Multicomponent nursing program to prevent delirium in critically ill patients: a randomized clinical trial

Area of Science:

• Critical Care Medicine
• Nursing Research
• Patient Safety

Background:

• Delirium is a common complication in critically ill patients.
• Preventing delirium is crucial for improving patient outcomes.

Purpose of the Study:

• To evaluate the efficacy of a multicomponent nursing program in preventing delirium.
• To assess the impact of sensory and family support interventions on delirium incidence.

Main Methods:

• A parallel controlled randomized clinical trial was conducted with 81 critically ill patients.
• The intervention group received spatial-temporal guidance, visual/auditory stimuli, and family support.
• The control group received standard care.

Main Results:

• Delirium incidence was 5% in the intervention group versus 24% in the control group.
• The relative risk of delirium was significantly lower in the intervention group (RR 0.20).
• The number needed to treat was 5, indicating high efficiency.

Conclusions:

• The multicomponent nursing program is effective in preventing delirium in critically ill patients.
• This nursing intervention offers a promising strategy for improving care in intensive care units.