Turkish Journal of
Cardiovascular Nursing
Review

Prevention of Delirium in Intensive Care Patients After Open Heart Surgery

1.

Department of Surgical Diseases Nursing, Dokuz Eylul University, Health Sciences Institute, Izmir, Turkey

2.

Surgical Nursing Department, Dokuz Eylul University, Faculty of Nursing, Izmir, Turkey

Turkish Journal of Cardiovascular Nursing 2022; 13: 43-49
DOI: 10.5543/khd.2022.213256
Read: 1033 Downloads: 318 Published: 25 April 2022

Objective: This article was written to describe the risk factors of delirium, the scales used in the diagnosis of delirium, and the interventions to prevent delirium in patients after open heart surgery.

Methods: The article is review.

Results: Delirium is an acute confusional state characterized by loss of orientation, impaired attention and memory. It is known that delirium occurs for many different reasons and is reversible. In a systematic review of delirium after cardiac surgery, the incidence of delirium is between 3% and 70%. There are preoperative, intraoperative and postoperative risk factors that cause to emergence of delirium in open heart surgery. After open heart surgery, patients should be routinely diagnosed for delirium with a valid and reliable delirium assessment tool at every shift change in the intensive care unit. And in the intensive care unit, a relationship of trust should be established with patients, effective communication techniques should be used, environmental arrangements should be made for the orientation of the patients, such as the use of clock and calendar. In the early postoperative period, patients should be active with mobilization, patients should be evaluated for pain and convenient pain management should be applied when the patient has pain. It is also important that patients continue to sleep at night in that time.

Conclusion: It is recommended that these multi-component interventions should be implemented in the prevention of delirium.

Cite this article as: Ulus M, Durmaz Eder A. Açik kalp cerrahisi sonrasi yoğun bakim hastalarinda deliryumun önlenmesi. Turk J Cardiovasc Nurs 2022;13(30):43-49.

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EISSN 2149-4975