Department of Elderly Care, Vocational College of Health Services, Bartın University, Agdaci Campus, Bartın 74100, Turkey.
Department of Internal Medicine Nursing, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Geriatr Nurs. 2022 Mar-Apr;44:207-214. doi: 10.1016/j.gerinurse.2022.02.015. Epub 2022 Feb 26.
Multicomponent-Non-PharmacologicalNursingInterventions (Multi-Non-PharmaNIs) are evidence-based recommendations for the prevention of delirium. Purpose of this randomized controlled trial was to compare the effects of Multi-Non-PharmaNIs on delirium. The Multi-Non-PharmaNIs included orientation strategies (playing audio recordings of a non-family/family member), reading a daily newspaper, andwearing an eye patch at night. The absence/presence of delirium was assessed two times a day for three consecutive days. The patients in Group1 were made to listen to the orientation messages recorded in a non-family member's voice (10 min), was read newspaper, and wore an eye patch at night. Group2 received the same interventions as Group1, only the orientation messages were recorded in a family member's voice. The control group received standard nursing-care. There was a significant difference between 3 groups. When Group1 and Group2 were compared with the control group, it was found that there was a significant difference between Group2 and control group (p<0.05). Multi-Non-PharmaNIs were found to reduce delirium in critically ill patients.
多组分非药物性护理干预(Multi-Non-PharmaNIs)是预防谵妄的循证推荐。本随机对照试验的目的是比较 Multi-Non-PharmaNIs 对谵妄的影响。Multi-Non-PharmaNIs 包括定向策略(播放非家庭成员/家庭成员的录音)、阅读日报和夜间戴眼罩。连续三天每天两次评估有无谵妄。第 1 组患者听非家庭成员录制的定向信息(10 分钟),阅读报纸,夜间戴眼罩。第 2 组接受与第 1 组相同的干预措施,只是定向信息是由家庭成员录制的。对照组接受标准护理。三组之间有显著差异。当第 1 组和第 2 组与对照组进行比较时,发现第 2 组与对照组之间存在显著差异(p<0.05)。多组分非药物性护理干预措施可减少重症患者的谵妄。