Multicomponent nursing program to prevent delirium in critically ill patients: a randomized clinical trial

Abstract

Objectives To determine the efficacy of a multicomponent nursing program to prevent delirium in critically ill patients. Methods Parallel controlled randomized clinical trial to prevent delirium in 81 critically ill patients: 41 in the control group and 40 in the intervention group (intervention: spatial and temporal guidance, visual stimulus, auditive stimulus, and family support). Participants were recruited from September 2017 to March 2018 in the university hospital Los Comuneros, Bucaramanga, Colombia. Clinical Trials record NCT03215745. Results The incidence of delirium was 5% in the intervention group and 24% in the control group. The relative risk was 0.20 (95% CI 0.05 to 0.88). The absolute risk reduction was 19.39% (95% CI 4.61 to 34.17) and the number needed to treat was 5 (95 CI % 3 to 26%). Conclusion The multicomponent nursing program is efficient to prevent delirium in critically ill patients.

Validation of Nursing Outcome Indicators in Patients with Postsurgical Delirium

“…The expert participants showed graduate academic level, which leads to believe that they managed adequately the concept of patients with delirium. It is noteworthy that the use of these indicators may complement the use of other evaluation instruments, highlighting the CAM-ICU scale, considered the valid and reliable psychometric instrument to issue the delirium diagnosis, 19 , 20 as well as to determine the prevalence of the problem. 21…”

Nursing microtheory in the prevention of delirium in older adult in the intensive care unit

“…Still, given the magnitude of the problem imposed on older adult in the ICU by delirium , the use of care interventions focused on the multifactorial nature of the syndrome and the multidimensionality of the older adult for prevention stands out as a challenge to the nursing team ( 32 ) . For this, it is necessary for professionals to understand the relationships that are established between the older adult, the ICU and delirium , described by MiTCare-DEP.…”

Microteoría de enfermería en la prevención del delirium en personas mayores en la unidad de cuidados intensivos

“…Además, dada la magnitud del problema que el delirium representa para las personas mayores en la UCI, se destaca como un desafío para el equipo de enfermería la implementación de intervenciones de cuidado que se centren en los múltiples factores de la síndrome y en la multidimensionalidad de la persona mayor para su prevención (32) . Para lograr esto, es necesario que los profesionales comprendan las relaciones que se establecen entre la persona mayor, la UCI y el delirium, tal como se describen en MiTCare-DEP.…”