Case Control Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Sep 19, 2024; 14(9): 1301-1307
Published online Sep 19, 2024. doi: 10.5498/wjp.v14.i9.1301
Effect of programmed comprehensive nursing on delirium incidence in intensive care unit children following severe cardiac surgery
Qiu-Yue Wang, Xiang Wang, Ming-Xiong Li
Qiu-Yue Wang, Xiang Wang, Ming-Xiong Li, Department of Cardiothoracic Surgery, Children’s Hospital of Nanjing Medical University, Nanjing 210000, Jiangsu Province, China
Co-first authors: Qiu-Yue Wang and Xiang Wang.
Author contributions: Wang QY and Wang X designed the study; Wang QY, Wang X, and Li MX contributed to the analysis of the manuscript; Wang QY and Wang X involved in the data and writing of this article; and all authors have read and approved the final manuscript. Two co-first authors (Wang QY and Wang X) made equal contributions for several reasons: Wang QY and Wang X undertook work of equal importance and workload in the research project. They both contributed to the success of the research by applying their professional knowledge and expertise. In terms of research design and planning, both Wang QY and Wang X participated in formulating the research plan, including the clarification of research objectives, selection of methods, and design of the experimental process. They discussed and determined the most appropriate research plan. Both of them equally contributed to the data collection to ensure the accuracy and integrity of the data. During data analysis, they interpreted the data to ensure the reliability of the results. During the interpretation and discussion stage, Wang QY and Wang X participated in the interpretation and discussion of the results and thoroughly explored the significance and impact of the research findings. During the writing and revision process, they collaborated closely and carefully wrote each section.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of Children’s Hospital of Nanjing Medical University.
Informed consent statement: All study participants and their legal guardians provided written informed consent before recruitment.
Conflict-of-interest statement: The authors report no relevant conflicts of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ming-Xiong Li, MNurs, Nurse, Department of Cardiothoracic Surgery, Children’s Hospital of Nanjing Medical University, No. 8 Jiangdong South Road, Jianye District, Nanjing 210000, Jiangsu Province, China. 179350188@qq.com
Received: July 23, 2024
Revised: August 13, 2024
Accepted: August 14, 2024
Published online: September 19, 2024
Processing time: 49 Days and 18.8 Hours
Abstract
BACKGROUND

Programmed comprehensive nursing was adopted for intensive care unit (ICU) children following severe cardiac surgery to improve respiratory function and delirium incidence.

AIM

To explore how programmed comprehensive nursing impacts respiratory function and delirium incidence in ICU children post cardiac surgery.

METHODS

Between January 2022 and January 2024, 180 pediatric patients from the Children’s Hospital of Nanjing were admitted to the ICU after cardiac surgery and randomly grouped. The control group comprised 90 patients and received routine nursing care. The observation group comprised 90 patients and received programmed comprehensive nursing. Both groups received continuous nursing care until discharge. Their respiratory function, incidence of delirium, and clinical outcomes were compared. The memory state and sleep quality of both groups were compared.

RESULTS

The incidence of delirium was 5.56% in the observation group when admitted to ICU, which was lower than that in the control group (20.00%; P < 0.05). The observation group demonstrated higher peak expiratory flow rate, respiratory frequency, deep breathing volume, and tidal volume in the ICU compared with the control group. Additionally, the observation group showed higher sleep depth, sleep latency, night awakening, return to sleep, and sleep quality compared with the control group (P < 0.05).

CONCLUSION

Programmed comprehensive nursing in ICU patients following severe cardiac surgery can reduce the impact on respiratory function, improve sleep quality, and alleviate postoperative delirium, showing significant promise for clinical application.

Keywords: Programmed comprehensive nursing; Intensive care unit; Cardiac surgery; Respiratory function; Delirium

Core Tip: The application of programmed comprehensive nursing in children with severe cardiac surgery in intensive care unit (ICU) can improve respiratory function and sleep quality, and can reduce the occurrence of delirium when staying in ICU. This study confirmed the effectiveness of programmed comprehensive nursing in improving children’s respiratory function and reducing postoperative delirium by observing their respiratory function and delirium in ICU.