Nursing intervention to prevent delirium in critically ill adults

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DOI:

https://doi.org/10.1590/s1980-220x2019035003685

Keywords:

Delirium, Critical Care Nursing, Controlled Before-After Studies

Abstract

Objective: To determine the effectiveness of a nursing intervention for delirium prevention in critically ill patients. Method: A quasi-experimental study was conducted with a non-equivalent control group and with evaluation before and after the intervention. 157 Patients were part of the intervention group and 134 of the control group. Patients were followed-up until they were discharged from the ICU or died. The incidence of delirium in both groups was compared. Additionally, the effect measures were adjusted for the propensity score. Results: The incidence and incidence rate of delirium in the control group were 20.1% and 33.1 per 1000 person-days (CI 95% 22.7 to 48.3) and in the intervention group was 0.6% and 0.64 per 1000 person-days (CI 95% 0.22 to 11.09), respectively. The crude Hazard Ratio was 0.06 (CI 95% 0,008 to 0,45) and adjusted 0.07 (CI 95% 0,009 to 0,60). The number needed to be treated was six. Conclusion: Low incidence of delirium in critically ill patients intervened demonstrated the effectiveness of interventions. The average intervention time was 4 days with a 15-minutes dedication for each patient.

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Published

2021-04-29

How to Cite

Contreras, C. C. T., Páez-Esteban, A. N., Rincon-Romero, M. K., Carvajal, R. R., Herrera, M. M., & Castillo, A. H. D. del. (2021). Nursing intervention to prevent delirium in critically ill adults. Revista Da Escola De Enfermagem Da USP, 55, e03685. https://doi.org/10.1590/s1980-220x2019035003685

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Original Article