postoperatieve complicaties Delier, Depressie, Decubitus en Infectie 4 postoperative complications: Temporary confusion (delirium) Bedsores (pressure ulcers) Depression Infection (surgical wounds respiratory tract) urinary tract
Conditions
Interventions
Multicomponent intervention
Based on a systematic review to workable prevention interventions, an
etiological study of relationships between preadmission patient characteristics
and the occurrence
2) What patients will experience or notice
3) What the patient him or her self can and should do.
(This reinforces the self-management of the patient.)
• Provide information about nutrition and emphasize that a proper nutritional
status is
Sponsors
Universitair Medisch Centrum Utrecht
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Scheduled for cardiac surgery, 65 years or older and minimum waiting time between the preoperative screening and the hospitalization of 1 day, and Dutch speaking.
Exclusion criteria
Exclusion criteria: Psychiatric illness, heart and lung transplantations, intraoperative death, preoperative infection or intubation, allergic for chlorhexidine and legal incapacity.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcomes (measured in patients) - Reasons for non-compliance with non-compliance patients - The percentage of enrolled patients through the whole intervention - A record of the number of days between the visit to the POS and the operation - Satisfaction with the procedure in both groups of patients based on the definition of satisfaction Quaathoven and Van den Broeck (1990). A nurse will ask the following questions: 1. What were your expectations regarding preparation for surgery? (open answer). 2. To what extent did the preparation for surgery meet your expectations? (rating 1-10). 3. What did you expect from the preoperative screening? (open answer). 4. To what extent did the preoperative screening meet your expectations? (rating 1-10). 5. What were your expectations of the intervention which helped you prepare for surgery? (open answer). 6. To what extent did the intervention which helped you prepare for surgery meet your expectations? (rating 1-10) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes (measured in patients) - Baseline characteristics of the intervention group and control group: a) Age b) Gender c) Education: primary school, secondary school, study (vocational training, higher education) d) Number of chronic diseases (diabetes, kidney disorder, liver failure, hyper/ hypothyroidism, (pulmonary) hypertension, cardiovascular dysfunction, chronic lung disease, neurologic dysfunction, history of stroke or TIA, stomach problems) e) ADL aids (glasses, hearing aids, cane, walker, wheelchair, orthopedic shoes) f) Social status (single, domestic partnership, widowed, married, divorced) g) Residential status (independent, residential home, retirement home, nursing home) h) Handicap (deaf, blind, physical disability, mental disorder) i) BMI (kg/m2) j) Type of surgery Secondary outcomes (measured by caregivers) - A survey of nurses' experiences with implementing the intervention: 1. Did you feel competent to carry out the intervention? Why? 2. What aspects of the intervention did you appreciate? Why? 3. What aspects of het intervention can be improved? 4. What aspects did you miss in the intervention? 5. Was the intervention complementary to the usual care? Why? 6. What was the average duration of POS? How much time was spent onthe intervention? (time in minutes) 7. To what extent was this time too short/too long/just enough? Why? - An evaluation of the placement of the intervention within the procedures of the organization by managers and planners: 1. What problems did you face during integrating the intervention within the organization? 2. How did you solve these problems? 3. Was it possible to prevent these problems? How? 4. To what extend are you intended to implement the intervention definitive? 5. What are your suggestions to further improve the intervention? | — |
Countries
Netherlands
Outcome results
None listed