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Factors Affecting Delirium in ICU Patients

This study examined delirium severity using a delirium screening tool and analyzed the predictors, including pain, acuity, level of consciousness, fall risk, and pain score, to increase understanding of delirium and present foundational data for developing nursing interventions for delirium preventi...

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Autores principales: Jeong, I Seul, Cho, Mi-Kyoung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10217993/
https://www.ncbi.nlm.nih.gov/pubmed/37239615
http://dx.doi.org/10.3390/ijerph20105889
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author Jeong, I Seul
Cho, Mi-Kyoung
author_facet Jeong, I Seul
Cho, Mi-Kyoung
author_sort Jeong, I Seul
collection PubMed
description This study examined delirium severity using a delirium screening tool and analyzed the predictors, including pain, acuity, level of consciousness, fall risk, and pain score, to increase understanding of delirium and present foundational data for developing nursing interventions for delirium prevention. This was a retrospective study of 165 patients admitted to three intensive care units (ICUs). the Nursing Delirium Screening Scale (Nu-DESC) was used as a research tool to screen for delirium and measure the degree of delirium. The incidence of delirium in patients was 53.3%, and the average delirium score in the delirium group was 2.40 ± 0.56. Nu-DESC scores were significantly correlated with ICU days, ventilator days, restraint applications, the number of catheters inserted, sedative medication use, the Simplified Acute Physiology Score (SAPS III), the Morse Fall Scale (MFS), the Glasgow Coma Scale (GCS) scores, pain scores, and blood urea nitrogen (BUN). Stepwise multiple linear regression showed that the number of restraint applications, GCS score, ICU days, and BUN levels were factors influencing delirium. Based on the findings, ICU nurses should use delirium screening tools to ensure accurate delirium screening and work to reduce the incidence and degree of delirium by observing factors affecting delirium in patients.
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spelling pubmed-102179932023-05-27 Factors Affecting Delirium in ICU Patients Jeong, I Seul Cho, Mi-Kyoung Int J Environ Res Public Health Article This study examined delirium severity using a delirium screening tool and analyzed the predictors, including pain, acuity, level of consciousness, fall risk, and pain score, to increase understanding of delirium and present foundational data for developing nursing interventions for delirium prevention. This was a retrospective study of 165 patients admitted to three intensive care units (ICUs). the Nursing Delirium Screening Scale (Nu-DESC) was used as a research tool to screen for delirium and measure the degree of delirium. The incidence of delirium in patients was 53.3%, and the average delirium score in the delirium group was 2.40 ± 0.56. Nu-DESC scores were significantly correlated with ICU days, ventilator days, restraint applications, the number of catheters inserted, sedative medication use, the Simplified Acute Physiology Score (SAPS III), the Morse Fall Scale (MFS), the Glasgow Coma Scale (GCS) scores, pain scores, and blood urea nitrogen (BUN). Stepwise multiple linear regression showed that the number of restraint applications, GCS score, ICU days, and BUN levels were factors influencing delirium. Based on the findings, ICU nurses should use delirium screening tools to ensure accurate delirium screening and work to reduce the incidence and degree of delirium by observing factors affecting delirium in patients. MDPI 2023-05-19 /pmc/articles/PMC10217993/ /pubmed/37239615 http://dx.doi.org/10.3390/ijerph20105889 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Jeong, I Seul
Cho, Mi-Kyoung
Factors Affecting Delirium in ICU Patients
title Factors Affecting Delirium in ICU Patients
title_full Factors Affecting Delirium in ICU Patients
title_fullStr Factors Affecting Delirium in ICU Patients
title_full_unstemmed Factors Affecting Delirium in ICU Patients
title_short Factors Affecting Delirium in ICU Patients
title_sort factors affecting delirium in icu patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10217993/
https://www.ncbi.nlm.nih.gov/pubmed/37239615
http://dx.doi.org/10.3390/ijerph20105889
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