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The multi component intervention to prevent postoperative delirium after open-heart surgery

机译:心内直视手术后预防component妄的多成分干预

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Objective: To assess a multi-component intervention to prevent post operative delirium after open-heart surgery.Method: This is an experimental-analytic study which assessed 32 patients 45 to 70 years of age after open-heart surgery in to 16 member groups (case and control). From second days after operation until three days later, by 6 risk factors: cognitive? visual and auditory impairment? immobility, dehydration and sleep deprivation were assessed and a standard protocol was used for case group. Incidence of delirium was determined by clinical interview; based on DSM-IV-TR; twice a day (morning and evening). Result were analyzed by t-test and S- plus.Results: The median of total number of risk factors and immobility in case group had a significant reduction in comparison to control group. There were trends towards reduction in other risk factors and incidence of delirium. Conclusion: Primary prevention of delirium is probably the most effective treatment strategy.
机译:目的:评估一项多因素干预措施,预防心脏直视手术后的del妄症。方法:这是一项实验分析研究,评估了16个成员组中32位45至70岁的心脏直视手术后患者(案例和控制)。从术后第二天到术后三天,受到6个危险因素的影响:认知?视听障碍?评估不动,脱水和睡眠不足,并针对病例组使用标准方案。 clinical妄的发生率通过临床访谈确定;基于DSM-IV-TR;每天两次(早上和晚上)。结果:通过t检验和S-plus分析。结果:与对照组相比,病例组中危险因素总数和不动产的中位数明显减少。其他危险因素和del妄发生率都有降低的趋势。结论:初步预防of妄可能是最有效的治疗策略。

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