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

Yi-Seul Kang, S. Kim, Min-Jeoung Lee, Hyo-Jin Lee, O. Lim, Sang-Bum Hong, H. Choi
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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.
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某医院重症监护病房谵妄发生、干预状况及医护人员对谵妄认知的调查
目的:本研究旨在了解成人重症监护病房(ICU)患者谵妄干预的现状及医护人员对谵妄的认知。方法:对185例患者进行回顾性研究,对197名医务人员进行描述性调查。结果:谵妄组100例,占54.1%。内科ICU谵妄发生率为64.9%,外科ICU为65.9%,神经ICU为42.4%,心内科ICU为46.5%。两组预防谵妄干预的百分比不同:谵妄组为65.0%,非谵妄组为95.3%。医务人员认识到谵妄是ICU的常见问题(100.0%),需要积极的医疗干预(98.5%)。结论:谵妄组住院时间明显长于非谵妄组。规范谵妄的预防和治疗方案,使其平等适用于所有ICU患者。
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