Perioperative medicine & outcomes

Construction and application of a stratified nursing intervention program for postoperative delirium after Stanford type A aortic dissection: a quasi-experimental trial

Perioper Med (Lond)Published Quasi-experimental study

Authors' conclusion

Implementing this nurse intervention in the ward context can shorten postoperative delirium and hospital stays, increase patient satisfaction with care, and improve patient prognosis and quality of life.

Study context

Population
Patients after surgery for Stanford type A aortic dissection, general ward of a tertiary hospital in Wenzhou, China
Participants
37 vs 43
Comparison
Intervention vs Control
  • Interventionn = 37
  • Controln = 43reference
Outcome
Duration of delirium and hospital stay
Methodological detailshistorical control, single-centre, Program developed by literature review, group discussions and Delphi method via expert mail inquiry
  • Historical control
  • Single-centre
  • Program developed by literature review, group discussions and Delphi method via expert mail inquiry

Main finding

As reported in the abstract

  • Intervention vs Control: P < 0.05

Further findings

OutcomeP value
Incidence and onset time of delirium in the general wardNo significant differencesP > 0.05

Patient satisfaction

Higher patient satisfaction in the intervention group

Safety

No inadvertent extubations in the intervention group

Original publication

Construction and application of a stratified nursing intervention program for postoperative delirium after Stanford type A aortic dissection: a quasi-experimental trial. Perioper Med (Lond). Published 3 February 2025. doi:10.1186/s13741-025-00495-y

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