Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
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Effects of Delirium Prevention Interventions for Neurocritical Patients

신경계 중환자에게 적용한 섬망 예방중재의 효과

  • Lee, Min-Ji (Neurocritical Care Unit, The Catholic University of Korea, Seoul St. Mary's Hospital) ;
  • Yun, Sun-Hee (Neurocritical Care Unit, The Catholic University of Korea, Seoul St. Mary's Hospital) ;
  • Choi, Kyoung-Ok (Department of Nursing, The Catholic University of Korea, Seoul St. Mary's Hospital) ;
  • Seong, Sun-Suk (The Catholic University of Korea, Seoul St. Mary's Hospital) ;
  • Lee, Sun-Mi (College of Nursing, The Catholic University of Korea) ;
  • Kang, Jae-Jin (Neurocritical Care Unit, The Catholic University of Korea, Seoul St. Mary's Hospital)
  • 이민지 (가톨릭대학교 서울성모병원 신경계중환자실) ;
  • 윤선희 (가톨릭대학교 서울성모병원 신경계중환자실) ;
  • 최경옥 (가톨릭대학교 서울성모병원) ;
  • 성선숙 (가톨릭대학교 서울성모병원 일반외과병동) ;
  • 이선미 (가톨릭대학교 간호대학) ;
  • 강재진 (가톨릭대학교 서울성모병원 신경계중환자실)
  • Received : 2018.02.01
  • Accepted : 2018.03.14
  • Published : 2018.05.31
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Abstract

Purpose: The purpose of this study was to investigate the effects of a delirium prevention intervention for patients in neurology and neurosurgery intensive care units (ICUs). Methods: This study was a quasi-experimental study. Participants were 87 patients. The experimental group was provided with nonpharmacologic and multicomponent delirium prevention interventions, consisting of regular delirium assessment, improvement in orientation, early therapeutic intervention, and environmental interventions. The control group was provided with routine intensive care. Data were analyzed using $x^2$ test, Fisher's exact test, and t-test. Results: Both groups were homogeneous. The incidence of delirium and length of hospitalization were significantly lower in the experimental group compared to the control group. ICU stay, mortality and unplanned extubation were lower in the experimental group compared to the control group, but there was no significant difference. Conclusion: Findings indicate that the delirium prevention intervention is effective in reducing incidence of delirium and length of hospitalization. Therefore, this intervention should be helpful in preventing delirium in neurology and neurosurgery ICUs and can be used as a guide in the prevention of delirium in neurological diseases's patients.

Keywords

Acknowledgement

Supported by : Seoul St. Mary's Hospital

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