Patients' and family members' dyadic experience of post‐operative delirium in the intensive care unit: A qualitative study

Nursing in Critical Care, Journal Year: 2025, Volume and Issue: 30(2)

Published: Feb. 17, 2025

Abstract Background Post‐operative delirium is a complication with long‐lasting consequences for both patients and their families. This particularly true those transferred to the intensive care unit after surgery, where incidence of post‐operative high, patient outcomes are often poor. Despite acknowledged role family engagement in management, previous research has mainly focused on patients, limited exploration shared experiences between members. Aim study aims explore members during episodes better understand unmet needs. Study Design A qualitative descriptive was conducted at tertiary general hospital. Eighteen pairs two other were interviewed. Data collected through face‐to‐face semi‐structured interviews within first week patients' discharge from analysed using thematic analysis. Results Four major themes emerged: (1) dyadic relationship must be understood context emotional behavioural experiences; (2) family's history may predispose delirium; (3) prevent development (4) inadequate communication health providers or families negatively affect outcomes. Conclusions presents significant physical challenges Addressing these requires improved families, as well strategies that emphasize early support collaboration care. Relevance Clinical Practice Patients should considered earlier essential. Health systems adapt practices meet dynamic needs promoting more comprehensive critical

Language: Английский

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The Role of Stress Hyperglycemia on Delirium Onset

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(2), P. 407 - 407

Published: Jan. 10, 2025

Delirium is an acute neuropsychiatric syndrome that recognizes one or more underlying causal medical conditions. Stress hyperglycemia usually refers to transient associated with stress conditions such as stroke, myocardial infarction, and major surgery. Both delirium share common pathways, activation of inflammation. has been negative outcomes, recent studies suggested there increased risk onset in patients hyperglycemia. The purpose this review illustrate the relationship between delirium. Initially, we role diabetes on onset, summarize criteria used for diagnosis hyperglycemia, discuss impact outcome, focus evidence about

Language: Английский

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The impact of multidisciplinary collaborative bundled care on analgesia and sedation in ICU patients with endotracheal intubation

Medicine, Journal Year: 2024, Volume and Issue: 103(51), P. e40901 - e40901

Published: Dec. 20, 2024

Effective analgesia and sedation management play a crucial role in reducing the intensity of coughing patients with endotracheal intubation improving clinical outcomes. However, current approaches are predominantly singular lack comprehensive strategies based on multidisciplinary collaboration. This study aims to evaluate impact collaborative bundled care intensive unit (ICU) intubation, providing evidence inform practice. Seventy ICU were enrolled admitted between January August 2024. They divided into control group (n = 35) receiving routine (admitted from April) an intervention May August). Outcomes measured included physical restraint use, analgesic dosage, cough strength, delirium incidence, duration mechanical ventilation. The had significantly lower doses remifentanil (8.37 ± 1.50 mg) midazolam (21.43 3.74 compared (9.92 1.58 31.12 7.89 mg; P < .05). incidence was also (11.4%) than (31.4%; Delirium onset delayed (3.02 1.05 days) (2.58 0.79 days), its shorter (3.43 1.74 vs 5.12 1.89 days; Additionally, restraints (22.9% 45.7%; Cough strength notably higher (4.74 0.82 3.36 0.76; .05), ventilation reduced (4.77 1.42 5.92 1.66 Multidisciplinary improves outcomes medication delirium, while enhancing strength.

Language: Английский

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