Effect of a three-tier delirium nursing management process on NICU patients with acute stroke
10.3969/j.issn.1671-8283.2024.01.009
- VernacularTitle:三级谵妄护理管理流程在NICU急性脑卒中患者中的应用
- Author:
Canfang SHE
1
,
2
;
Xinru HE
;
Caihong ZHOU
;
Chang HUANG
;
Wei ZHU
;
Lihui SHAO
;
Min FU
Author Information
1. 湖南师范大学附属长沙医院/长沙市第四医院神经内科,湖南长沙,410006
2. 湖南师范大学医学院,湖南长沙,410013
- Keywords:
neurology intensive care unit;
delirium;
three-tier delirium nursing management process;
cognitive function;
tired care;
best evidence
- From:
Modern Clinical Nursing
2024;23(1):56-62
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of a three-tier delirium care management process in patients with acute stroke in neurology intensive care unit(NICU).Methods A total of 50 patients with acute stroke admitted to the NICU of the Fourth Hospital of Changsha from May to September 2021 were assigned to the control group.The patients in the control group received routine NICU nursing care to prevent delirium.Another 50 patients with acute stroke admitted to the NICU from December 2021 to April 2022 were assigned to the trial group.They were managed with the three-tier delirium nursing management process on top of the routine NICU nursing care for the control group.The incidence of ICU delirium(DICU),duration of DICU,length of stay in NICU and the incidence of delirium-related adverse events were compared between the two groups.The degree of delirium and cognitive function before and after the intervention were compared between the two groups as well.Results The trial group had significantly shorter duration of DICU and NICU stay(both P<0.05)and lower incidence rate of delirium-related adverse events(P<0.05)compared to the control group.After the intervention,the trial group showed significantly lower scores on the intensive care delirium screening checklist(ICDSC)and significantly higher scores of cognitive function compared to those of the control group(both P<0.05).Conclusion The three-tier delirium nursing management process can lower the occurrence of delirium in NICU patients with acute stroke,shorten the NICU stay,reduce the safety risk in nursing,and improve the cognitive function.
