Evaluation of Pediatric Delirium Awareness and Management in Pediatric Intensive Care Units in Turkey

Abstract

Delirium has been associated with prolonged pediatric intensive care unit (PICU) stay and mechanical ventilation times as well as high hospital costs and mortality rates. This work aimed to examine pediatric delirium awareness and delirium management in Turkey. A total of 19 physicians responsible for their respective PICUs completed the survey. Most of the units (57.9%) did not use any assessment tool. Varying measures were applied in different units to reduce the prevalence of delirium. The number of units that continuously measured noise was very low (15.8%). Eye mask and earpiece usage rates were also very low. In pharmacological treatment, haloperidol, dexmedetomidine, benzodiazepines, and atypical antipsychotics were the most preferred options. Some units have reached a sufficient level of pediatric delirium awareness and management. However, insufficiencies in delirium awareness and management remain in general.

Effects of a Multifaceted Pediatric Delirium Education Program for Pediatric Intensive Care Unit Nurses on their Delirium Knowledge, Self-confidence in Delirium Nursing, and Delirium Assessment Accuracy: A One Group Pretest-Posttest Design

“…Harris 등 [6]은 의료진들이 소아 섬망 증 상을 간과하기 쉬운 이유로 언어 전 단계 소아의 증상 평가에 대한 곤란함을 제시했으며, 실제로 13개국 의료 진을 대상으로 소아 섬망 관리 실태를 조사한 연구 [9] 에 따르면 임상에서 섬망을 사정하는 비율은 25%에 불 과하였다. 이에 대한 대책으로 성인과 마찬가지로 매 근무조마다 객관적인 소아 섬망 사정 도구로 섬망을 사 정할 것을 권고하고 있지만 [6], 최근 여러 나라에서 소 아 섬망 도구 사용 여부를 파악한 결과 대부분의 의료 진이 소아 섬망 사정 도구를 사용하지 않고 있는 것으 로 보고되었다 [10][11][12].…”