Article type
Abstract
"Background: Delirium is an acute disturbance of attention and cognition follow medical illness and accompanied 15~37% of acute general medical hospitalizations in people aged 65 years and older.
Objective: The purpose of this study was to establish an evidence-based delirium care practice guideline for acute medical elderly inpatients and to explore the effects of the delirium care model for general medical elderly patients to decrease the incidence and duration of delirium, fall, and length of stay.
Methods: A 12-week two-group quasi-experimental design was used and to investigate the effectiveness of this delirium care model for acute medical elderly inpatients. Totally 6 medical wards including 142 acute medical elderly inpatients aged 65 years above were assessed from a medical center. The delirium care model provided delirium screen, non-pharmacological multi-component management, and comprehensive nursing education. Research instruments were used as the CAM, Mini-Cog assessment, audit tool for nurses, and inpatients quality and safety index.
Results: The findings were the following: (1) Of 142 patients, there were 88 patients in the control group and 54 patients in the experimental group. The demographic data were not different between 2 groups; (2) There was no statistically significant difference in prevalence of delirium between the 2 groups in the study period; (3) There was a significant difference in the program evaluation of the delirium nursing care for medical elderly inpatients between the 2 tests at the pretest and during the entire study period.
Conclusions: The result of this study is to develop a delirium care model for general hospitalized elderly inpatients and to provide the implementation of this delirium care intervention. It could decrease the incidence and duration of delirium, fall, NG tube self-removal, use of restrains, and length of stay. Furthermore, it would be recommended expanding this delirium care guideline to other institution.
Keywords: Delirium care model, evidence-based practice guideline, acute medical elderly inpatients"
Objective: The purpose of this study was to establish an evidence-based delirium care practice guideline for acute medical elderly inpatients and to explore the effects of the delirium care model for general medical elderly patients to decrease the incidence and duration of delirium, fall, and length of stay.
Methods: A 12-week two-group quasi-experimental design was used and to investigate the effectiveness of this delirium care model for acute medical elderly inpatients. Totally 6 medical wards including 142 acute medical elderly inpatients aged 65 years above were assessed from a medical center. The delirium care model provided delirium screen, non-pharmacological multi-component management, and comprehensive nursing education. Research instruments were used as the CAM, Mini-Cog assessment, audit tool for nurses, and inpatients quality and safety index.
Results: The findings were the following: (1) Of 142 patients, there were 88 patients in the control group and 54 patients in the experimental group. The demographic data were not different between 2 groups; (2) There was no statistically significant difference in prevalence of delirium between the 2 groups in the study period; (3) There was a significant difference in the program evaluation of the delirium nursing care for medical elderly inpatients between the 2 tests at the pretest and during the entire study period.
Conclusions: The result of this study is to develop a delirium care model for general hospitalized elderly inpatients and to provide the implementation of this delirium care intervention. It could decrease the incidence and duration of delirium, fall, NG tube self-removal, use of restrains, and length of stay. Furthermore, it would be recommended expanding this delirium care guideline to other institution.
Keywords: Delirium care model, evidence-based practice guideline, acute medical elderly inpatients"