nursing-diagnosis-midwifery-2018-posters

Nursing Diagnosis & Midwifery 2018

S e p t e m b e r 1 0 - 1 1 , 2 0 1 8

P r a g u e , C z e c h R e p u b l i c

Page 86

Journal of Nursing and Health Studies

ISSN: 2574-2825

E u r o S c i C o n E v e n t o n

Nursing Diagnosis &

Midwifery

Background:

Delirium is a disease associated with an acute decline in mental function. It is typically characterized by disorder in the level

of consciousness, attentional deficits and cognitive changes. Also, it has a fluctuating course. Delirium mostly affects the older patients and

the hospitalized patients, especially after extensive surgeries. Anxiety is an unpleasant state of tension or pressure that is caused by fear of

illness, hospitalization, anesthesia or surgery. In some patients, in addition to anxiety, a psychological disturbance and acute confusion state

emerges that is called delirium which exacerbates the original complications caused by the disease and increases the length of hospital

stay in intensive care unit. The present study aims to scrutinize the effect of familiarization tour on delirium incidence on the anxiety of the

patients admitted to the intensive care unit after open heart surgery.

Methods:

This study is a randomized clinical trial with control group. The statistical population of this study includes all patients admitted

to the cardiology section of Fatima Al-zahra Hospital in Sari as many as 84 of the patients were randomly selected. Instrument of the

research were Spielberger Anxiety Inventory applied in three stages of preoperative stage, after extubation of the endotracheal tube and

before discharge as well as and post-operative ICDSC delirium screening test. The obtained data were analysed using descriptive statistics

methods such as mean score, standard deviation, frequency distribution tables and percentage of frequency, and inferential tests such as

t-test, Chi-square and Fisher test via SPSS 21 software.

Results:

The findings indicated that there was no significant difference between the research samples of the intervention group and the

control group in any of the demographic variables. Also, the results indicated that there was significant statistical difference between these

two groups in the delirium incidence (p=0.049). In addition, there was significant difference between these two groups in the anxiety level

after extubating tracheal tube (p<0.001) and before the discharge in ICU (p=0.004).

Conclusion:

The results indicated that the orientation tour could affect the delirium and anxiety incidences after cardiac surgery and reduce

the delirium and anxiety incidences of such patients. Thus, it is recommended that the nurses use this method to reduce the delirium and

anxiety incidences of the patients.

The effectiveness of orientation tour on post-

operative delirium and anxiety of patients with

open heart surgery

Nooredin Mohammadi

, Faraji Tabar A, Farahani MA and

Haghani H

Iran University of Medical Sciences, Iran

J Nurs Health Stud 2018 Volume: 3

DOI: 10.21767/2574-2825-C4-012