Leila M Juybari, Seyyedeh Fatemeh H Hosseini, Samieh Ghana, Samira Saeedi, Akram Sanagoo,
Volume 1, Issue 1 (10-2012)
Abstract
Background and objective:
Delirium is an acute and transient disorder in the function of the brain. Although the main core of this syndrome is consciousness disorder and deficiencies in attention and concentration, the general deficiency is seen in all psychological areas of thinking, temperament, cognition, language, speaking, sleeping, and mental-motional and other cognitive areas. Delirium is often seen in recovery room and is a predictor of post-operative delirium in the general ward. This study was conducted to determine the incidence of delirium in patients after surgery in the recovery room.
Materials and Methods:
This descriptive cross-sectional study was conducted on 75 patients after general and orthopedic surgery and in the recovery room of the educational-therapeutic center of Gorgan in 1389 using the DESC-Nu nursing delirium screening scale. Data was analyzed using chi-square descriptive and analytical statistics and T-test.
Results:
Among the 75 studied patients in the recovery room after orthopedic surgery and general surgery, 53.3% were women with a mean age of 48.7. The mean surgery duration was 129.21 minutes. 26.6% had been under spinal anesthesia and 73.3% had been under general anesthesia. Delirium was observed in 30.6% of all the patients. Delirium was observed in 21.3% of patients having orthopedic surgery and 9.3% of the patients having general surgery. Delirium had a significant statistical relation with the variables of age, gender, and type of surgery (p<0.05).
Conclusion:
This study showed that 30.6% of patients had delirium. Male and older patients having orthopedic surgery were more vulnerable. Therefore, usual assessment of delirium in recovery room to identify patients with delirium can be a guide of nurses’ appropriate care of patients after surgery.
Mohammad Yadegary, Dr Gholam Reza Mahmoodi Shan, Dr Mohammad Ali Vakili, Dr Abdelreza Fazel, Dr Mohammad Zaman Kamkar,
Volume 5, Issue 1 (5-2017)
Abstract
Background & Objective: Surgical treatment is one of the most widely used therapies. One of the most important tasks of the medical and nursing team is to reduce the anxiety of patients and subsequently to reduce the vital signs alterations. The aim of this study was to determine the effect of Jasmine essential oil inhalation on physiological parameters of patients before laparotomy.
Method: This study was a randomized controlled clinical trial that was performed on 84 patients undergoing laparotomy in two groups of intervention and control. The intervention group inhaled two drops of Jasmine essential oil and the control group inhaled two drops of aquapura (sterile water) for one hour which was poured on their collar. Physiological variables including systolic and diastolic blood pressure, pulse and respiratory rate of the patients were measured and recorded before and after intervention. Data were analyzed using SPSS software version 16.
Results: The mean age of the intervention group was 35.52 ± 12.73 and it was 36.26 ± 13.39 in the control group. In the pre-intervention stage there were no significant differences in physiological parameters between two groups but after the Jasmine essential oil inhalation, systolic and diastolic blood pressure, pulse rate and respiration rate variables were significantly different compared to pre-intervention stage (P<0/0001) and this difference was also significant comparing the intervention and control groups (P<0/0001).
Conclusion: The physiologic parameters were markedly improved in intervention group after Jasmine essential oil inhalation compared to the control group, which prevented sudden and severe changes in patients waiting for surgery. Therefore, Jasmine essential oil inhalation may be an effective factor in reducing the anxiety and avoiding extreme changes in physiological parameters in patients which could be recommended in clinical situations.
