Nursing intervention to prevent delirium in intensive care unit patients
DOI:
https://doi.org/10.35381/s.v.v7i2.2922Keywords:
Delirium, Neurocognitive Disorders, Delusional Parasitosis, (Source: DeCS)Abstract
Objective: to analyze the nursing intervention to prevent delirium in patients in the intensive care unit. Method: A documentary review of 17 scientific articles was carried out. Results and conclusion: The importance of recognizing the characteristics of the different types of delirium has been described, as well as the identification of risk factors for the incidence of delirium in critically ill patients, both older adults / the elderly and pediatric patients in the Care Unit. Intensive (ICU) and finally nursing interventions to prevent delirium in critically ill patients were described, which include early mobilization, psychological support, active communication, adaptation of the environment, cognitive stimulation, and interaction with the family circle. These interventions have been classified as non-pharmacological treatments focused on reducing the incidence of delirium as well as minimizing its consequences if it develops.
Downloads
References
Moore AD, Anghelescu DL. Emergence Delirium in Pediatric Anesthesia [published correction appears in Paediatr Drugs. 2017 Jun;19(3):267]. Paediatr Drugs. 2017;19(1):11-20. doi:10.1007/s40272-016-0201-5
Sahawneh F, Boss L. Non-pharmacologic interventions for the prevention of delirium in the intensive care unit: An integrative review. Nurs Crit Care. 2021;26(3):166-175. doi:10.1111/nicc.12594
Tonna JE, Dalton A, Presson AP, et al. The Effect of a Quality Improvement Intervention on Sleep and Delirium in Critically Ill Patients in a Surgical ICU. Chest. 2021;160(3):899-908. doi:10.1016/j.chest.2021.03.030
Traube C, Silver G, Kearney J, et al. Cornell Assessment of Pediatric Delirium: a valid, rapid, observational tool for screening delirium in the PICU*. Crit Care Med. 2014;42(3):656-663. doi:10.1097/CCM.0b013e3182a66b76
Valdivia HR, Carlin KE. Determining Interrater Reliability of the Cornell Assessment of Pediatric Delirium Screening Tool Among PICU Nurses. Pediatr Crit Care Med. 2019;20(4):e216-e220. doi:10.1097/PCC.0000000000001896
Decia, M., & Araní, F. (2020). Delirio en pediatría , un diagnóstico olvidado Delirium in pediatrics, a forgotten diagnosis. 91(5), 316–324. https://doi.org/10.31134/AP.91.5.7
Ramírez, M., & Umaña, A. (2021). Delirio : una visión global Delirium : a global visión. Revista Médica Sinergia, 6(5). https://doi.org/10.31434/rms.v6i5.672
Contreras, C. C. T., Esteban, A. N. P., Parra, M. D., Romero, M. K. R., Silva, C. G. da, & Buitrago, N. P. D. (2021). Multicomponent nursing program to prevent delirium in critically ill patients: a randomized clinical trial. Revista Gaucha de Enfermagem, 42, e20200278. https://doi.org/10.1590/1983-1447.2021.20200278
Liao, J., Kui, C., Zhou, Y., Huang, L., Zuo, D., Huang, Y., & Pan, R. (2022). Effect of Programmed Comprehensive Nursing for Postoperative Delirium in Intensive Care Unit Patients. Evidence-Based Complementary and Alternative Medicine, 2022(July 2020), 1–7. https://doi.org/10.1155/2022/1227659
Wassenaar, A., Rood, P., Schoonhoven, L., Teerenstra, S., Zegers, M., Pickkers, P., & van den Boogaard, M. (2017). The impact of nUrsiNg DEliRium Preventive INnterventions in the Intensive Care Unit (UNDERPIN-ICU): A study protocol for a multi-centre, stepped wedge randomized controlled trial. International Journal of Nursing Studies, 68, 1–8. https://doi.org/10.1016/j.ijnurstu.2016.11.018
Decia, M., & Araní, F. (2020). Delirio en pediatría , un diagnóstico olvidado Delirium in pediatrics, a forgotten diagnosis. 91(5), 316–324. https://doi.org/10.31134/AP.91.5.7
Henao-Castaño, A. M., Pachón Cetina, L. E., & Monroy Rodríguez, J. D. (2020). Nursing delirium screening scale, a tool for early detection of delirium: Integrative review. Aquichan, 20(4), 1–14. https://doi.org/10.5294/aqui.2020.20.4.5
Vyveganathan, L., Izaham, A., Rahiza, W., Mat, W., Tang, S., Peng, S., Abdul, R., & Manap, N. A. (2019). Delirium in critically ill patients : incidence , risk factors and outcomes. 22(1), 25–40.
Aimee, D. X., Danielle, D. X., & Jennifer, D. X. (2018). Pediatric Delirium : Early Identi fi cation of Barriers to Optimize Success of Screening and Prevention. Journal of Pediatric Health Care, 1–6. https://doi.org/10.1016/j.pedhc.2018.08.004
Ozga, D., Krupa, S., Witt, P., & Mędrzycka-Dabrowska, W. (2020). Nursing interventions to prevent delirium in critically ill patients in the intensive care unit during the covid19 pandemic—narrative overview. Healthcare (Switzerland), 8(4). https://doi.org/10.3390/healthcare8040578
Pão-Mole, M., Dourado, R., & Pontífice, P. (2018). Intervenciones de enfermería en el adulto hospitalizado. Enfermería Global, 17(4), 640–688.
Rohlik, G., Fryer, K. R., Tripathi, S., Duncan, J. M., & Coon, H. L. (2018). Overcoming Barriers to Delirium Screening in the Pediatric Intensive Care Unit. Critical Care Nurse, 38(4), 57–68. https://doi.org/10.4037/ccn2018227
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Mónica Alexandra Ocaña-Guevara, Neris Marina Ortega-Guevara, Isabel Echevarria-Frutos, María Cristina Cervantes-Vélez
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
CC BY-NC-SA : Esta licencia permite a los reutilizadores distribuir, remezclar, adaptar y construir sobre el material en cualquier medio o formato solo con fines no comerciales, y solo siempre y cuando se dé la atribución al creador. Si remezcla, adapta o construye sobre el material, debe licenciar el material modificado bajo términos idénticos.
OAI-PMH: https://fundacionkoinonia.com.ve/ojs/index.php/saludyvida/oai.
