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INTERNATIONAL JOURNAL OF CREATIVE RESEARCH THOUGHTS - IJCRT (IJCRT.ORG)
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A STUDY TO ASSESS THE EFFECTIVENESS OF MODIFIED ABCD BUNDLE ON ICU PSYCHOSIS AMONG POST OPERATIVE CARDIAC PATIENTS AT A SELECTED HOSPITAL, PANIPAT
Authors
Amrita,Paul Dinagaran
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Keywords
Assess, Effectiveness, Modified ABCD Bundle, ICU Psychosis, Post Operative Cardiac Patients.
Abstract
Aim of the Study: To assess the effectiveness of modified ABCD bundle on level of ICU psychosis among cardiac post-operative patients in the experimental and control group. Methodology: The research design used in this study was true experimental post-test only design with 60 sample using simple random sampling technique, with 30 each in the experimental and control group. The informed consent was obtained after collecting the demographic data. The patients in the experimental group were administered the modified ABCD bundle. Awakening aspect of orientation was given to the patients during the pre-operative day, whereas the other components were given during the post-operative period. The patients in the control group were administered with hospital routine care.The post-test level of ICU psychosis was assessed using the Intensive care delirium screening checklist. The post-test I was conducted on the 3rd POD and the post-test II was conducted on the 4th POD. Both the post-test levels of ICU psychosis were measured using ICDSC. The data were coded and entered in the main coding sheet. Results: The experimental group's post-test I level of ICU psychosis was 1.20 with SD 1.09. The control group scored 3.23 with SD 1.67. The experimental group had a mean post-test II ICU psychosis score of 0.63 with SD of 0.81, while the control group had 3.06 with SD of 1.74. The student's unpaired t-test showed great statistical significance between the experimental and control groups in post-test I (t = 5.565 at p<0.001), proving that modified ABCD bundle reduced ICU psychos in cardiac post-operative patients. The student's unpaired t test (t=6.944atp<0.001) showed that modified ABCD bundle had sustained substantial impact on ICU psychosis in cardiac post-operative patients. The paired 't' test showed that the experimental group's post-test I and II ICU psychos levels were statistically significant at p<0.001 with t=2.984. The modified ABCD bundle reduced cardiac post-operative ICU psychosis immediately and permanently. The results also showed that the post-test I level of ICU psychosis in the experimental group was associated with gender, marital status, and occupation (p<0.05, p<0.001, and p<0.05, respectively). Male married and skilled employees had sub-syndromal delirium. Conclusion: The findings verified that modified ABCD bundle was very effective in reducing the level of ICU psychos is of patients who under went cardiac surgery and can be used as a non-pharmacological measure to reduce ICU psychos is during ICU stay.
IJCRT's Publication Details
Unique Identification Number - IJCRT2304419
Paper ID - 234474
Author type - Indian Author
Page Number(s) - d507-d516
Pubished in - Volume 11 | Issue 4 | April 2023
DOI (Digital Object Identifier) -
No Of Downloads - 126
Author Country - India, 132103, Panipat, Panipat, 132103, Health Science All
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Amrita,Paul Dinagaran, "A STUDY TO ASSESS THE EFFECTIVENESS OF MODIFIED ABCD BUNDLE ON ICU PSYCHOSIS AMONG POST OPERATIVE CARDIAC PATIENTS AT A SELECTED HOSPITAL, PANIPAT", International Journal of Creative Research Thoughts (IJCRT), ISSN:2320-2882, Volume.11, Issue 4, pp.d507-d516, April 2023, Available at :http://www.ijcrt.org/papers/IJCRT2304419.pdf
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