Author Affiliations: Critical Care and Emergency Nursing Department, Faculty of Nursing, South Valley University, Qena (Nagy Nagm Eldean); Anesthesia and Intensive Care, Faculty of Medicine, Assiut University, Assiut, Egypt (Hassan Bakri); Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt (Anwar Abdel Aziz and Khalaf).
Crit Care Nurs Q. 2024;47(4):275-285. doi: 10.1097/CNQ.0000000000000519. Epub 2024 Sep 13.
To investigate effectiveness of the ABCDEF bundle to manage and prevent delirium.
ICU delirium is a common hospital problem that 80% of critically ill patients in the ICU experience. The ABCDEF bundle is one of the tools that included in Delirium guidelines to manage critically ill patients.
Pre- and post intervention a quasi-experimental design was utilized in the present study.
This study was conducted in the intensive care units of Assiut University Hospital.
A total of 60 mechanically ventilated patients were recruited using inclusion and exclusion criteria. The ABCDEF bundle was implemented every day for the first 7 days of ICU admission, and patient sedation and delirium status were assessed using the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Sedation instrument measures were utilized in data collection.
Significant differences were found in the incidence of delirium: 20% in the study group versus 70% in the control group. The increased mean of days without delirium ICU stay was 4.6333 in the study group and 1.1000 in the control group, with P value = .001.
The mechanically ventilated patients exposed to the implementation of the ABCDE bundle experienced fewer delirium signs than before the ABCDE bundle was implemented.
研究 ABCDEF 方案在管理和预防谵妄方面的效果。
ICU 谵妄是 ICU 中 80%的危重症患者常见的医院问题。ABCDEF 方案是管理危重症患者的谵妄指南中包含的工具之一。
本研究采用了预-后干预的准实验设计。
这项研究在艾斯尤特大学医院的重症监护病房进行。
采用纳入和排除标准，共招募了 60 名机械通气患者。在 ICU 入院的前 7 天，每天实施 ABCDEF 方案，使用 ICU 意识模糊评估法（CAM-ICU）评估患者的镇静和谵妄状态。使用镇静仪器测量来收集数据。
在谵妄发生率方面发现了显著差异：研究组为 20%，对照组为 70%。研究组 ICU 无谵妄停留天数的平均增加了 4.6333 天，对照组为 1.1000 天，P 值=0.001。
与 ABCDEF 方案实施前相比，接受 ABCDE 方案实施的机械通气患者出现谵妄迹象的情况更少。
