Prevention of four-stage early activities based on the concept of rapid re-habilitation surgery on delirium after cardiac valve replacement
Objective To explore the effect of four-stage early activities based on the concept of rapid rehabilitation surgery on the prevention of delirium after cardiac valve replacement.Methods A total of 100 patients who were scheduled to undergo cardiac valve replacement in the First Affiliated Hospital of Xinjiang Medical University from June 2020 to July 2022 were selected for this study.They were divided into control group and observation group by random number table method,with 50 cases in each group.The patients in the control group received routine nursing measures,and the patients in the observation group were given a four-stage early activity based on the concept of rapid rehabilitation surgery on the basis of the control group.The critical care delirium screening scale was used to evaluate the occurrence of delirium within seven days after surgery,and the first occurrence and duration of delirium were recorded.The length of hospital stay and mechanical ventilation were compared between the two groups.Results Within seven days after operation,26 cases(52%)of the control group had delirium.There were 16 cases of delirium in the observation group,accounting for 32%.The incidence of delirium in the observation group was lower than that in the control group,the difference was statistically significant(P＜0.05).The first occurrence time and duration of delirium in the observation group were shorter than those in the control group,and the differences were statistically significant(P＜0.05).The hospitalization time of observation group was shorter than that of control group,the difference was statistically significant(P＜0.05).Conclusion The four-stage early activity based on the concept of rapid rehabilitation surgery can reduce the occurrence of postoperative delirium,shorten the duration of delirium,reduce the incidence of delirium related adverse events,and shorten the duration of hospitalization in patients undergoing cardiac valve replacement.
Early activitiesCardiac valve replacementDeliriumRapid rehabilitation surgery concept
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