Cognitive Outcomes and Functional Performance for Patients After Open Heart Surgery
Notice bibliographique
Résumé
Context: Open heart surgery is a lifesaving procedure for patients who need coronary artery bypass graft (CABG) and heart valve replacement or repair (HVR). However, it also carries a risk of cognitive and functional performance injuries. Between 30% to 60% of patients undergoing open heart surgery worldwide are at high risk of cognitive and functional performance injuries. Aim: The study aimed to assess cognitive outcomes and functional performance of patients after open heart surgery. Methods: A descriptive exploratory design was applied to achieve the aim of this study on a purposive sample of 103 adults who were scheduled for elective open-heart surgery (CABG and valve replacement or repair). Montreal Cognitive Assessment (MOCA); Physical Self-Maintenance Scale (Activities of Daily Living) (PSMS) tests were used to determine the effect of cardiac surgery on cognitive outcomes and functional performance abilities of patients undergoing cardiac surgery. Both scales were used twice for each patient (preoperative and postoperative). Results: The current study shows a statistically significant deterioration in all cognitive functions (visuospatial &executive function, naming, short-term memory recall task, attention, language, abstraction, orientation) (p=0.000). A total cognitive score reveals that 68% of the patients had normal cognitive function before open heart surgery, significantly decreasing to 55.3% after surgery. The functional outcomes measured by the assessment of activity of daily living shows that 100% of patient were independent before open heart surgery and significantly decreased to 74.8% postoperatively. Conclusion: It can be concluded that open heart surgery impacts cognitive functions, particularly in domains of visuospatial and executive function, memory, and attention. Besides, the everyday functional performance includes toileting, feeding, dressing, grooming, physical ambulation, and bathing). Instrumental activities of daily living (IADL), which include the ability to use the telephone, shopping, food preparation, housekeeping, laundry, away for transportation, responsibility for following their medication regimens, and ability to handle finances, were also affected. Nurses caring for patients undergoing open heart surgery should consider cognitive limitations when giving them health education and discharge instruction, their readiness to learn should be considered before any educational event. Further studies should be carried out to identify the factors that may contribute to the impairment of cognitive function and functional performance for patients undergoing cardiac surgery.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».