Comprehensive strategy for preventing unplanned extubation in patients with post-operative delirium after gastrointestinal surgery

doi:10.4240/wjgs.117179

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Surg. Jun 27, 2026; 18(6): 117179
Published online Jun 27, 2026. doi: 10.4240/wjgs.117179

Table 3 Nursing intervention response efficiency, restraint management, and quality indicators, mean ± SD/n (%)

Indicator	Intervention group (n = 60)	Control group (n = 58)	t/χ²	P value
Intervention response time (seconds)	48.22 ± 15.61	82.74 ± 24.32	9.207	0.000
Restraint usage rate	15 (25.00)	26 (44.83)	5.114	0.024
Duration of restraint (hours)	1.85 ± 0.61	3.53 ± 1.22	9.509	0.000
Restraint-related skin injury	1 (1.67)	7 (12.07)		0.031
CPOT assessment completion rate	59 (98.33)	42 (72.41)		0.000
CAM-ICU assessment completion rate	58 (96.67)	40 (68.97)		0.000
Timely recognition of extubation intention behaviors	55 (91.67)	36 (62.07)		0.000
Pre-restraint communication documentation rate	53 (88.33)	31 (53.45)	17.500	0.000
Skin care implementation rate	57 (95.00)	45 (77.59)		0.007

CPOT: Critical-care pain observation tool; CAM: Confusion assessment method; ICU: Intensive care unit.

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Citation: Yu YH, Yang JJ. Comprehensive strategy for preventing unplanned extubation in patients with post-operative delirium after gastrointestinal surgery. World J Gastrointest Surg 2026; 18(6): 117179
URL: https://www.wjgnet.com/1948-9366/full/v18/i6/117179.htm
DOI: https://dx.doi.org/10.4240/wjgs.117179

Yu YH, Yang JJ. Comprehensive strategy for preventing unplanned extubation in patients with post-operative delirium after gastrointestinal surgery. World J Gastrointest Surg 2026; 18(6): 117179 [DOI: 10.4240/wjgs.117179]

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