Clinical trial NCT05143580: Preoperative Intervention to Reduce Delirium After Cardiac Surgery
Official title: Preoperative Cognitive Therapy Intervention in Reducing Delirium After Cardiac Surgery
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Cardiac Surgery
Keywords: Delirium after cardiac surgery
Cognitive therapy
Gamification
Lead sponsor: Changhua Christian Hospital
Sponsor class: OTHER
First posted: 2021-12-03
Enrollment: 120
Sex: ALL
Minimum age (years): 20
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Acceptance conditions: Patients who are expected to undergo traditional thoracotomy or minimally invasive surgery for cardiac surgery, and those who are over 20 years old and have no cognitive impairment before surgery.

Excluded conditions: patients diagnosed with aortic dissection, over 80 years of age, and previously admitted to the intensive care unit.
Primary purpose: SUPPORTIVE_CARE

Brief summary: 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.

Detailed 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.

Eligibility criteria: 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.

Primary outcomes:
measure: Incidence of delirium
timeFrame: After surgery, the patient was evaluated at 48 hours.
measure: Duration of delirium
timeFrame: Completed through delirium, an average of one month.
measure: Severity of delirium
timeFrame: When delirium occurs, assessment is conducted at 9 am every day until the end of delirium, an average of one month.
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
References: