Non-Pharmacological Nursing Interventions for Prevention and Treatment of Delirium in Hospitalized Adult Patients: Systematic Review of Randomized Controlled Trials

Lee, Yoonyoung; Lee, Jongmin; Ishida, Katsuhiro; Jung, Young-Sun

doi:10.3390/ijerph18168853

Cited by 19 publications

(10 citation statements)

References 30 publications

(219 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Advanced age is the leading risk factor for delirium (30). In the present study, a positive, weakly significant correlation was determined between age and the Nu-DESC mean scores.…”

Section: Discussionsupporting

confidence: 53%

Determination of the risk factors and delirium in the intensive care unit

Bahar

GÜNER

2023

Anatolian Current Medical Journal

View full text Add to dashboard Cite

Aim: The objective of the present study is to increase nurses’ awareness of delirium risk factors, make nurses gain competence in using Nursing Delirium Screening Scale (Nu-DESC), and improve the quality of care by detecting delirium early in intensive care unit patients.Material and Method: The research is a descriptive and correlational study. The sample consisted of 55 patients in an intensive care unit. Data of the study was collected with the Personal Information Form, the Richmond Agitation and Sedation Scale, the Glasgow Coma Scale, and the Nu-DESC.Results: The majority of patients (89%) demonstrated the symptoms of anxiety and agitation. There was a significant correlation between age and the day delirium was detected and the Nu-DESC. In the study, isolation need, ventilator support, and pain were determined as risk factors. Conclusion: The results of the study revealed the necessity of using measurement tools for the early detection of delirium in clinical practice by nurses.

show abstract

“…Advanced age is the leading risk factor for delirium (30). In the present study, a positive, weakly significant correlation was determined between age and the Nu-DESC mean scores.…”

Section: Discussionsupporting

confidence: 53%

Determination of the risk factors and delirium in the intensive care unit

Bahar

GÜNER

2023

Anatolian Current Medical Journal

View full text Add to dashboard Cite

show abstract

“…Of these, 12 were excluded for failing to meet the inclusion criteria or the objective of the umbrella review. Fourteen reviews met the inclusion criteria [ 31 , 32 , 34 , 35 , 41 , 42 , 43 , 44 , 45 , 46 , 53 , 54 ]. The results are presented in Figure 1 .…”

Section: Resultsmentioning

confidence: 99%

Non-Pharmacological Nursing Interventions to Prevent Delirium in ICU Patients—An Umbrella Review with Implications for Evidence-Based Practice

Lange

Mędrzycka‐Dąbrowska

Friganović

et al. 2022

JPM

View full text Add to dashboard Cite

Delirium in ICU patients is a complication associated with many adverse consequences. Given the high prevalence of this complication in critically ill patients, it is essential to develop and implement an effective management protocol to prevent delirium. Given that the cause of delirium is multifactorial, non-pharmacological multicomponent interventions are promising strategies for delirium prevention. (1) Background: To identify and evaluate published systematic review on non-pharmacological nursing interventions to prevent delirium in intensive care unit patients. (2) Methods: An umbrella review guided by the Joanna Briggs Institute was utilized. Data were obtained from PubMed, Scopus, EBSCO, Web of Science, Cochrane Library, and Google Scholar. The last search was conducted on 1 May 2022. (3) Results: Fourteen reviews met the inclusion criteria. Multicomponent interventions are the most promising methods in the fight against delirium. The patient’s family is an important part of the process and should be included in the delirium prevention scheme. Light therapy can improve the patient’s circadian rhythm and thus contribute to reducing the incidence of delirium. (4) Conclusions: Non-pharmacological nursing interventions may be effective in preventing and reducing the duration of delirium in ICU patients.

show abstract

“…Specifically, the 6CIT will inform the interpretation of the postoperative cognitive status, and it may predict alpha power in EEG recording [ 22 ] that in turn may be linked to delirium [ 23 , 24 ]. If this proves to be the case, the preoperative cognitive status might be investigated in the future as a method to inform more at-risk patients who could especially benefit from supplementary nonpharmacological interventions [ 41 ] such as live or recorded music [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Live and Recorded Music Interventions to Reduce Postoperative Pain: Protocol for a Nonrandomized Controlled Trial

Harding¹,

Wal-Huisman²,

Leeuwen³

2023

JMIR Res Protoc

View full text Add to dashboard Cite

Background Postoperative patients who were previously engaged in the live musical intervention Meaningful Music in Healthcare reported significantly reduced perception of pain than patients without the intervention. This encouraging finding indicates a potential for postsurgical musical interventions to have a place in standard care as therapeutic pain relief. However, live music is logistically complex in hospital settings, and previous studies have reported the more cost-effective recorded music to serve as a similar pain-reducing function in postsurgical patients. Moreover, little is known about the potential underlying physiological mechanisms that may be responsible for the reduced pain perceived by patients after the live music intervention. Objective The primary objective is to see whether a live music intervention can significantly lower perceived postoperative pain compared to a recorded music intervention and do-nothing control. The secondary objective is to explore the neuroinflammatory underpinnings of postoperative pain and the potential role of a music intervention in mitigating neuroinflammation. Methods This intervention study will compare subjective postsurgical pain ratings among 3 groups: live music intervention, recorded music intervention, and standard care control. The design will take the form of an on-off nonrandomized controlled trial. Adult patients undergoing elective surgery will be invited to participate. The intervention is a daily music session of up to 30 minutes for a maximum of 5 days. The live music intervention group is visited by professional musicians once a day for 15 minutes and will be asked to interact. The recorded music active control intervention group receives 15 minutes of preselected music over headphones. The do-nothing group receives typical postsurgical care that does not include music. Results At study completion, we will have an empirical indication of whether live music or recorded music has a significant impact on postoperative perceived pain. We hypothesize that the live music intervention will have more impact than recorded music but that both will reduce the perceived pain more than care-as-usual. We will moreover have the preliminary evidence of the physiological underpinnings responsible for reducing the perceived pain during a music intervention, from which hypotheses for future research may be derived. Conclusions Live music can provide relief from pain experienced by patients recovering from surgery; however, it is not known to what degree live music improves the patients’ pain experience than the logistically simpler alternative of recorded music. Upon completion, this study will be able to statistically compare live versus recorded music. This study will moreover be able to provide insight into the neurophysiological mechanisms involved in reduced pain perception as a result of postoperative music listening. Trial Registration The Netherlands Central Commission on Human Research NL76900.042.21; https://www.toetsingonline.nl/to/ccmo_search.nsf/fABRpop?readform&unids=F2CA4A88E6040A45C1258791001AEA44 International Registered Report Identifier (IRRID) PRR1-10.2196/40034

show abstract

Non-Pharmacological Nursing Interventions for Prevention and Treatment of Delirium in Hospitalized Adult Patients: Systematic Review of Randomized Controlled Trials

Cited by 19 publications

References 30 publications

Determination of the risk factors and delirium in the intensive care unit

Determination of the risk factors and delirium in the intensive care unit

Non-Pharmacological Nursing Interventions to Prevent Delirium in ICU Patients—An Umbrella Review with Implications for Evidence-Based Practice

Live and Recorded Music Interventions to Reduce Postoperative Pain: Protocol for a Nonrandomized Controlled Trial

Contact Info

Product

Resources

About