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KMID : 0388320180250020109
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Journal of Korean Academy of Fundamental Nursing
2018 Volume.25 No. 2 p.109 ~ p.119
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Effects of Delirium Prevention Interventions for Neurocritical Pati
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Lee Min-Ji
Yun Sun-Hee
Choi Kyoung-Ok
Seong Sun-Suk
Lee Sun-Mi
Kang Jae-Jin
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Abstract
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Purpose: The purpose of this study was to investigate the effects of a delirium prevention intervention for patients in neurology and neurosurgery intensive care units (ICUs).
Methods: This study was a quasi-experimental study. Participants were 87 patients. The experimental group was provided with nonpharmacologic and multicomponent delirium prevention interventions, consisting of regular delirium assessment, improvement in orientation, early therapeutic intervention, and environmental interventions. The control group was provided with routine intensive care. Data were analyzed using x2 test, Fisher’s exact test, and t-test.
Results: Both groups were homogeneous. The incidence of delirium and length of hospitalization were significantly lower in the experimental group compared to the control group. ICU stay, mortality and unplanned extubation were lower in the experimental group compared to the control group, but there was no significant difference.
Conclusion: Findings indicate that the delirium prevention intervention is effective in reducing incidence of delirium and length of hospitalization. Therefore, this intervention should be helpful in preventing delirium in neurology and neurosurgery ICUs and can be used as a guide in the prevention of delirium in neurological diseases’s patients.
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KEYWORD
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Delirium, Neurology, Neurosurgery, Intensive care units
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