Autori: Yi-Ling Chen
Ustanova zaposlenja: TAIWAN
Ključne riječi: Surgical intensive care unit, Delirium, high risk factor
Kongres/Simpozij: ”5. Međunarodni kongres HDMSARIST-a” i ”8. Međunarodni kongres WFCCN-a”
Mjesto i vrijeme održavanja: Šibenik, 12.-15. travnja 2012. godine
Background
Delirium is one of the most serious problems in the intensive care unit (ICU),
which might complicated with serious problem like prolong hospital stay,
increased medical expense and mortality.
Purpose
We plan to analysis the incidence and risk factors related to delirium in ICU
Method
This is a descriptive, related and prospective study. For the convenient
sampling, 30 patients were collected the surgical intensive care unit in one
medical center from 1st October, 2011 to 6th November, 2011.The CAM-ICU and
RASS score was used to assessed and diagnose Delirium. The data was analyzed by
Chi-square and t-test.
Result
According to our study, the incidence of acute delirium in SICU is 46.7%. There
is no significant statistic difference in disease type, gender and age.
Solitary and alcoholism (P=.05), physical restriction (P< .01), fever (P<
.02) and indwelling catheters (P< .003), high TISS score (P< .002) and
low GCS score (P< .03) is statistic difference significantly.
Discussion
For ICU patients, nursing staff should be cautious to prevent the delirium risk
factors, including the necessity for indwelling catheters and physical
restriction on patients, and the treatment of fever episode. Pay attention to
high TISS score and low GCS score patients, in order to reduce the incidence of
delirium.