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IRCT20191224045878N1 IRCT 2020-02-19 Mashhad University of Medical Sciences The effect of Phase I Rehabilitation on the Delirium in Cardiac Surgery Patients The effect of Phase I Cardiac Rehabilitation on the Rate of Delirium in Patients After Coronary Arteyry Bypass Graft Surgery 2019-09-23 anticipated 60 Complete https://irct.ir/trial/44838 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: In this Research, Inclusion of research units in the Study, The Method is Available and Random Allocation. Random Sequence Tool is SPSS. Random Sequence Was Prepared as a Table.It was Kept in an envelope.After making sure everyone is eligible, Envelope door Opened And The Sequence was assigned to that Group. N/A Coronary Artery Bypass Graft. Intervention 1: Intervention group: Individuals find the phase of a cardiac rehabilitation based on a Ministry of Health instruction that consists of three parts, including: 1. Exercise training and control by the researcher; 2. Discussion with the patient; 3. The patient was encouraged to perform activities for the intervention group. Exercise should be performed two to three times a day for at least 20 minutes and a maximum of 30 minutes. Then, according to the protocol of the Ministry of Health for 15 to 20 minutes, chest physiotherapy was performed. After chest physiotherapy, depending on whether the patient was in a supine position, sitting or standing, appropriate exercises were performed for the patient. At each exercise session, about 5 to 10 minutes to warm up, 5 to 10 minutes to cool and 20 to 30 minutes to exercise. Chest physiotherapy was given 15 to 20 minutes per session. In addition, diaphragmatic breathing training was performed face-to-face with the aid of image and shape, and the subjects performed exercise at least once a day in the presence of the researcher, and the next time, the patient performed the exercise alone. And to control gestures, the researcher was assisted in various shifts to monitor her performance as well as the accuracy of the exercise. In step two, the benefits of the cause and the disadvantages and overall self-care were described to the patient. Possible questions and uncertainties about surgery, diet, medications, post-operative rest, risk factors control, time to start daily activities, and marital relationships were answered and the patient was asked about any concerns and concerns. The researcher points out. In step three, the patient was used to encourage verbal communication and positive feedback to him and his family, such as good, effective, excellent in the presence of the patient. This rehabilitation started from the end of the endotracheal tube and continued for 5 to 7 days until the end of the open heart session. The control group received routine nursing interventions in the ward and in both the control and intervention groups, the scale (Nicham) was completed, measured and compared daily to assess the incidence of delirium at the same time. Intervention 2: Control group: In addition to receiving routine care, at the end of two weeks, a control booklet was administered to patients in the control group. Yes - There is a plan to make this available What will be shared: Presentation of research findings in seminars, conferences, and publication of articles extracted from research in domestic and overseas journals, all hospitals, and even other departments, especially after surgical operations requiring the use of specific medications following psychologic complications. Have surgery, be used As well as researchers who intend to conduct research on the subject. When: Start of course available 6 months after printing results To whom: Share the results of the research with other researchers for further research Conditions: Used in all hospitals and even in other wards, especially after surgeries that require the use of specific medications in the aftermath of psychologically induced complications. Where to obtain: Visit to Mashhad School of Nursing and Midwifery How to obtain: After the email is sent to the scientific respondent, the accountability process begins Comments:
public Kolsoom Parnan Emamverdi
Faramarz Abbassi Street, 9 Faramarz Abbassi Street, No. 76
Mashhad Iran (Islamic Republic of) 9164889119 +98 51 3415848 parnanek951@mums.ac.ir Mashhad University of Medical Sciences scientific Kolsoom Parnan Emaverdi
Faramarz Abbassi Street, 9 Faramarz Abbassi Street, No. 76
Mashhad Iran (Islamic Republic of) 9164889119 +98 51 3414858 parnanek951@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Be in a Group over the 18 Years Do not use the Psychiatric or Antirelaxant Medications Do not have a Histiry of Heart Surgery Do not have a Movement Problem Do not have a History of Delirium Having a Score 0 From RASS means the patients is calm and relax and able to cooperative with researcher Do not have a Known psychiatric Disease 18 years no limit Both F05.8 Postoperative Delirium Rehabilitation N/A Intervention group: Individuals find the phase of a cardiac rehabilitation based on a Ministry of Health instruction that consists of three parts, including: 1. Exercise training and control by the researcher; 2. Discussion with the patient; 3. The patient was encouraged to perform activities for the intervention group. Exercise should be performed two to three times a day for at least 20 minutes and a maximum of 30 minutes. Then, according to the protocol of the Ministry of Health for 15 to 20 minutes, chest physiotherapy was performed. After chest physiotherapy, depending on whether the patient was in a supine position, sitting or standing, appropriate exercises were performed for the patient. At each exercise session, about 5 to 10 minutes to warm up, 5 to 10 minutes to cool and 20 to 30 minutes to exercise. Chest physiotherapy was given 15 to 20 minutes per session. In addition, diaphragmatic breathing training was performed face-to-face with the aid of image and shape, and the subjects performed exercise at least once a day in the presence of the researcher, and the next time, the patient performed the exercise alone. And to control gestures, the researcher was assisted in various shifts to monitor her performance as well as the accuracy of the exercise. In step two, the benefits of the cause and the disadvantages and overall self-care were described to the patient. Possible questions and uncertainties about surgery, diet, medications, post-operative rest, risk factors control, time to start daily activities, and marital relationships were answered and the patient was asked about any concerns and concerns. The researcher points out. In step three, the patient was used to encourage verbal communication and positive feedback to him and his family, such as good, effective, excellent in the presence of the patient. This rehabilitation started from the end of the endotracheal tube and continued for 5 to 7 days until the end of the open heart session. The control group received routine nursing interventions in the ward and in both the control and intervention groups, the scale (Nicham) was completed, measured and compared daily to assess the incidence of delirium at the same time. Control group: In addition to receiving routine care, at the end of two weeks, a control booklet was administered to patients in the control group. Delirium. Timepoint: Since the End of the Endotracheal Tube Up to 5 to 7 days after ُSurgery. Method of measurement: Neecham Tool. Mashhad University of Medical Sciences Approved 2019-10-25 Ethics committee of Mashhad University of Medical Sciences Intersection Doctorate, Ibn Sina St, Mashhad Mashhad Razavi Khorasan Iran (Islamic Republic of)