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Effectiveness of nursing intervention to reduce delirium in adult critically ill - A protocol for a randomized trial

The incidence of delirium in intensive care patients remains high, and its consequences have a high negative impact on patients, their families, health care teams, and society in general. Because delirium can lead to increased hospital stay, increased days on mechanical ventilation, increased risk o...

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Autores principales: Gómez Tovar, Luz Omaira, Henao-Castaño, Ángela María
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9791593/
https://www.ncbi.nlm.nih.gov/pubmed/36579130
http://dx.doi.org/10.1016/j.conctc.2022.101042
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author Gómez Tovar, Luz Omaira
Henao-Castaño, Ángela María
author_facet Gómez Tovar, Luz Omaira
Henao-Castaño, Ángela María
author_sort Gómez Tovar, Luz Omaira
collection PubMed
description The incidence of delirium in intensive care patients remains high, and its consequences have a high negative impact on patients, their families, health care teams, and society in general. Because delirium can lead to increased hospital stay, increased days on mechanical ventilation, increased risk of adverse events, increased memory loss and even increased mortality. However, some factors that precipitate delirium can be modified to reduce its presence and duration through non-pharmacological measures. Thus, the present protocol seeks to establish the theoretical and methodological background to develop and test nursing interventions to reduce delirium in adult patients hospitalized in the intensive care unit. For this reason, it is based on the theoretical elements of delirium and a nursing theory, called the Dynamic Symptoms Model (DSM), to understand the phenomenon and how nursing knowledge can be used to intervene. Thus, a nursing intervention proposal is proposed based on the DSM and scientific evidence, and a methodological design of a randomized controlled clinical trial type with parallel groups, which allows measuring the effectiveness of the designed interventions, following methodological and ethical rigor and with adequate control of biases.
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spelling pubmed-97915932022-12-27 Effectiveness of nursing intervention to reduce delirium in adult critically ill - A protocol for a randomized trial Gómez Tovar, Luz Omaira Henao-Castaño, Ángela María Contemp Clin Trials Commun Article The incidence of delirium in intensive care patients remains high, and its consequences have a high negative impact on patients, their families, health care teams, and society in general. Because delirium can lead to increased hospital stay, increased days on mechanical ventilation, increased risk of adverse events, increased memory loss and even increased mortality. However, some factors that precipitate delirium can be modified to reduce its presence and duration through non-pharmacological measures. Thus, the present protocol seeks to establish the theoretical and methodological background to develop and test nursing interventions to reduce delirium in adult patients hospitalized in the intensive care unit. For this reason, it is based on the theoretical elements of delirium and a nursing theory, called the Dynamic Symptoms Model (DSM), to understand the phenomenon and how nursing knowledge can be used to intervene. Thus, a nursing intervention proposal is proposed based on the DSM and scientific evidence, and a methodological design of a randomized controlled clinical trial type with parallel groups, which allows measuring the effectiveness of the designed interventions, following methodological and ethical rigor and with adequate control of biases. Elsevier 2022-12-15 /pmc/articles/PMC9791593/ /pubmed/36579130 http://dx.doi.org/10.1016/j.conctc.2022.101042 Text en © 2022 The Authors. Published by Elsevier Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Gómez Tovar, Luz Omaira
Henao-Castaño, Ángela María
Effectiveness of nursing intervention to reduce delirium in adult critically ill - A protocol for a randomized trial
title Effectiveness of nursing intervention to reduce delirium in adult critically ill - A protocol for a randomized trial
title_full Effectiveness of nursing intervention to reduce delirium in adult critically ill - A protocol for a randomized trial
title_fullStr Effectiveness of nursing intervention to reduce delirium in adult critically ill - A protocol for a randomized trial
title_full_unstemmed Effectiveness of nursing intervention to reduce delirium in adult critically ill - A protocol for a randomized trial
title_short Effectiveness of nursing intervention to reduce delirium in adult critically ill - A protocol for a randomized trial
title_sort effectiveness of nursing intervention to reduce delirium in adult critically ill - a protocol for a randomized trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9791593/
https://www.ncbi.nlm.nih.gov/pubmed/36579130
http://dx.doi.org/10.1016/j.conctc.2022.101042
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