Effect of Implementing Nursing Interventions Bundle on Sleep Quality and Associated Delirium among Patients at Intensive Care Unit
Sayed, S., Atea, M., El maraghi, S., Alam, Z. (2022). Effect of Implementing Nursing Interventions Bundle on Sleep Quality and Associated Delirium among Patients at Intensive Care Unit. EKB Journal Management System, 27(4), 84-100. doi: 10.21608/tsnj.2022.274237
Safaa Eid Sayed; Mona Abdelaty Atea; Sameh Kamel El maraghi; Zainab A. Alam. "Effect of Implementing Nursing Interventions Bundle on Sleep Quality and Associated Delirium among Patients at Intensive Care Unit". EKB Journal Management System, 27, 4, 2022, 84-100. doi: 10.21608/tsnj.2022.274237
Sayed, S., Atea, M., El maraghi, S., Alam, Z. (2022). 'Effect of Implementing Nursing Interventions Bundle on Sleep Quality and Associated Delirium among Patients at Intensive Care Unit', EKB Journal Management System, 27(4), pp. 84-100. doi: 10.21608/tsnj.2022.274237
Sayed, S., Atea, M., El maraghi, S., Alam, Z. Effect of Implementing Nursing Interventions Bundle on Sleep Quality and Associated Delirium among Patients at Intensive Care Unit. EKB Journal Management System, 2022; 27(4): 84-100. doi: 10.21608/tsnj.2022.274237

Effect of Implementing Nursing Interventions Bundle on Sleep Quality and Associated Delirium among Patients at Intensive Care Unit

Tanta Scientific Nursing Journal
Volume 27, Issue 4, November 2022, Pages 84-100    PDF (574.73 K)
Document Type: Original Article
DOI: 10.21608/tsnj.2022.274237
Authors
Safaa Eid Sayed1; Mona Abdelaty Atea2; Sameh Kamel El maraghi3; Zainab A. Alam4
1Assistant Professor of Critical Care Nursing, Faculty of Nursing, Tanta University 4
2Assistant lecturers, Faculty of Nursing, BeniSuef University
3Professor of Critical Care Medicine, Faculty of Medicine, BeniSuef University
4Lecturer of Critical Care Nursing, Faculty of Nursing, Tanta University
Abstract
Critically ill patients frequently experience sleep deprivation, which has detrimental effects such as increased pain perception, impaired cognitive function, and delirium. Aim: Evaluate the effect of implementing nursing interventions bundle on sleep quality and associated delirium among patients at intensive care unit (ICU). Design: A quasi-experimental research design was utilized in this study. Setting: Anesthesia Intensive Care Unit of Emergency hospital affiliated to Tanta University hospital. Subjects: A convenience sampling of 60 adult critically ill patients who admitted to the selected setting and divided into two equal groups; 30 patients in each (control and study groups). Tools; Tool (I) Patient interview schedule, tool (II) Richard Campbell Sleeping Questionnaire (RCSQ) and tool (III) Intensive Care Delirium Screening Checklist (ICDSC) Results: A highly  significant difference was detected between the study and control groups regarding their total  sleep quality after applying the nursing intervention bundle ( P=0.000). The incidence of delirium was 30% in the control group compared to 13.33% in study group at the seventh day of intervention with significant differences (P=0.024). Conclusion: Implementing of nursing intervention bundle can improve sleep quality and decrease associated delirium. Recommendation: Sleep interventions bundle should be integrated into routine care for patients in ICU to promote patient sleep and reduce incidence of delirium.
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