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The effect of non-pharmacological interventions on the severity and duration of hypoactive delirium in post-operative cardio-thoracic surgery patients
Dissertation (MCur)--University of Pretoria, 2017.
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| Format: | Thesis |
| Language: | English |
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University of Pretoria
2018
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| _version_ | 1867613644150276096 |
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| access_status_str | Open Access |
| author2 | Coetzee, Isabel M. |
| author_browse | Coetzee, Isabel M. |
| author_facet | Coetzee, Isabel M. |
| collection | Thesis |
| dc_rights_str_mv | © 2018 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Dissertation (MCur)--University of Pretoria, 2017. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/67751 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:39:25.358Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2018 |
| publishDateRange | 2018 |
| publishDateSort | 2018 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/67751 The effect of non-pharmacological interventions on the severity and duration of hypoactive delirium in post-operative cardio-thoracic surgery patients Coetzee, Isabel M. arietakruger@gmail.com White, Zelda Kruger, Arieta Unrestricted UCTD SDG-03: Good health and well-being Dissertation (MCur)--University of Pretoria, 2017. The prevalence of Hypoactive delirium and delirium in Intensive Care Units (ICU) can be as high as 80% and is characterized by decreased cognitive function, inattentive thinking, and fluctuation of consciousness, disorientation and confusion which could result in an increase of 6 months mortality and cognitive impairment. If no screening tool for detection for hypoactive delirium and delirium is utilized, it will be undetected and the outcome will be worse if no non-pharmacological interventions are in place. The aim and objective of the study was to assess the effect of non-pharmacological interventions on the severity and duration of hypoactive delirium and delirium in ICU patients following cardio-thoracic surgery. The Quasi experimental non-equivalent control group design was used. The setting was a private hospital of 138 beds with 18 ICU beds based in Gauteng. The population was chosen by convenient sampling and consisted of post-operative Cardio-thoracic surgery participants who met the inclusion criteria and gave informed consent pre-operatively. The control group of 30 participants enrolled firstly. If the participants screened positive for hypoactive delirium or delirium on day 1 at 8:00 with screening utilizing the Intensive care delirium screen checklist (ICDSC), they were enrolled into the study and received standard nursing care. They were screened again at 16:00 with the ICDSC to assess the prevalence and duration of delirium or hypoactive delirium if no intervention was implemented. The intervention group was enrolled in the same manner and screened with the ICDSC at 8:00 and 16:00. They received non-pharmacological interventions instead together with standard nursing care. The difference in the ICDSC checklist scores was utilized for data analysis. The results showed that the duration in hours from hypoactive delirium and delirium to no delirium in the intervention group (62,4 hours to no delirium) was significantly shorter than in the control group (72,3 hours to no delirium) thus therefore supported the hypothesis. Limitations to this study were that only one ICU unit in a private hospital was used with a small sample size consisting out of cardio-thoracic patients. em2026 Nursing Science MCur Unrestricted SDG-03: Good health and well-being 2018-12-05T08:04:49Z 2018-12-05T08:04:49Z 2009/06/18 2017 Dissertation Kruger, A 2017, The effect of non-pharmacological interventions on the severity and duration of hypoactive delirium in post-operative cardio-thoracic surgery patients, MCur Dissertation, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/67751> S2018 http://hdl.handle.net/2263/67751 en © 2018 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | Unrestricted UCTD SDG-03: Good health and well-being The effect of non-pharmacological interventions on the severity and duration of hypoactive delirium in post-operative cardio-thoracic surgery patients |
| title | The effect of non-pharmacological interventions on the severity and duration of hypoactive delirium in post-operative cardio-thoracic surgery patients |
| title_full | The effect of non-pharmacological interventions on the severity and duration of hypoactive delirium in post-operative cardio-thoracic surgery patients |
| title_fullStr | The effect of non-pharmacological interventions on the severity and duration of hypoactive delirium in post-operative cardio-thoracic surgery patients |
| title_full_unstemmed | The effect of non-pharmacological interventions on the severity and duration of hypoactive delirium in post-operative cardio-thoracic surgery patients |
| title_short | The effect of non-pharmacological interventions on the severity and duration of hypoactive delirium in post-operative cardio-thoracic surgery patients |
| title_sort | effect of non pharmacological interventions on the severity and duration of hypoactive delirium in post operative cardio thoracic surgery patients |
| topic | Unrestricted UCTD SDG-03: Good health and well-being |
| url | http://hdl.handle.net/2263/67751 |