Effect of Implementing Multi-component Nursing Intervention on Agitation Level among Critically Ill Patients | ||
| Alexandria Scientific Nursing Journal | ||
| Volume 27, Issue 1, March 2025, Pages 171-181 PDF (241.32 K) | ||
| Document Type: Research articles | ||
| DOI: 10.21608/asalexu.2025.415001 | ||
| Authors | ||
| Eman Ragab Soliman Gad1; Eman Arafa Hassan Ali2; Bassem Nashaat , Beshay3; Azza Hamdi El-Soussi4 | ||
| 1, Clinical Instructor Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||
| 2Assistant Professor Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||
| 3Professor Critical Care Medicine, Faculty of Medicine, Alexandria University | ||
| 4, Professor Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||
| Abstract | ||
| Background: The presence of agitation often obscures the accurate diagnosis and postpones the initiation of treatment of critically ill patients. To mitigate the negative consequences of agitation, multi-component nursing interventions were tailored for these patients. Those are evidence-based interventions that address the unique needs, preferences, and values of patients. Aim: To determine the effect of multi-component nursing intervention on agitation level among critically ill patients. Settings: This study was conducted across four adult intensive care units ICUs located within Alexandria Main University Hospital (AMUH) in Egypt. Subjects: A convenient sample consisting of 60 critically ill patients was divided into two equal groups, with each group comprising 30 patients. Tools: Three tools were employed in this study. The first tool was the "agitation risk assessment". The second tool utilized was the "outcomes of multi-Component nursing intervention on agitation". The third tool applied was the "agitation adverse events Assessment". Results: The study results showed that the frequency of agitation was significantly reduced in the multi-component intervention group compared to the routine care group on days 4 and 5 (p = (p=<0.018 and 0.035, respectively). Furthermore, agitation levels over five days did not differ significantly between the multi-component intervention group and the routine care group (p=0.077, 0.516, 0.492, 0.274, and 0.684, respectively). Conclusion: Implementation of a multi-component nursing intervention significantly reduced the frequency of agitation. Recommendations: Critical care nurses (CCNs) should integrate multicomponent nursing interventions into their daily practice that tailored to the patient's needs and preferences. | ||
| Keywords | ||
| Multi-component nursing intervention; agitation level; critically ill patients | ||
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