Research Article
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Year 2023, Volume: 5 Issue: 1, 7 - 13, 20.01.2023

Aynur Bahar Mina Güner

https://doi.org/10.38053/acmj.1178278

Abstract

Keywords

Delirium intensive care unit nursing risk factors

Supporting Institution

yok

Project Number

yok

References

  • Tilouche N, Hassen MF, Ali HBS, Jaoued O, Gharbi R, El Atrous SS. Delirium in the Intensive Care Unit: Incidence, Risk Factors, and Impact on Outcome. Indian J Crit Care Med 2018; 22: 144-9.
  • Norman S, Taha AA, Turner HN. Delirium in the critically ill child. Clin Nurse Spec 2017; 31: 276-84.
  • Baron R, Binder A, Biniek R, et al. Evidence and consensus based guideline for the management of delirium, analgesia, and sedation in intensive care medicine. Revision 2015 (DAS-Guideline 2015)- short version. Ger Med Sci 2015; 13: 1-42.
  • Turkel S, Hanft D, Epstein D, Jacobson J. Review of Delirium in the pediatric intensive care unit. Journal of Pediatr Intensive Care 2013; 2: 169-76.
  • Bettencourt A, Mullen JE. Delirium in children: identification, prevention, and management. Crit Care Nurse 2019; 37: 9-18.
  • Kırpınar İ. Dahili ve cerrahi tıpta deliryumun değerlendirilmesi ve yönetimi: bir gözden geçirme. Bezmialem Science 2016; 3: 113-22.
  • Bölüktaş R. Yoğun bakım ünitelerindeki yaşlı hastalarda deliryumun değerlendirilmesi, önlenmesi ve yönetimine ilişkin stratejiler. Yoğun Bakım Hemşireliği Dergisi 2015; 19: 68-79.
  • Salluh JI, Wang H, Schneider EB, et al. Outcome of delirium in critically ill patients: systematic review and meta-analysis. BMJ 2015; 350: h2538.
  • Karadaş C, Özdemir L. Deliryumun yönetiminde farmakolojik olmayan yaklaşımlar ve hemşirenin sorumlulukları. J Psychiatric Nurs 2019; 10: 137-42.
  • Donnel MS, Timmins F. Quantitative exploration of the subjective burden experienced by nurses when caring for patients with delirium. Journal of Clinical Nursing 2012; 21: 2488-98.
  • Boogaard MVD, Pickkers P, van der Hoeven H, Roodbol G, van Achterberg T, Schoonhoven L. Implementation of a delirium assessment tool ın the ICU can ınfluence haloperidol use. Critical Care 2009; 13: 131-8.
  • Topuz Ş, Doğan N. Bir üniversite hastanesinin yoğun bakım ünitelerinde çalışan hemşirelerin deliryum konusuna ilişkin bilgi düzeyleri. KTU Tıp Fak Derg 2012; 14: 21-6.
  • Yaşayacak A, Eker F. Kalp damar cerrahisi yoğun bakım ünitesinde yatan hastalarda deliryum ve risk faktörlerinin belirlenmesi. Türk Göğüs Kalp Damar Cerrahisi Derg 2012; 20: 265-74.
  • Burge D, Kent W, Verdon J, Voogt S, Haines HM. Nurse practitioners are well placed to lead ın the effective management of delirium. Australian J Adv Nurs 2010; 28: 67-73.
  • Cerejeira J, Mukaetova-Ladinska EB. A clinical update on delirium: from early recognition to effective management. Nurs Res Pract 2011; 2011: 875196.
  • Koster S, Hensens G, Schuurmans MJ, van der Palen J. Risk factors of delirium after cardiac surgery a systematic review. European Journal of Cardiovascular Nursing 2011; 10: 197-204.
  • Simonsen BY, Lisby M, Traube C, Skovby P. The cornell assessment of pediatric delirium: translation and inter‐rater reliability in a danish pediatric intensive care unit. Acta Anaesthesiol Scand 2019: 63: 900-4.
  • Rinaldi S, Consales G, De Gaudio AR. Sedation monitoring in ICU. Current Anaesthesia &Critical Care 2006; 17: 303-15.
  • Özhasenekler R, Karaman H, Kavak GÖ, ve ark. Özkıyım amaçlı ilaç intoksikasyonlu hastalarımızın demografik özellikleri, glaskow koma skalası ve revize travma skoru’nun mortalite ile ilişkisi. JAEM 2012. doi:10.5152/jaem.2012.006.
  • Gaudreau JD, Gagnon P, Harel F, Tremblay A, Roy MA. Fast, systematic, and continuous delirium assessment in hospitalized patients: the nursing delirium screening scale. J Pain Symptom Manag 2005; 29: 368-75.
  • Karataş G. Hemşirelik-Deliryum Tarama Ölçeği’nin Türkçe Formunun Geçerlik ve Güvenirlilik Çalışması. Gaziantep Üniversitesi Sağlık Bilimleri Enstitüsü Yüksek Lisans Tezi. 2019. Gaziantep.
  • Hargrave A. Validation of a nurse-based delirium- screening tool for hospitalized patients. Psychosomatics 2017; 58: 594-603.
  • Hägi-Pedersen D, Thybo KH, Holgersen TH, Jensen JJ, Gaudreau JD, Radtke FM. Nu-DESC DK: Danish version of the nursing delirium screening scale (Nu-DESC). BMC Nurs 2017; 16: 75.
  • Ludolph P, Stoffers-Winterling J, Kunzler AM, et al. Non-pharmacologic multicomponent ınterventions preventing delirium in hospitalized people. J. Am Geriatr Soc 2020; 68: 1864-71.
  • Ekeozor CU, Jeyaruban D, Lasserson D. Where should patients with or at risk of delirium be treated in an acute care system? Comparing the rates of delirium in patients receiving usual care vs alternative care: A systematic review and meta-analysis. Int J Clin Pr 2020; 25: e13859.
  • Spiegelberg J, Song H, Pun B, Webb P, Boehm LM. Early ıdentification of delirium in ıntensive care unit patients: ımproving the quality of care. Critical Care Nurse 2020; 40: 33-43.
  • Burry LD. Pharmacological and non-pharmacological interventions to prevent delirium in critically ill patients: a systematic review and network meta-analysis. Intensive Care Med 2021; 47: 943-60.
  • Volland J, Fisher A, Drexler D. Preventing and identifying hospital-acquired delirium. Nursing 2020; 50: 32-37.
  • Pisani MA, Joyce Kong SY, Kasl SV, Murphy TE, Araujo KLB, Van Ness PH. Days of delirium are associated with 1 year mortality in an older intensive care unit population. Am J Respir Crit Care Med 2009; 180: 1092-7.
  • Lee Y, Lee J, Kim J, Jung Y. Non-pharmacological nursing ınterventions for prevention and treatment of delirium in hospitalized adult patients: systematic review of randomized controlled trials. Int J Environ Res Public Health 2021; 18: 8853.
  • Hayhurst CJ, Pandharipande PP, Hughes CG. Intensive care unit delirium: a review of diagnosis, prevention, and treatment. Anesthesiology 2016; 125:1229-41.
  • İnal MT. Yoğun bakım hastalarında pre-deliryum skorunun değerlendirilmesi. Türk Yoğun Bakım Derg 2018; 16: 26-9.
  • Rivosecchi RM, Smithburger PL, Svec S, Campbell S, Kane-Gill SL. Nonpharmacological interventions to prevent delirium: an evidence-based systematic review. Crit Care Nurse 2015; 35: 39-50.
  • Sahawneh F, Boss L. Non-pharmacologic interventions for the prevention of delirium in the intensive care unit: An integrative review. Nurs Crit Care 2021; 26: 166-75.
  • Lange S, Mędrzycka-Dąbrowska W, Friganovic A, Oomen B, Krupa S. Non-pharmacological nursing ınterventions to prevent delirium in ICU patients-an umbrella review with ımplications for evidence-based practice. J Pers Med 2022; 12: 760.
  • Duprey MS, van den Boogaard M, van der Hoeven JG, et al. Association between incident delirium and 28- and 90-day mortality in critically ill adults: a secondary analysis. Crit Care 2020; 24: 161.
  • Siddiqi N, Harrison JK, Clegg A, et al. Interventions for preventing delirium in hospitalised non-ICU patients. Cochrane Database Syst Rev 2016; 3: CD005563.
  • National Institute for Health and Care Excellence. Delirium: diagnosis, prevention and management. Clinical guideline (CG103). 2019. www.nice.org.uk/guidance/CG103 (accessed 10.06.2022).
  • Liang S, Chau JPC, Shan Lo SH, Zhao J, Choi KC. Effects of nonpharmacological delirium-prevention interventions on critically ill patients’ clinical, psychological, and family outcomes: A systematic review and meta-analysis. Aust Crit Care 2021; 34: 378-87.
  • Devlin JW, Skrobik Y, Gélinas C, et al. Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, ımmobility, and sleep disruption in adult patients in the ICU. Crit Care Med 2018; 46: 825-73.
  • Society of Critical Care Medicine (SCCM). PADIS-Guidelines-Teaching-Slides-Delirium. 2018. https://www.sccm.org/ICULiberation/ABCDEF-Bundles (accessed 02.07.2022).

Determination of the risk factors and delirium in the intensive care unit

Year 2023, Volume: 5 Issue: 1, 7 - 13, 20.01.2023

Aynur Bahar Mina Güner

https://doi.org/10.38053/acmj.1178278

Abstract

Aim: The objective of the present study is to increase nurses’ awareness of delirium risk factors, make nurses gain competence in using Nursing Delirium Screening Scale (Nu-DESC), and improve the quality of care by detecting delirium early in intensive care unit patients.
Material and Method: The research is a descriptive and correlational study. The sample consisted of 55 patients in an intensive care unit. Data of the study was collected with the Personal Information Form, the Richmond Agitation and Sedation Scale, the Glasgow Coma Scale, and the Nu-DESC.
Results: The majority of patients (89%) demonstrated the symptoms of anxiety and agitation. There was a significant correlation between age and the day delirium was detected and the Nu-DESC. In the study, isolation need, ventilator support, and pain were determined as risk factors.
Conclusion: The results of the study revealed the necessity of using measurement tools for the early detection of delirium in clinical practice by nurses.

Keywords

Delirium intensive care unit nursing risk factors

Project Number

yok

References

  • Tilouche N, Hassen MF, Ali HBS, Jaoued O, Gharbi R, El Atrous SS. Delirium in the Intensive Care Unit: Incidence, Risk Factors, and Impact on Outcome. Indian J Crit Care Med 2018; 22: 144-9.
  • Norman S, Taha AA, Turner HN. Delirium in the critically ill child. Clin Nurse Spec 2017; 31: 276-84.
  • Baron R, Binder A, Biniek R, et al. Evidence and consensus based guideline for the management of delirium, analgesia, and sedation in intensive care medicine. Revision 2015 (DAS-Guideline 2015)- short version. Ger Med Sci 2015; 13: 1-42.
  • Turkel S, Hanft D, Epstein D, Jacobson J. Review of Delirium in the pediatric intensive care unit. Journal of Pediatr Intensive Care 2013; 2: 169-76.
  • Bettencourt A, Mullen JE. Delirium in children: identification, prevention, and management. Crit Care Nurse 2019; 37: 9-18.
  • Kırpınar İ. Dahili ve cerrahi tıpta deliryumun değerlendirilmesi ve yönetimi: bir gözden geçirme. Bezmialem Science 2016; 3: 113-22.
  • Bölüktaş R. Yoğun bakım ünitelerindeki yaşlı hastalarda deliryumun değerlendirilmesi, önlenmesi ve yönetimine ilişkin stratejiler. Yoğun Bakım Hemşireliği Dergisi 2015; 19: 68-79.
  • Salluh JI, Wang H, Schneider EB, et al. Outcome of delirium in critically ill patients: systematic review and meta-analysis. BMJ 2015; 350: h2538.
  • Karadaş C, Özdemir L. Deliryumun yönetiminde farmakolojik olmayan yaklaşımlar ve hemşirenin sorumlulukları. J Psychiatric Nurs 2019; 10: 137-42.
  • Donnel MS, Timmins F. Quantitative exploration of the subjective burden experienced by nurses when caring for patients with delirium. Journal of Clinical Nursing 2012; 21: 2488-98.
  • Boogaard MVD, Pickkers P, van der Hoeven H, Roodbol G, van Achterberg T, Schoonhoven L. Implementation of a delirium assessment tool ın the ICU can ınfluence haloperidol use. Critical Care 2009; 13: 131-8.
  • Topuz Ş, Doğan N. Bir üniversite hastanesinin yoğun bakım ünitelerinde çalışan hemşirelerin deliryum konusuna ilişkin bilgi düzeyleri. KTU Tıp Fak Derg 2012; 14: 21-6.
  • Yaşayacak A, Eker F. Kalp damar cerrahisi yoğun bakım ünitesinde yatan hastalarda deliryum ve risk faktörlerinin belirlenmesi. Türk Göğüs Kalp Damar Cerrahisi Derg 2012; 20: 265-74.
  • Burge D, Kent W, Verdon J, Voogt S, Haines HM. Nurse practitioners are well placed to lead ın the effective management of delirium. Australian J Adv Nurs 2010; 28: 67-73.
  • Cerejeira J, Mukaetova-Ladinska EB. A clinical update on delirium: from early recognition to effective management. Nurs Res Pract 2011; 2011: 875196.
  • Koster S, Hensens G, Schuurmans MJ, van der Palen J. Risk factors of delirium after cardiac surgery a systematic review. European Journal of Cardiovascular Nursing 2011; 10: 197-204.
  • Simonsen BY, Lisby M, Traube C, Skovby P. The cornell assessment of pediatric delirium: translation and inter‐rater reliability in a danish pediatric intensive care unit. Acta Anaesthesiol Scand 2019: 63: 900-4.
  • Rinaldi S, Consales G, De Gaudio AR. Sedation monitoring in ICU. Current Anaesthesia &Critical Care 2006; 17: 303-15.
  • Özhasenekler R, Karaman H, Kavak GÖ, ve ark. Özkıyım amaçlı ilaç intoksikasyonlu hastalarımızın demografik özellikleri, glaskow koma skalası ve revize travma skoru’nun mortalite ile ilişkisi. JAEM 2012. doi:10.5152/jaem.2012.006.
  • Gaudreau JD, Gagnon P, Harel F, Tremblay A, Roy MA. Fast, systematic, and continuous delirium assessment in hospitalized patients: the nursing delirium screening scale. J Pain Symptom Manag 2005; 29: 368-75.
  • Karataş G. Hemşirelik-Deliryum Tarama Ölçeği’nin Türkçe Formunun Geçerlik ve Güvenirlilik Çalışması. Gaziantep Üniversitesi Sağlık Bilimleri Enstitüsü Yüksek Lisans Tezi. 2019. Gaziantep.
  • Hargrave A. Validation of a nurse-based delirium- screening tool for hospitalized patients. Psychosomatics 2017; 58: 594-603.
  • Hägi-Pedersen D, Thybo KH, Holgersen TH, Jensen JJ, Gaudreau JD, Radtke FM. Nu-DESC DK: Danish version of the nursing delirium screening scale (Nu-DESC). BMC Nurs 2017; 16: 75.
  • Ludolph P, Stoffers-Winterling J, Kunzler AM, et al. Non-pharmacologic multicomponent ınterventions preventing delirium in hospitalized people. J. Am Geriatr Soc 2020; 68: 1864-71.
  • Ekeozor CU, Jeyaruban D, Lasserson D. Where should patients with or at risk of delirium be treated in an acute care system? Comparing the rates of delirium in patients receiving usual care vs alternative care: A systematic review and meta-analysis. Int J Clin Pr 2020; 25: e13859.
  • Spiegelberg J, Song H, Pun B, Webb P, Boehm LM. Early ıdentification of delirium in ıntensive care unit patients: ımproving the quality of care. Critical Care Nurse 2020; 40: 33-43.
  • Burry LD. Pharmacological and non-pharmacological interventions to prevent delirium in critically ill patients: a systematic review and network meta-analysis. Intensive Care Med 2021; 47: 943-60.
  • Volland J, Fisher A, Drexler D. Preventing and identifying hospital-acquired delirium. Nursing 2020; 50: 32-37.
  • Pisani MA, Joyce Kong SY, Kasl SV, Murphy TE, Araujo KLB, Van Ness PH. Days of delirium are associated with 1 year mortality in an older intensive care unit population. Am J Respir Crit Care Med 2009; 180: 1092-7.
  • Lee Y, Lee J, Kim J, Jung Y. Non-pharmacological nursing ınterventions for prevention and treatment of delirium in hospitalized adult patients: systematic review of randomized controlled trials. Int J Environ Res Public Health 2021; 18: 8853.
  • Hayhurst CJ, Pandharipande PP, Hughes CG. Intensive care unit delirium: a review of diagnosis, prevention, and treatment. Anesthesiology 2016; 125:1229-41.
  • İnal MT. Yoğun bakım hastalarında pre-deliryum skorunun değerlendirilmesi. Türk Yoğun Bakım Derg 2018; 16: 26-9.
  • Rivosecchi RM, Smithburger PL, Svec S, Campbell S, Kane-Gill SL. Nonpharmacological interventions to prevent delirium: an evidence-based systematic review. Crit Care Nurse 2015; 35: 39-50.
  • Sahawneh F, Boss L. Non-pharmacologic interventions for the prevention of delirium in the intensive care unit: An integrative review. Nurs Crit Care 2021; 26: 166-75.
  • Lange S, Mędrzycka-Dąbrowska W, Friganovic A, Oomen B, Krupa S. Non-pharmacological nursing ınterventions to prevent delirium in ICU patients-an umbrella review with ımplications for evidence-based practice. J Pers Med 2022; 12: 760.
  • Duprey MS, van den Boogaard M, van der Hoeven JG, et al. Association between incident delirium and 28- and 90-day mortality in critically ill adults: a secondary analysis. Crit Care 2020; 24: 161.
  • Siddiqi N, Harrison JK, Clegg A, et al. Interventions for preventing delirium in hospitalised non-ICU patients. Cochrane Database Syst Rev 2016; 3: CD005563.
  • National Institute for Health and Care Excellence. Delirium: diagnosis, prevention and management. Clinical guideline (CG103). 2019. www.nice.org.uk/guidance/CG103 (accessed 10.06.2022).
  • Liang S, Chau JPC, Shan Lo SH, Zhao J, Choi KC. Effects of nonpharmacological delirium-prevention interventions on critically ill patients’ clinical, psychological, and family outcomes: A systematic review and meta-analysis. Aust Crit Care 2021; 34: 378-87.
  • Devlin JW, Skrobik Y, Gélinas C, et al. Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, ımmobility, and sleep disruption in adult patients in the ICU. Crit Care Med 2018; 46: 825-73.
  • Society of Critical Care Medicine (SCCM). PADIS-Guidelines-Teaching-Slides-Delirium. 2018. https://www.sccm.org/ICULiberation/ABCDEF-Bundles (accessed 02.07.2022).
There are 41 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Articles
Authors

Aynur Bahar 0000-0001-5356-0501

Mina Güner This is me 0000-0002-1837-3126

Project Number yok
Early Pub Date January 17, 2023
Publication Date January 20, 2023
Published in Issue Year 2023 Volume: 5 Issue: 1

Cite

AMA Bahar A, Güner M. Determination of the risk factors and delirium in the intensive care unit. Anatolian Curr Med J / ACMJ / acmj. January 2023;5(1):7-13. doi:10.38053/acmj.1178278
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