The effect of nursing interventions on the incidence of delirium after open heart surgery
Design
In this study, 60 patients were conveniently sampled and randomly allocated to the experimental and control groups. The random number table will be used for random allocation. Blinding will not be performed in this study. The CAM-ICU scale will be used for diagnosis of delirium.
Settings and conduct
This study will be conducted in the intensive care unit of Shahid Beheshti Hospital in Qom. Interventions will begin immediately after open heart surgery.The intervention will last for three days. Blinding will not be performed in this study. The incidence of delirium in the first, second and third days after surgery will be compared between the experimental and control groups.
Participants/Inclusion and exclusion criteria
Inclusion criteria: patient's satisfaction to participate in the survey; age over18 years; lack of alcoholism; being healthy vision and hearing or eliminating defects by using of eyeglasses or hearing aids. Exclusion criteria: transferring the patient to the other units; cardiopulmonary resuscitation and died of patient.
Intervention groups
In the experimental group, in addition to routine care, nursing interventions included teaching nursing staffs about the diagnose and care for patients with delirium, put a clock and calendar in exposing the patients, reducing ambient light at night, using glasses for patients with eye problems, and using hearing aids for patients with hearing problems will be don. In the control group, only routine care, including allowing the patient to meet with their family and reducing the noise of environments during the night will be performed.
Main outcome variables
The main outcome variable in this study would be the incidence of delirium.
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20150724023314N2
Registration date:2020-02-08, 1398/11/19
Registration timing:registered_while_recruiting
Last update:2020-02-08, 1398/11/19
Update count:1
Registration date
2020-02-08, 1398/11/19
Registrant information
Name
Mohammad Abbasinia
Name of organization / entity
Qom university of medical sciences
Country
Iran (Islamic Republic of)
Phone
+98 25 3242 4753
Email address
mabasiniya@muq.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2019-12-06, 1398/09/15
Expected recruitment end date
2020-02-19, 1398/11/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of nursing interventions on the incidence of delirium after open heart surgery
Public title
The effect of a nursing intervention on the incidence of delirium
Purpose
Prevention
Inclusion/Exclusion criteria
Inclusion criteria:
Age18 years and over
Lack of understanding and underlying disease such as dementia
No alcohol addiction
Being healthy vision and hearing or eliminating defects by using of eyeglasses or hearing aids
No use of psychotropic drugs
Exclusion criteria:
Patient's unwillingness to continue participating in the study
Transfer the patient to another ward or medical center
Starting sedation drugs
Cardiopulmonary resuscitation
Age
From 18 years old to 80 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
60
Randomization (investigator's opinion)
Randomized
Randomization description
Participants will be assigned to intervention and control groups using a random number table.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committee of Qom University of Medical Sciences
Street address
Qom University of Medical Sciences, Saheli street, Qom.
City
Qom
Province
Ghoum
Postal code
3713649373
Approval date
2019-07-13, 1398/04/22
Ethics committee reference number
MUQ.REC.1398.136
Health conditions studied
1
Description of health condition studied
Delirium
ICD-10 code
F05
ICD-10 code description
Delirium, not induced by alcohol and other psychoactive substances
Primary outcomes
1
Description
Incidence of delirium
Timepoint
First, second and third day of surgery
Method of measurement
CAM-ICU Scale
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: In the experimental group, in addition to routine care, nursing interventions included teaching nursing staffs about the diagnose and care for patients with delirium, put a clock and calendar in exposing the patients, reducing ambient light at night, using glasses for patients with eye problems, and using hearing aids for patients with hearing problems will be don.
Category
Prevention
2
Description
Control group: In the control group, only routine care, including allowing the patient to meet with their family and reducing the noise of environments during the night will be performed.