Volume 21 Issue 4
Apr.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(4): 709-712
CHEN Yu, XING Hongye, XU Zhaojun, ZHOU Xiaoyang. The effect of ABCDEF cluster nursing strategy on the incidence and duration of delirium after cardiac surgery[J]. Chinese Journal of General Practice, 2023, 21(4): 709-712. doi: 10.16766/j.cnki.issn.1674-4152.002965
Citation: CHEN Yu, XING Hongye, XU Zhaojun, ZHOU Xiaoyang. The effect of ABCDEF cluster nursing strategy on the incidence and duration of delirium after cardiac surgery[J]. Chinese Journal of General Practice, 2023, 21(4): 709-712. doi: 10.16766/j.cnki.issn.1674-4152.002965
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The effect of ABCDEF cluster nursing strategy on the incidence and duration of delirium after cardiac surgery

doi: 10.16766/j.cnki.issn.1674-4152.002965

  • Department of Intensive Care Unit, Ningbo Second Hospital, Ningbo, Zhejiang 315000, China

Funds:

 LY19H190001

 2019KY184

  • Received Date: 2022-12-22
    Available Online: 2023-05-31
    Abstract
  •   Objective  To analyze the application of ABCDEF cluster nursing strategy in patients after cardiac surgery and its impact on postoperative delirium.  Methods  A total of 120 patients after cardiac surgery admitted to the Department of Critical Care of Ningbo Second Hospital from June 2020 to June 2022 were selected as the study subjects. They were divided into control group and observation group of 60 cases each according to the random number table method. The patients in the control group were treated with routine nursing, while the patients in the observation group were treated with ABCDEF cluster nursing strategy on the basis of the control group. The risk score and occurrence of postoperative delirium, sleep quality and pain severity before and after nursing were compared between the two groups, as well as the duration of mechanical ventilation, ICU stay and hospital stay.  Results  There was no significant difference in delirium risk score between the two groups at admission and 1 day before operation (P>0.05); With the extension of time, the difference of delirium risk score between the two groups was statistically significant (Fbetween groups=10.233, Pbetween groups < 0.001); The incidence of delirium in the observation group was 10.0% (6/60), lower than 30.0% (18/60) in the control group, and the duration of delirium in the observation group was shorter than that in the control group (P < 0.05). After nursing, the scores of sleep quality and pain degree in the observation group were 8 (3, 12) points and (1.95±1.21) points respectively, which were lower than those in the control group [12 (7, 16) points and (2.56±1.21) points, all P < 0.05]; The mechanical ventilation time, ICU stay and hospital stay of patients in the observation group were less than those in the control group (all P < 0.05).  Conclusion  The ABCDEF cluster nursing strategy can reduce the incidence and duration of delirium in patients after cardiac surgery, reduce postoperative pain, improve sleep quality and reduce hospital stay.

     

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