Experiences of Cardiovascular Surgery Intensive Care Nurses in the Care of Patients With Postoperative Cognitive Dysfunction: A Qualitative Study.

Postoperative cognitive dysfunction (POCD) is the development of cognitive decline following anesthesia and surgery. The incidence of POCD is more pronounced in patients undergoing cardiac surgery than in patients undergoing non-cardiac surgery. This study aims to evaluate the experiences, knowledge...

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Publicado en:Inquiry (00469580) Vol. 62; pp. 1 - 10
Autor principal: Azizoğlu, Hatice
Formato: Artículo
Publicado: Sage Publications Inc. 4/12/2025
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Experiences of Cardiovascular Surgery Intensive Care Nurses in the Care of Patients With Postoperative Cognitive Dysfunction: A Qualitative Study.
      aug:
        au: Azizoğlu, Hatice
        affil: Van Yüzüncü Yıl University, Turkey
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        Nursing audit
        Work
        Psychological resilience
        Qualitative research
        Interviewing
        Behavior
        Age distribution
        Psychological adaptation
        Surgical complications
        Thematic analysis
        Nurses' attitudes
        Cardiovascular surgery
        Cognition disorders
        Intensive care units
        Research methodology
        Communication
        Phenomenology
        Critical care nurses
        Experiential learning
        Cognition
      sug:
        subj:
          Nursing audit
          Work
          Psychological resilience
          Qualitative research
          Interviewing
          Behavior
          Age distribution
          Psychological adaptation
          Surgical complications
          Thematic analysis
          Nurses' attitudes
          Cardiovascular surgery
          Cognition disorders
          Intensive care units
          Research methodology
          Communication
          Phenomenology
          Critical care nurses
          Experiential learning
          Cognition
      keyword:
        cardiac surgical procedures
        cognitive dysfunction
        coping skills
        intensive care units
        postoperative cognitive complications
      ab: Postoperative cognitive dysfunction (POCD) is the development of cognitive decline following anesthesia and surgery. The incidence of POCD is more pronounced in patients undergoing cardiac surgery than in patients undergoing non-cardiac surgery. This study aims to evaluate the experiences, knowledge status, and clinical practice interventions of nurses caring for patients diagnosed with POCD. Ten nurses working in the intensive care unit of cardiovascular surgery participated in this study, which used a phenomenological design, one of the qualitative research types. We collected the data face-to-face between January and March 2023 using the individual in-depth interview method. The data were analyzed by the researcher using thematic analysis. The study identified 13 main themes: cognitive, behavioral, emotional problems, occupational difficulties, increasing duration, age, premorbid period, psychological resilience, effective coping skills, interaction, restraint, external support systems, and cognitive structuring. After cardiovascular surgery, patients should be evaluated not only for cardiac but also for cognitive, emotional, and behavioral factors. In addition, the risk factors that cause POCD, the difficulties faced by nurses, and their coping skills are the effects that shape the patient care process of POCD.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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          year: 2025
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