Background: Delirium is a major mental impairment that causes clouded thinking and diminished environmental awareness. The intensive care unit frequently deals with the serious issue of delirium. Early hospitalization for a number of acute and chronic disorders sometimes involves it. It is linked to higher mortality, extended mechanical ventilation, and extended hospital stays. ABCDE tool was an effective tool for prevention of delirium. Hence the study was aimed to conduct the study to determine the effect of ABCDE bundle implementation on prevention of delirium on mechanical ventilation patients. Methods: Quasi experimental research design with 60 samples who met the inclusion criteria at Saveetha Medical College and Hospital. Samples were selected by purposive sampling technique and were assigned into the experimental group (n=30) and the control group (n=30). Pre-test assessment on delirium was assessed by using intensive care delirium screening checklist for both groups. Experimental group were received ABCDE bundle care. The control group was received the routine care of the hospital. Post-test assessment of delirium was by using same tool was done at the end assessed after the extubation for both groups. Results: The comparison of pretest level of delirium among mechanical ventilation patients between the experimental and control group revealed that the calculated student independent ‘t’ test value of t = 1.190 were not found to be statistically significant. The comparison of post test level of delirium among mechanical ventilation patients between the experimental and control group revealed that the calculated student independent‘t’ test value of t = 4.584 were found to be statistically significant at (p
Introduction:The dialysis disequilibrium syndrome is defined as a medical syndrome of neurologic deterioration that manifests in hemodialysis patients. It is much more likely to occur in patients during or immediately following their first treatment, but it can occur in any affected person who receives hemodialysis. Methods:For the study, a descriptive research design was used. The research was carried out at Saveetha Medical College Hospital in Chennai. The convenience sampling technique was used to select 60 samples that met the inclusion criteria. Dialysis Disequilibrium Syndrome (DDS) risk assessment was performed prior to hemodialysis imitation, and the client is continuously monitoring signs and symptoms of Dialysis Disequilibrium Syndrome (DDS) during intra dialysis and the first hour after dialysis. Descriptive and inferential statistics were used to analyse the data.Results: Intradialysis results Karl Pearson's correlation coefficient of 0.501 indicates a moderately positive correlation. Karl Pearson's Correlation value of r = 0.404 after dialysis indicates a mild positive correlation that was found to be statistically significant at the p0.001 level. Conclusion: This clearly implies that as the risk factor increases, so do the signs and symptoms. "As a result, early detection of DDS (Dialysis Disequilibrium Syndrome) is a very powerful action to reduce the severity of mortality."This descriptive study discusses the importance of demographic and clinical variables in the development of Dialysis Disequilibrium Syndrome (DDS).
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