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dc.rights.licenseCC-BY-NC-ND
dc.contributor.advisorEttema, G.A.
dc.contributor.authorJordens, Y.J.
dc.date.accessioned2015-07-28T17:01:33Z
dc.date.available2015-07-28T17:01:33Z
dc.date.issued2015
dc.identifier.urihttps://studenttheses.uu.nl/handle/20.500.12932/20658
dc.description.abstractBackground: The patient population undergoing cardiac surgery has become older, sicker and of higher-risk. This results in an increase of postoperative delirium, depression, pressure ulcers and infections. A multicomponent, preadmission nursing intervention PREvention Decline in Older Cardiac Surgery patients (PREDOCS) was developed to better prepare frail older patients for elective cardiac surgery and to prevent postoperative complications. Aim: The aim of this study is to examine the preliminary effect of the PREDOCS-programme by older patients (≥65 years) who undergo cardiac surgery in a cardiac surgery centre in The Netherlands. Methods: This post-test only quasi experimental design is part of a larger multi-centre stepped wedge study in which three centres are involved. Study participants were 250 patients (≥65 years) who undergo cardiac surgery. 125 patients received usual care and 125 received the PREDOCS-programme. We compared the combined incidence of postoperative delirium, depression, pressure ulcer and/or infection in older cardiac surgery patients received the PREDOCS-programme with patients received usual care only in a cardiac surgery centre, by using logistic regression analyses. Results: Our final sample comprised 250 patients who underwent elective cardiac surgery with a median age of 73,45 years (first to third quartile: 68,6 – 78,8 years), predominantly male (77,6%), submitted to the following surgeries: CABG (45,2%), valve (20,8%), combined (10,8%), other (23,2%). Based on multiple analysis, a statistically significant association between care receiver and postoperative complications was found (ρ-value = 0,019). No significant association (ρ-value = 0,686) was found between the intervention and the combined incidence of postoperative complications. Conclusions: The PREDOCS-programme did not result in a clinically significant improvement in the prevention of postoperative complications. The results of the full trial should be awaited.
dc.description.sponsorshipUtrecht University
dc.format.extent675983
dc.format.mimetypeapplication/pdf
dc.language.isoen
dc.titleThe preliminary effect of a nursing intervention (the PREDOCS programme) to prepare frail older patients for cardiac surgery.
dc.type.contentMaster Thesis
dc.rights.accessrightsOpen Access
dc.subject.keywordsFrailty, older people, cardiac surgery, prevention, postoperative complications, effect.
dc.subject.courseuuVerplegingswetenschap


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