Application of Multicomponent Nursing Intervention to Controlling Delirium and Duration of ICU Stay among Critically Ill Older Adult Patient | ||||
| Egyptian Journal of Health Care | ||||
| Article 8, Volume 11, Issue 4, December 2020, Page 121-137 PDF (497.15 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2020.124851 | ||||
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| Authors | ||||
| Zahra Ahmed Sayed1; Eman Mohamed Ebrahim Abd-Elraziek2; Islam Galal Sayed3 | ||||
| 1Critical Care Nursing, Faculty of Nursing, Aswan University, Egypt | ||||
| 2Geriatric Nursing, Faculty of Nursing, Aswan University, Egypt | ||||
| 3Chest Diseases and TB, Faculty of Medicine, Aswan University, Egypt | ||||
| Abstract | ||||
| Background Few studies have investigated delirium in a respiratory intensive care unit (RICU) population, thus knowledge is limited regarding it. Aim, the present study aimed to investigate the effectiveness of application of multicomponent nursing intervention to controlling delirium among critically ill older adult patients. Quasi-experimental research design was carried out to meet the aim of this study. A purposive sample included 60 old age critically ill patients taken from respiratory intensive care in Aswan University Hospital. Tool 1, Patient assessment sheet was used for collecting data, which included two parts: bio demographic data and medical data, Tool2, intensive care delirium screening checklist to detection and monitoring delirium include eight screening area Each feature that manifests are given one point and zero point if not manifests Ascore ≥ 4 indicated delirium.Tool3, Richmond Agitation Sedation Scale (RASS) to predicted type of delirium. Tool4 Multiple nursing intervention for controlling delirium. Results: Delirium was frequent in patients in the standard care group compared with our intervention group (p = 0.04), however no substantial differences between both groups regarding types, duration or delirium severity (P≥ 0.05), respectively. Moreover, the duration of ICU stay was lowered in our intervention group (P= 0.001). Age was a substantial risk element for delirium development by multiple regression analysis. Conclusion: the delirium episodes during RICU stay were established to all critically older adults with respiratory illnesses, as anticipated, after application of a multicomponent nursing intervention, the incidence of these adverse consequences was reduced. Recommendation: replication of these study on the large sample size in other ICU that provide care for critically ill older adult patients to decrease incidence of delirium within critical care setting. | ||||
| Keywords | ||||
| Delirium; Nursing intervention; Critically elderly ill patient; and Respiratory intensive care unit | ||||
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