Determining the Effect of Care Package Implementation in Preventing Delirium in Patients Undergoing Coronary Artery Bypass Graft Surgery
This research investigates the effectiveness of a care package used in the care of patients undergoing coronary artery bypass graft (CABG) surgery in preventing postoperative delirium. CABG surgery is a common procedure used to increase blood flow to the heart and is typically applied in patients with severe cardiac diseases. However, this procedure can increase the risk of postoperative delirium, especially among elderly and critically ill patients. In this study, the goal is to reduce this risk by implementing a care package. The care package includes optimal pain management, sleep regulation, mobilization, ensuring patient orientation, and appropriate medication management. The results of the research will be used to determine whether the use of this care package is effective in reducing the risk of delirium after CABG surgery. This could potentially improve patient outcomes and allow for more efficient use of hospital resources.
⁃ Participants and Sample Criteria Inclusion criteria for the study:
• Over 18 years of age,
• Considered as a low-risk group according to American Society of Anesthesiologists (ASA)
• I-II and EUROSCORE scores
• Undergoing open-heart surgery for the first time
• Having an operation with on-pump and median sternotomy technique,
• Mild and moderate hypothermia applied,
• One to three coronary artery bypass grafts performed,
• Left internal mammary artery and saphenous vein graft applied,
• Surgery initiated between 08:00-12:00 hours,
• Having no psychiatric diagnosis and therefore no drug therapy,
• Not using corticosteroid derivative drugs,
• No complications observed that may affect the surgery and ICU process,
• Having a family member who can support the patient in the postoperative wake-up process,
• Patients who voluntarily agree to participate in the research will be included.