Post-intensive care syndrome , Patients after cardiac surgery, Physical functional decline, Motivation for rehabilitation
Conditions
Interventions
A combined nursing intervention for cardiac surgery patients was implemented, consisting of 1) preoperative education on PICS using pamphlets, 2) the use of ICU diaries (recording clinical progress an
Sponsors
Nagoya City University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Adult patients aged 18years or older. Patients undergoing elective cardiac surgery. Patients requiring the use of cardiopulmonary bypass during surgery. Patients staying in the ICU for 48hours or more postoperatively.
Exclusion criteria
Exclusion criteria: Preoperative cognitive impairment (Level III or higher) or psychiatric symptoms hindering communication. Preoperative motor dysfunction (unable to walk). Preoperative LVEF < 40% or NYHA Class IV or higher. Postoperative onset of cerebrovascular disorders (consciousness disorder or paralysis). Inability to wean from mechanical circulatory support postoperatively. Readmission to the ICU or death before discharge.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in physical function (handgrip strength, Barthel Index, and 6-minute walk distance) from admission to discharge | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Motivation for rehabilitation (PRPS, BREQ-3) 2. Physical function during ICU stay (FSS-ICU) 3. Patient's subjective evaluation of the intervention (questionnaire survey) | — |
Countries
Japan
Contacts
Public Contactmegumi yamamori
JA Aichi Koseiren Kainan Hospital Intensive Care Unit
Outcome results
None listed