliated Hospital of Nantong University between December 2019 and June 2020. All patients with Richmond Agitation Sedation Scale scores of ≥−2 were evaluated every 8 h using the confusion assessment method of the intensive care unit (CAM‐ICU) until the patients with SSD were negative, progressed to delirium, fell into a coma, died, or were discharged from the ICU. Multivariable Cox regression analyses were performed to determine the factors associated with SSD duration.ResultsOf the 388 patients, 53.6% had SSD, and 20.7% progressed from SSD to delirium. The duration of SSD ranged from 8 to 248 h, and the median duration was 48 h (interquartile range, 24–72). Age (hazard ratio [HR] = 0.985, 95% confidence interval [CI], 0.971–0.999, p = 0.035), surgery or not (HR = 0.514; 95% CI, 0.310–0.850; p = 0.010), duration of ventilation (HR = 1.003; 95% CI, 1.000–1.006; p = 0.044), duration of hypoxia (HR = 0.212; 95% CI, 0.103–0.438; p < 0.001), and adapted cognitive exam scores (HR = 1.057; 95% CI, 1.030–1.085; p < 0.001) were independently associated with the duration of SSD.ConclusionsThe duration of SSD was associated with age, surgery, duration of ventilation, duration of hypoxia, and cognitive function. SSD has a high incidence among ICU patients, and many patients progress to delirium.Patient or Public ContributionThe study team met with public members of the evaluation teams throughout the project in a series of workshops. Workshops informed study design, data collection tools and data interpretation.Relevance to Clinical PracticeICU staff should pay attention to SSD patients with older age, history of surgery, longer duration of ventilation, prolonged duration of hypoxia, and lower ACE scores.

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Section: Discussionmentioning

confidence: 55%

“…of pain, anxiety, and fear, which could easily lead to acute brain dysfunction and SSD. In addition, some patients may experience acute cerebral ischemia during surgery, which can also cause acute brain dysfunction, leading to a significant increase in the incidence and duration of postoperative SSD (Liao et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Predictive factors for the duration of subsyndromal delirium in the intensive care unit

Song,

Wang,

Liu

et al. 2024

Journal of Clinical Nursing

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“…Programmed comprehensive nursing, being widely used in clinical nursing, has achieved significant nursing effects. It is patient-centered, meets patients’ psychological demands, provides patients with a comfortable hospitalization environment, improves patients’ nursing satisfaction and quality of care, and promotes patients’ speedy recovery[ 18 ]. Programmed nursing combined with cognitive behavioral intervention can improve the clinical efficacy of patients with intracerebral hemorrhage, improve limb motor ability, and reduce neurological deficits, with high safety[ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation care for pain in elderly knee replacement patients

Liu,

Guan,

Wang

2024

World J Clin Cases

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BACKGROUND Total knee arthroplasty (TKA) is recognized as the most effective surgical intervention for relieving pain and improving joint mobility and deformity in patients with knee osteoarthritis and other synovial diseases. The application of accelerated postoperative rehabilitation (enhanced recovery after surgery) has demonstrated its efficacy in improving patient outcomes, and early postoperative joint function exercise has become a key prognostic factor in knee replacement. The unexpected appearance of limb pain and swelling hindered the patient’s tendency for early mobilization, leading in prolonged hospitalization, delayed functional recovery and negative psychological responses. AIM To investigate the impact of incorporating programmed pain nursing with collaborative nursing on elderly patients undergoing knee replacement surgery. METHODS A retrospective analysis was conducted on a cohort of 116 patients who underwent TKA at our hospital between July 2019 and July 2021. The patients were divided into two groups: A control group (n = 58) receiving programmatic nursing, and an observed group (n = 58) receiving programmed nursing combined with a collaborative nursing model. A pain management team consisting of attending physicians, head nurses, and responsible nurses was established. Outcome measures included visual analogue scale (VAS) scores, activities of daily living (ADL) scale scores, and functional scores. RESULTS The ADL scores of patients in both groups exhibited a continuous increase. However, there was no statistically significant difference in the ADL scores between the two groups at 48 h and the 7th d post-surgery (P > 0.05). Upon reexamination at the 3rd mo, the observation group demonstrated higher ADL scores compared to the control group (67.48 ± 14.69 vs 59.40 ± 16.06, P < 0.05). The VAS scores of both groups significantly decreased, with no significant difference observed between the groups at each time point (P > 0.05). The functional status of patients in both groups exhibited a gradual increase prior to intervention and at the 1st, 2nd, and 3rd month following discharge (P < 0.05). There was no statistically significant difference in knee joint function scores between the two groups at the 1st month after discharge (47.52 vs 45.81, P > 0.05). However, the knee joint function scores of patients in the observation group were significantly higher than those in the control group at the 2nd (59.38 vs 53.19, P < 0.05) and 3rd month (71.92 vs 64.34, P < 0.05) following discharge. CONCLUSION The utilization of programmed pain nursing in conjunction with collaborative nursing for out-of-hospital care of TKA patients has demonstrated favorable outcomes, encompassing pain reduction, enhanced prognosis, and improved nursing quality for patients.

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“…Tis article has been retracted by Hindawi following an investigation undertaken by the publisher [1]. Tis investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process:…”

mentioning

confidence: 99%

“…This article has been retracted by Hindawi following an investigation undertaken by the publisher [ 1 ]. This investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process: Discrepancies in scope Discrepancies in the description of the research reported Discrepancies between the availability of data and the research described Inappropriate citations Incoherent, meaningless and/or irrelevant content included in the article Peer-review manipulation …”

mentioning

confidence: 99%

Retracted: Effect of Programmed Comprehensive Nursing for Postoperative Delirium in Intensive Care Unit Patients

Medicine¹

2023

Evidence-Based Complementary and Alternative Medicine

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Effect of Programmed Comprehensive Nursing for Postoperative Delirium in Intensive Care Unit Patients

Cited by 4 publications

References 23 publications

Predictive factors for the duration of subsyndromal delirium in the intensive care unit

Predictive factors for the duration of subsyndromal delirium in the intensive care unit

Rehabilitation care for pain in elderly knee replacement patients

Retracted: Effect of Programmed Comprehensive Nursing for Postoperative Delirium in Intensive Care Unit Patients

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