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Journal Article Epublish 11 citations

PubMed: 33886913 DOI: 10.1590/S1980-220X2019035003685

Nursing intervention to prevent delirium in critically ill adults.

Rev Esc Enferm USP 55:e03685

Authors: Claudia Consuelo Torres Contreras, Astrid Nathalia Páez-Esteban, Mayerli Katherine Rincon-Romero, Raquel Rivera Carvajal, Marisela Márquez Herrera, Alfredo Hinestrosa Díaz Del Castillo

Affiliations

  • Universidad de Santander, Facultad de Ciencias de la Salud, Bucaramanga, Santander, Colombia.
  • Universidad Industrial de Santander, Facultad de Salud, Bucaramanga, Santander, Colombia.
  • Los Comuneros Hospital Universitario de Bucaramanga, Bucaramanga, Santander, Colombia.

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.

MeSH

Incidence, Education, Nursing, Critical Illness, Delirium

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