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Effectiveness of the ABCDEF Bundle to Manage and Prevent Delirium: Pre- and Postintervention Quasi-Experimental Study
Tahany Nagy Nagm Eldean1, Mohamed Hassan Bakri, Mervet Anwar Abdel Aziz
1Author 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).
Abstract:
To investigate effectiveness of the ABCDEF bundle to manage and prevent delirium.
Background:
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.
Research Design:
Pre- and post intervention a quasi-experimental design was utilized in the present study.
Setting:
This study was conducted in the intensive care units of Assiut University Hospital.
Methods:
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.
Results:
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.
Conclusion:
The mechanically ventilated patients exposed to the implementation of the ABCDE bundle experienced fewer delirium signs than before the ABCDE bundle was implemented.
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