Incidence and factors predicting delirium among critically ill patients | ||||
| Assiut Scientific Nursing Journal | ||||
| Article 7, Volume 13, Issue 51, May 2025, Page 66-74 PDF (684.25 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/asnj.2025.361988.2020 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Rahma Marey Mohamed Mahmoud  1; Ghada Shalaby Khalaf Mahran 2; Abdelraouf Mohamed Sayed Abdelraouf3
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| 1Teacher at Technical Secondary School of Nursing in Assiut, Egypt | ||||
| 2Assistant Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt. | ||||
| 3Lecturer of Anesthesia and Intensive Care Unit, Faculty of Medicine, Assiut University, Egypt. | ||||
| Abstract | ||||
| Background: Critically ill individuals commonly develop delirium due to a variety of factors, recent surgical or invasive interventions, and multiple stressors such as psychological distress, mechanical ventilation, noise, lighting, frequent clinical procedures, and sleep disruption. Study aim: To assess the incidence of delirium among critically ill patients and examine potential predictive factors. Research Design: A descriptive, exploratory approach. Setting: This study was conducted in the intensive care units (ICUs) of Al-Eman General Hospital, Assiut. Sample: Ninety four newly admitted male and female patients in the intensive care units at Al-Eman General Hospital participated in the study. Tools: Data collection involved four instruments: a general assessment sheet for critically ill patients, the Intensive Care Delirium Screening Checklist, the Richmond Agitation Sedation Scale, and a set of predictors for delirium among critically ill patients. Results: Delirium was observed in 51% of ICU-admitted patients, with highest prevalence among those aged >60 years. Gender distribution was nearly equal among affected patients. Sleep disruption showed a 100% association with delirium onset. Environmental factors also correlated significantly, with delirious patients more frequently exposed to subdued environments (p < 0.01) and inadequate lighting (p=0.002). Conclusion: The study demonstrates a high incidence of delirium among ICU admissions. Recommendations: Implementation of protocolized delirium screening should be prioritized in critical care units, with particular attention to sleep hygiene and environmental modifications. | ||||
| Keywords | ||||
| Critically Ill Patients; Delirium; Incidence & Risk factor | ||||
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