The relationship of delirium and risk factors for cardiology intensive care unit patients with the nursing workload

被引：20

作者：

Birge, Aysegul Ozturk ^{[1
]}

Beduk, Tulin ^{[1
]}

机构：

[1] Ankara Univ, Fac Hlth Sci, Ankara, Turkey

来源：

JOURNAL OF CLINICAL NURSING | 2018年 / 27卷 / 9-10期

关键词：

critical care; intensive care; management; medical nursing; nursing; risk assessment; INTERVENTION SCORING SYSTEM; CARDIAC-SURGERY; OLDER PATIENTS; PREDICTOR; TISS-28; PREVENTION; MORTALITY; AGITATION; OUTCOMES; IMPACT;

D O I：

10.1111/jocn.14365

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Aims and objectivesTo evaluate the relationship of delirium and risk factors for cardiology intensive care unit (ICU) patients with the nursing workload. BackgroundDelirium is a common syndrome in patients with cardiac problems. The risk factors causing delirium and the presence and type of delirium affect the nurse workload and patient care quality adversely. DesignThis cross-sectional study was conducted with 133 patients staying at the cardiology ICU of a university hospital between 5 January-31 March 2017. MethodThe study data were collected using the Patient Information Form, Delirium Risk Factors' Form and Therapeutic Intervention Scoring System-28 (TISS-28) scale to identify the nurse workload. The statistical analysis of the data was performed using frequency, chi-square, Mann-Whitney U, correlation and regression analyses. ResultsIt was found that patients who developed delirium were 65years or older, they had more nasogastric/total parenteral nutrition (NG/TPN), benzodiazepine and physical restraints in comparison with those with no delirium development, and that the prevalence of hypoxia and hypoalbuminemia were higher in these patients. The mean TISS-28 score was higher in patients with delirium, compared with those without delirium. There was a positive correlation between the mean Acute Physiology and Chronic Health Evaluation II (APACHE II) scores and the mean TISS-28 score of the patients. The mean TISS-28 score was found to significantly increase with being at the age of 65 and above and the administration of mechanical ventilation. The patients with delirium required a mean of 60-min additional care. ConclusionsOur study results suggest that the presence of delirium and the delirium risk factors, irrespective of delirium, increase the nurse workload. Relevance to clinical practiceAn effective management of delirium risk factors can improve the patient care quality by reducing delirium occurrence and nurse workload.

引用

页码：2109 / 2119

页数：11

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