Nursing intervention to prevent delirium in critically ill adults
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
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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Revista da Escola de Enfermagem da USP (Online) |
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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 |
format |
article |
status_str |
publishedVersion |
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 |
_version_ |
1748936540963209216 |