Delirium in Burn Patients: Developing a Mobile Application for Assessment and Diagnosis

Abstract

Delirium is a neuropsychiatric syndrome which is highly prevalent among hospitalized burn patients. Among screening tools, the Intensive Care Delirium Screening Checklist (ICDSC) is a reliable tool. This study aimed to develop a mobile-based application for assessing and diagnosing delirium in burn patients by using ICDSC. This research consisted of three phases. Initially, a questionnaire was designed and users’ requirements were identified. The participants were 10 psychiatrists and 51 nurses. Then, a mobile application was designed based on the results derived from the first phase of the study and the usability of the application was evaluated by using a standard questionnaire. Finally, the rate of agreement between the nurses’ and physiatrists’ diagnoses made by using or not using the application was calculated. The application included educational content about delirium for nurses, patient data, and some functions. The results of the usability evaluation showed that the application was at a “good” level from the users’ perspectives and the rate of agreement between the nurses’ and physiatrists’ diagnoses made by using the application was higher than not using it. The application designed in the current study can help to improve the knowledge of nurses, in particular younger nurses regarding delirium. Moreover, making diagnosis based on the results of a delirium assessment tool is more accurate than relying on nursing experience. Finally, timely diagnosis of delirium can help to improve patient management and quality of care, reduce the duration of hospitalization and decrease the mortality rate and costs.

Nurses’ Roles in mHealth App Development: Scoping Review

“…Nurses played a role in all the stages of development. Nurses were most represented in the design and prototyping phase (112/157, 71.3%) [ 32 - 37 , 39 , 41 - 43 , 45 , 46 , 49 , 51 - 53 , 55 - 58 , 60 , 63 - 65 , 67 - 70 , 73 - 79 , 81 , 84 - 88 , 90 - 93 , 96 , 99 - 102 , 104 , 106 , 107 , 110 - 118 , 121 - 129 , 131 - 136 , 138 , 139 , 141 , 142 , 144 - 146 , 148 , 149 , 151 - 153 , 155 , 157 , 158 , 160 - 165 , 167 , 169 , 171 , 173 - 177 , 180 , 182 , 184 - 186 , 188 ], followed by the requirements gathering phase (98/157, 62.4%) [ 32 - 37 , 39 - 41 , 43 ...…”

“…This was followed by the role of informant or SME (106/157, 67.5%) [ 32 - 37 , 39 - 41 , 43 , 46 , 49 , 50 , 52 - 56 , 58 - 61 , 63 , 64 , 67 , 69 , 72 - 75 , 77 , 79 - 81 , 83 - 86 , 89 - 91 , 93 , 95 , 98 , 99 , 102 , 104 , 106 - 110 , 113 , 114 , 116 , 119 , 121 , 123 - 127 , 129 , 132 - 134 , 137 - 139 , 141 , 146 , 148 - 160 , 162 - 171 , 173 - 175 , 177 , 178 , 181 , 182 , 184 - 188 ], designer or creator (31/157, 19.7%) [ 42 , 45 , 56 , 57 , 72 , 78 , 88 , 92 ,…”

A Smartphone-based Application for Self-Management in Multiple Sclerosis

“…To analyze the data obtained from the first phase of the research, descriptive statistics was used and frequency distributions, mean values, and standard deviations were calculated using SPSS software, version 26. In order to include the most important educational content and items in the application, other similar studies [30] were reviewed and a cutoff point of 60% was considered. It means that if 60% of the participants or more agreed on the necessity of an item in the first phase of the study, that item would be included in the application; otherwise, it would be removed.…”

Researches on cognitive sequelae of burn injury: Current status and advances

“…Delirium and hallucinations are common disorders in burn patients as well. Patients diagnosed with delirium have a higher mortality rate than non-delirium patients, requiring prolonged hospitalization as well as intensive care in the hospital (Mohseni Moallem Kolaei et al, 2021). Since changes in the HPA axis and hormones after burn injury are distinct in the types of psychological disorders, it is of great significance to explore the pathophysiological mechanisms deeply and combine them with large-scale clinical studies to clarify the development of psychological disorders impacted after burn injury.…”