J Korean Crit Care Nurs.  2023 Feb;16(1):71-86. 10.34250/jkccn.2023.16.1.71.

Investigation of Delirium Occurrence and Intervention Status in Intensive Care Unit at a Hospital and Perception of Delirium by Medical Staff

Affiliations
  • 1Registered Nurse, Surgical Intensive Care Unit 1, Asan Medical Center
  • 2Nursing Director, Intensive Care Unit, Asan Medical Center
  • 3Unit Manager, Biocontainment Intensive Care Unit, Asan Medical Center
  • 4Unit Manager, Medical Intensive Care Unit 1, Asan Medical Center
  • 5Unit Manager, Surgical Intensive Care Unit 1, Asan Medical Center
  • 6Professor, Deparment of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center
  • 7Clinical Assistant Professor, Department of Clinical Nursing, University of Ulsan

Abstract

Purpose
: This study aims to investigate the status of delirium intervention in adult intensive care unit (ICU) patients and the perception of this delirium by medical staff.
Methods
: This retrospective study involves 185 patients, whereas, a descriptive survey is conducted with 197 medical staff members.
Results
: The delirium group includes 100 patients (54.1%). The incidence of delirium is 64.9% in the medical ICU, 65.9% in the surgical ICU, 42.4% in the neuro ICU, and 46.5% in the cardiac ICU. The percentages of delirium prevention intervention differs between the two groups: 65.0% in the delirium group and 95.3% in the non-delirium group. The medical staff recognize that delirium is a common problem in the ICU (100.0%) and requires active medical intervention (98.5%).
Conclusion
: The length of stay at the ICU is longer in the delirium group than in the non-delirium group. It is necessary to standardize delirium prevention and treatment protocols to be equally applicable to all ICU patients.

Keyword

Delirium, Intensive care units, Medical staff, Recognition; 섬망, 중환자실, 의료진, 인식
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