Delirium prevention in critically ill adults through an automated reorientation intervention - A pilot randomized controlled trial

被引：57

作者：

Munro, Cindy L. ^{[1
]}

Cairns, Paula ^{[1
]}

Ji, Ming ^{[1
]}

Calero, Karel ^{[2
]}

Anderson, W. McDowell ^{[2
]}

Liang, Zhan ^{[1
]}

机构：

[1] Univ S Florida, Coll Nursing, 12901 Bruce B Downs Blvd,MDC 22, Tampa, FL 33612 USA

[2] Univ S Florida, Morsani Coll Med, 12901 Bruce B Downs Blvd,MDC 19, Tampa, FL 33612 USA

来源：

HEART & LUNG | 2017年 / 46卷 / 04期

基金：

美国国家卫生研究院;

关键词：

Delirium; Intensive care unit; Family; Delirium prevention; Nursing care; Critical illness; Delirium intervention; INTENSIVE-CARE-UNIT; MECHANICALLY VENTILATED PATIENTS; TERM COGNITIVE IMPAIRMENT; QUALITY-OF-LIFE; CRITICAL ILLNESS; PROSPECTIVE COHORT; FUTURE-DIRECTIONS; SURVIVORS; DURATION; ICU;

D O I：

10.1016/j.hrtlng.2017.05.002

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objectives: Explore the effect of an automated reorientation intervention on ICU delirium in a prospective randomized controlled trial. Background: Delirium is common in ICU patients, and negatively affects outcomes. Few prevention strategies have been tested. Methods: Thirty ICU patients were randomized to 3 groups. Ten received hourly recorded messages in a family member's voice during waking hours over 3 ICU days, 10 received the same messages in a non family voice, and 10 (control) did not receive any automated reorientation messages. The primary outcome was delirium free days during the intervention period (evaluated by CAM-ICU). Groups were compared by Fisher's Exact Test. Results: The family voice group had more delirium free days than the non-family voice group, and significantly more delirium free days (p = 0.0437) than the control group. Conclusions: Reorientation through automated, scripted messages reduced incidence of delirium. Using identical scripted messages, family voice was more effective than non-family voice. (C) 2017 Elsevier Inc. All rights reserved.

引用

页码：234 / 238

页数：5

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