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Volume 23 |
April - June 2007 (Part-I) |
Number 2 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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Volume 23 |
April - June 2007 (Part-I) |
Number 2 |
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The multi component intervention to prevent
postoperative delirium after open-heart surgery
Ali Nazeri Astaneh1, N. Khajehmougahi2, S. Pakseresht3, A. Ramezani4ABSTRACT
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.
Key words: Risk factors Delirium¸ Preventive strategies, Open-heart surgery.
Pak J Med Sci April 2007 Vol. 23 No. 2 188-192
1. Dr. Ali Nazeri Astaneh.,
Consultant Psychiatrist,
2. Dr. N. Khajehmougahi.,
Clinical Psychologist,
3. Dr. S. Pakseresht.
Psychiatrist,
4. Dr. A. Ramezani.,
Cardiac surgeon,
1-4 Ahwaz Jondi Shapur University of Medical Sciences,
Cardiac surgery ward,
Golestan Hospital,
P.O.Box173,
Ahwaz – Iran.
Correspondence
Dr. Ali Nazeri Astaneh
E-mail: alinazeri_76@yahoo.com
* Received for Publication: May 30, 2006
* Accepted: October 3, 2006
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