Preoperative education on postoperative delirium, anxiety, and knowledge in pulmonary thromboendarterectomy patients

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
Cassia ChevillonSon Chae Kim

Abstract

Delirium is the most common postoperative psychiatric condition in intensive care settings and can lead to increased complications and costs. To evaluate the impact of multifaceted preoperative patient education on postoperative delirium, anxiety, and knowledge and to explore predictors of postoperative delirium, days of mechanical ventilation, and days in the intensive care unit (ICU) in patients undergoing pulmonary thromboendarterectomy. A prospective, randomized controlled trial was conducted on consented patients from October 2011 to April 2013. Patients were randomized in a 1 to 1 ratio to receive either an individualized 45-minute multifaceted preoperative education (experimental group, n = 63) or standard education (control group, n = 66). Participants completed the State-Trait Anxiety Inventory and Knowledge Test before and after the education. Data on incidence of delirium, days of mechanical ventilation, ICU days, and cardiopulmonary parameters were collected. The experimental group had significantly more knowledge about postoperative care (P< .001) and fewer days of mechanical ventilation (P = .04) than the control group. The 2 groups did not differ significantly in anxiety, incidence of delirium, or ICU days. In ex...Continue Reading

Citations

Mar 10, 2018·JBI Database of Systematic Reviews and Implementation Reports·Joan McNeilCatherine M Concert
May 27, 2016·The Cochrane Database of Systematic Reviews·Rachael PowellMarie Johnston
May 30, 2017·Computer Methods in Biomechanics and Biomedical Engineering·Khaled Ben Abdessalem, Ridha Ben Saleh
Aug 22, 2020·Journal of Multidisciplinary Healthcare·Judy MundayFiona Coyer
Mar 27, 2021·British Journal of Nursing : BJN·Priya Shaji, Catherine McCabe
Dec 1, 2020·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Surui LiangKai Chow Choi

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