Effect of programmed comprehensive nursing on delirium incidence in intensive care unit children following severe cardiac surgery  

作　　者：Qiu-Yue Wang Xiang Wang Ming-Xiong Li 

机构地区：[1]Department of Cardiothoracic Surgery,Children’s Hospital of Nanjing Medical University,Nanjing 210000,Jiangsu Province,China

出　　处：《World Journal of Psychiatry》2024年第9期1301-1307,共7页世界精神病学杂志

摘　　要：BACKGROUND Programmed comprehensive nursing was adopted for intensive care unit(ICU)children following severe cardiac surgery to improve respiratory function and delirium incidence.AIM To explore how programmed comprehensive nursing impacts respiratory func-tion and delirium incidence in ICU children post cardiac surgery.METHODS Between January 2022 and January 2024,180 pediatric patients from the Chil-dren’s Hospital of Nanjing were admitted to the ICU after cardiac surgery and randomly grouped.The control group comprised 90 patients and received routine nursing care.The observation group comprised 90 patients and received program-med comprehensive nursing.Both groups received continuous nursing care until discharge.Their respiratory function,incidence of delirium,and clinical outcomes were compared.The memory state and sleep quality of both groups were com-pared.RESULTS The incidence of delirium was 5.56%in the observation group when admitted to ICU,which was lower than that in the control group(20.00%;P<0.05).The observation group demonstrated higher peak expiratory flow rate,respiratory frequency,deep breathing volume,and tidal volume in the ICU compared with the control group.Additionally,the observation group showed higher sleep depth,sleep latency,night awakening,return to sleep,and sleep quality com-pared with the control group(P<0.05).CONCLUSION Programmed comprehensive nursing in ICU patients following severe cardiac surgery can reduce the impact on respiratory function,improve sleep quality,and alleviate postoperative delirium,showing significant promise for clinical application.

关 键 词：Programmed comprehensive nursing Intensive care unit Cardiac surgery Respiratory function DELIRIUM 

分 类 号：R740[医药卫生—神经病学与精神病学]