Nursing intervention to prevent delirium in critically ill adults

Detalhes bibliográficos
Autor(a) principal: Contreras,Claudia Consuelo Torres
Data de Publicação: 2021
Outros Autores: Páez-Esteban,Astrid Nathalia, Rincon-Romero,Mayerli Katherine, Carvajal,Raquel Rivera, Herrera,Marisela Márquez, Castillo,Alfredo Hinestrosa Díaz del
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Escola de Enfermagem da USP (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100417
Resumo: 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.
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spelling Nursing intervention to prevent delirium in critically ill adultsDeliriumCritical Care NursingControlled Before-After StudiesABSTRACT 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.Universidade de São Paulo, Escola de Enfermagem2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100417Revista da Escola de Enfermagem da USP v.55 2021reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USP10.1590/s1980-220x2019035003685info:eu-repo/semantics/openAccessContreras,Claudia Consuelo TorresPáez-Esteban,Astrid NathaliaRincon-Romero,Mayerli KatherineCarvajal,Raquel RiveraHerrera,Marisela MárquezCastillo,Alfredo Hinestrosa Díaz deleng2021-04-12T00:00:00Zoai:scielo:S0080-62342021000100417Revistahttp://www.scielo.br/reeuspPUBhttps://old.scielo.br/oai/scielo-oai.php||nursingscholar@usp.br1980-220X0080-6234opendoar:2021-04-12T00:00Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Nursing intervention to prevent delirium in critically ill adults
title Nursing intervention to prevent delirium in critically ill adults
spellingShingle Nursing intervention to prevent delirium in critically ill adults
Contreras,Claudia Consuelo Torres
Delirium
Critical Care Nursing
Controlled Before-After Studies
title_short Nursing intervention to prevent delirium in critically ill adults
title_full Nursing intervention to prevent delirium in critically ill adults
title_fullStr Nursing intervention to prevent delirium in critically ill adults
title_full_unstemmed Nursing intervention to prevent delirium in critically ill adults
title_sort Nursing intervention to prevent delirium in critically ill adults
author Contreras,Claudia Consuelo Torres
author_facet Contreras,Claudia Consuelo Torres
Páez-Esteban,Astrid Nathalia
Rincon-Romero,Mayerli Katherine
Carvajal,Raquel Rivera
Herrera,Marisela Márquez
Castillo,Alfredo Hinestrosa Díaz del
author_role author
author2 Páez-Esteban,Astrid Nathalia
Rincon-Romero,Mayerli Katherine
Carvajal,Raquel Rivera
Herrera,Marisela Márquez
Castillo,Alfredo Hinestrosa Díaz del
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Contreras,Claudia Consuelo Torres
Páez-Esteban,Astrid Nathalia
Rincon-Romero,Mayerli Katherine
Carvajal,Raquel Rivera
Herrera,Marisela Márquez
Castillo,Alfredo Hinestrosa Díaz del
dc.subject.por.fl_str_mv Delirium
Critical Care Nursing
Controlled Before-After Studies
topic Delirium
Critical Care Nursing
Controlled Before-After Studies
description 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.
publishDate 2021
dc.date.none.fl_str_mv 2021-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100417
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100417
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/s1980-220x2019035003685
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Universidade de São Paulo, Escola de Enfermagem
publisher.none.fl_str_mv Universidade de São Paulo, Escola de Enfermagem
dc.source.none.fl_str_mv Revista da Escola de Enfermagem da USP v.55 2021
reponame:Revista da Escola de Enfermagem da USP (Online)
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista da Escola de Enfermagem da USP (Online)
collection Revista da Escola de Enfermagem da USP (Online)
repository.name.fl_str_mv Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||nursingscholar@usp.br
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