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Yoğun Bakım Hastalarında Deliryum ve Yaşam Modeli Doğrultusunda Bakımı

Year 2015, Volume: 23 Issue: 2, 146 - 151, 28.09.2015

Abstract

Deliryum; ani başlayan, bilişsel işlevlerin bozulması, bilinç durumunda değişiklik, dikkat bozuklukları, artmış ya da azalmış psikomotor aktivite ve uyku-uyanıklık döngüsünün düzensizliği ile karakterize geçici, organik mental bir sendromdur. Yapılan çalışmalar, yoğun bakım ünitesinde yatan hastalarda deliryum riskinin yüksek olduğunu ve buna bağlı olarak mortalite ve morbidite oranlarının arttığını, hastanede kalış süresinin uzadığını ve tedavi edilmediğinde hastada fonksiyon kayıplarına yol açtığını göstermektedir. Hasta bireyin yaşamını tehdit eden deliryum sorununun tanılanması ve risk altında olan hastalarda önleyici girişimlerin erken dönemde uygulanması ve tedavi edilmesinde yoğun bakım hemşireleri anahtar konumdadır. Bu derlemede, yoğun bakım ünitesinde deliryum gelişen hastaların bakımının bir hemşirelik modeli rehber alınarak, hemşirelik süreci doğrultusunda irdelenmesi amaçlandı.

Anahtar Kelimeler: Deliryum, hemşirelik bakımı, yoğun bakım ünitesi, yaşam modeli.

References

  • Acaroğlu, R., Şendir, M., Kaya, H. (2012). Hemşirelik süreci. Ba- badağ, K., Aştı, T. A. (Eds.). Hemşirelik Esasları Uygulama Rehbe- ri. İstanbul Tıp Kitabevi, İstanbul, 8-20.
  • Akıncı, S. B., Şahin, A. (2005). Yoğun bakımda deliryum. Yoğun Bakım Dergisi, 5(1): 26-35.
  • Ateş, A. (2012). Yoğun bakım ünitesinde hemşirelik tanılaması ile deliryum riskinin belirlenmesi. Yayınlanmamış Yüksek Lisans Tezi,
  • İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul. Bruno, J. J., Warren, M. L. (2010). Intensive care unit delirium.
  • Crit Care Nurs Clin North Am, 22(2): 161-178. Burge, D., Kent, W., Verdon, J., Voogt, S., Haines, H. M. (2010).
  • Nurse practitioners are well placed to lead in the effective manage- ment of delirium. Aust J Adv Nurs, 28(1): 67-73. Carpenito- Moyet, L. J. (2012). Hemşirelik Tanıları El Kitabı. Çe- viren: F. Erdemir, 13. basım, Nobel Tıp Kitabevleri, İstanbul.
  • Cole, M. G. (2004). Delirium in elderly patients. Am J Geri- atr Psychiatry, 12(1): 7-21.
  • Conley, D. M. (2011). The gerontological clinical nurse specialist’s role in prevention, early recognition, and management of delirium in hospitalized older adults. Urol Nurs, 31(6): 337-343.
  • Day, J., Higgins, I., Keatinge, D. (2011). Orientaring strategies du- ring delirium: Are they helpfull? J Clin Nurs, 20: 3285-3294.
  • Derby, S. (2011). Assessment and management of delirium in the older adult with cancer. Clinical Journal of Oncology Nursing, 15(3): 247-250.
  • Devlin, J. W. ve ark. (2008). Assessmet of delirium in the intensi- ve care unit: Nursing practices and perceptions. Am J Crit Care, 17(6): 555-567.
  • Ely, E. W. ve ark. (2001). The impact of delirium in the intensi- ve care unit on hospital length of stay. Intensive Care Med, 27: 1892-1900.
  • Ely, E. W. ve ark. (2004). Current opinions regarding the impor- tance, diagnosis, and management of delirium in the intensive care units: A survey of 912 healthcare professionals. Crit Care Med, 32(1): 106-112.
  • Flagg, B., McDowel, S., Buelow, J. M. (2010). Nursing identifi ca- tion of delirium. Clın Nurse Spec, 24(5): 260-266.
  • Fong, T. G., Tulebaev, S. R., Inouye, S. K. (2009). Delirium in el- derly adults: Diagnosis, prevention and treatment. Nat. Rev. Neu- rol, 5: 210-220.
  • Krahne, D., Heymann, A., Spies, C. (2006). How to monitor de- lirium in the ICU and why it is important. Clin Effect Nurs, 9(3): 269-2
  • Küçük, L., Kaya, H. (2011). Koroner yoğun bakım sürecinde ya- şanan psikiyatrik bir durum: Deliryum ne kadar tanıyoruz? Malte- pe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, 4(1): 161-166.
  • Nursing management of delirium. (2013). http://nursingplanet. com/pn/nursing_management_delirium.html (04.02.2014).
  • Rice, K. L. ve ark. (2011). Nurses’ recognition of delirium in the hospitalized older adult. Clin Nurse Spec, 25(6): 299-311.
  • Rompaey, B. V. ve ark. (2009). Risk factors for delirium in intensi- ve care patients: A prospective cohort study. Crit Care, 13(3): 77-89.
  • Schuurmans, M. J., Duursma, S. A., Shortridge- Baggett, L. M. (2001). Early recognition of delirium: Review of the literature. J Clin Nurs, 10: 721-729.
  • Stuck, A., Clark, M. J., Connelly, C. D. (2011). Preventing intensi- ve care unit delirium: A patient-centered approach to reducing sle- ep disruption. Dimens Crit Care Nurs, 30(6): 315-320.
  • Tabet, N., Howard, R. (2009). Non-pharmacological interventions in the prevention of delirium. Age Ageing, 38(4): 374-379.
  • Townsend, M. C. (2011). Nursing Diagnosis in Psychiatric
  • Nursing: Care Plans and Psychotropic Medications. 8. basım, F. A. Davis Company, Philadelphia, https://ryanzer.fi les.wordpress. com/2012/03/nursing-diagnoses-in-psyciatric.pdf (10.01.2014).
  • Truman, B., Ely, E. W. (2003). Monitoring delirium in critically ill patients: Using the confusion assessment method for the intensive care unit. Crit Care Nurse, 23: 25-35.
  • Weber, J., Kelley, J. (2010). Assessing mental status& psychosoci- al developmental level. Weber, J., Kelley, J. (Eds.). Health Assess- ment In Nursing. 4. basım, Wolters Kluwer Health/ Lippincott Wil- liams & Wilkins, 55-76.
  • Webb, J. M., Carlton, E. F., Geehan, D. M. (2000). Delirium in the intensive care unit are we helping the patient? Crit Care Nurs Q, 22(4): 47-60.
  • Webster, J. (2011). Improving care for people with dementia in acu- te hospital: The role of person-centred assessment. Qual Ageing Older Adults, 12(2): 86-94.

Delirium in Intensive Care Unit Patients and Care in the Accordance with the Model of Living

Year 2015, Volume: 23 Issue: 2, 146 - 151, 28.09.2015

Abstract

Delirium is a transient organic mental syndrome generally characterised by sudden onset of cognitive disturbances, altered level of consciousness, impaired attention, increased or decreased psychomotor activity and irregular sleep-wake cycles. The studies indicated that delirium is associated with prolonged hospital stays, increased morbidity and mortality and loss of function for the intensive care unit patients. Intensive care unit nurses are key position for assessment of delirium problem, implementation of preventive interventions and treatment of delirium. In this article, nursing care of patients who developed delirium in the intensive care unit is examined in accordance with the nursing process that based a nursing model.

Key Words: Delirium, nursing care, intensive care unit, living model.

References

  • Acaroğlu, R., Şendir, M., Kaya, H. (2012). Hemşirelik süreci. Ba- badağ, K., Aştı, T. A. (Eds.). Hemşirelik Esasları Uygulama Rehbe- ri. İstanbul Tıp Kitabevi, İstanbul, 8-20.
  • Akıncı, S. B., Şahin, A. (2005). Yoğun bakımda deliryum. Yoğun Bakım Dergisi, 5(1): 26-35.
  • Ateş, A. (2012). Yoğun bakım ünitesinde hemşirelik tanılaması ile deliryum riskinin belirlenmesi. Yayınlanmamış Yüksek Lisans Tezi,
  • İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul. Bruno, J. J., Warren, M. L. (2010). Intensive care unit delirium.
  • Crit Care Nurs Clin North Am, 22(2): 161-178. Burge, D., Kent, W., Verdon, J., Voogt, S., Haines, H. M. (2010).
  • Nurse practitioners are well placed to lead in the effective manage- ment of delirium. Aust J Adv Nurs, 28(1): 67-73. Carpenito- Moyet, L. J. (2012). Hemşirelik Tanıları El Kitabı. Çe- viren: F. Erdemir, 13. basım, Nobel Tıp Kitabevleri, İstanbul.
  • Cole, M. G. (2004). Delirium in elderly patients. Am J Geri- atr Psychiatry, 12(1): 7-21.
  • Conley, D. M. (2011). The gerontological clinical nurse specialist’s role in prevention, early recognition, and management of delirium in hospitalized older adults. Urol Nurs, 31(6): 337-343.
  • Day, J., Higgins, I., Keatinge, D. (2011). Orientaring strategies du- ring delirium: Are they helpfull? J Clin Nurs, 20: 3285-3294.
  • Derby, S. (2011). Assessment and management of delirium in the older adult with cancer. Clinical Journal of Oncology Nursing, 15(3): 247-250.
  • Devlin, J. W. ve ark. (2008). Assessmet of delirium in the intensi- ve care unit: Nursing practices and perceptions. Am J Crit Care, 17(6): 555-567.
  • Ely, E. W. ve ark. (2001). The impact of delirium in the intensi- ve care unit on hospital length of stay. Intensive Care Med, 27: 1892-1900.
  • Ely, E. W. ve ark. (2004). Current opinions regarding the impor- tance, diagnosis, and management of delirium in the intensive care units: A survey of 912 healthcare professionals. Crit Care Med, 32(1): 106-112.
  • Flagg, B., McDowel, S., Buelow, J. M. (2010). Nursing identifi ca- tion of delirium. Clın Nurse Spec, 24(5): 260-266.
  • Fong, T. G., Tulebaev, S. R., Inouye, S. K. (2009). Delirium in el- derly adults: Diagnosis, prevention and treatment. Nat. Rev. Neu- rol, 5: 210-220.
  • Krahne, D., Heymann, A., Spies, C. (2006). How to monitor de- lirium in the ICU and why it is important. Clin Effect Nurs, 9(3): 269-2
  • Küçük, L., Kaya, H. (2011). Koroner yoğun bakım sürecinde ya- şanan psikiyatrik bir durum: Deliryum ne kadar tanıyoruz? Malte- pe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, 4(1): 161-166.
  • Nursing management of delirium. (2013). http://nursingplanet. com/pn/nursing_management_delirium.html (04.02.2014).
  • Rice, K. L. ve ark. (2011). Nurses’ recognition of delirium in the hospitalized older adult. Clin Nurse Spec, 25(6): 299-311.
  • Rompaey, B. V. ve ark. (2009). Risk factors for delirium in intensi- ve care patients: A prospective cohort study. Crit Care, 13(3): 77-89.
  • Schuurmans, M. J., Duursma, S. A., Shortridge- Baggett, L. M. (2001). Early recognition of delirium: Review of the literature. J Clin Nurs, 10: 721-729.
  • Stuck, A., Clark, M. J., Connelly, C. D. (2011). Preventing intensi- ve care unit delirium: A patient-centered approach to reducing sle- ep disruption. Dimens Crit Care Nurs, 30(6): 315-320.
  • Tabet, N., Howard, R. (2009). Non-pharmacological interventions in the prevention of delirium. Age Ageing, 38(4): 374-379.
  • Townsend, M. C. (2011). Nursing Diagnosis in Psychiatric
  • Nursing: Care Plans and Psychotropic Medications. 8. basım, F. A. Davis Company, Philadelphia, https://ryanzer.fi les.wordpress. com/2012/03/nursing-diagnoses-in-psyciatric.pdf (10.01.2014).
  • Truman, B., Ely, E. W. (2003). Monitoring delirium in critically ill patients: Using the confusion assessment method for the intensive care unit. Crit Care Nurse, 23: 25-35.
  • Weber, J., Kelley, J. (2010). Assessing mental status& psychosoci- al developmental level. Weber, J., Kelley, J. (Eds.). Health Assess- ment In Nursing. 4. basım, Wolters Kluwer Health/ Lippincott Wil- liams & Wilkins, 55-76.
  • Webb, J. M., Carlton, E. F., Geehan, D. M. (2000). Delirium in the intensive care unit are we helping the patient? Crit Care Nurs Q, 22(4): 47-60.
  • Webster, J. (2011). Improving care for people with dementia in acu- te hospital: The role of person-centred assessment. Qual Ageing Older Adults, 12(2): 86-94.
There are 29 citations in total.

Details

Journal Section Reviews
Authors

Aysel Özsaban

Rengin Acaroğlu This is me

Publication Date September 28, 2015
Published in Issue Year 2015 Volume: 23 Issue: 2

Cite

APA Özsaban, A., & Acaroğlu, R. (2015). Delirium in Intensive Care Unit Patients and Care in the Accordance with the Model of Living. Florence Nightingale Journal of Nursing, 23(2), 146-151. https://doi.org/10.17672/fnhd.10963
AMA Özsaban A, Acaroğlu R. Delirium in Intensive Care Unit Patients and Care in the Accordance with the Model of Living. Florence Nightingale Journal of Nursing. September 2015;23(2):146-151. doi:10.17672/fnhd.10963
Chicago Özsaban, Aysel, and Rengin Acaroğlu. “Delirium in Intensive Care Unit Patients and Care in the Accordance With the Model of Living”. Florence Nightingale Journal of Nursing 23, no. 2 (September 2015): 146-51. https://doi.org/10.17672/fnhd.10963.
EndNote Özsaban A, Acaroğlu R (September 1, 2015) Delirium in Intensive Care Unit Patients and Care in the Accordance with the Model of Living. Florence Nightingale Journal of Nursing 23 2 146–151.
IEEE A. Özsaban and R. Acaroğlu, “Delirium in Intensive Care Unit Patients and Care in the Accordance with the Model of Living”, Florence Nightingale Journal of Nursing, vol. 23, no. 2, pp. 146–151, 2015, doi: 10.17672/fnhd.10963.
ISNAD Özsaban, Aysel - Acaroğlu, Rengin. “Delirium in Intensive Care Unit Patients and Care in the Accordance With the Model of Living”. Florence Nightingale Journal of Nursing 23/2 (September 2015), 146-151. https://doi.org/10.17672/fnhd.10963.
JAMA Özsaban A, Acaroğlu R. Delirium in Intensive Care Unit Patients and Care in the Accordance with the Model of Living. Florence Nightingale Journal of Nursing. 2015;23:146–151.
MLA Özsaban, Aysel and Rengin Acaroğlu. “Delirium in Intensive Care Unit Patients and Care in the Accordance With the Model of Living”. Florence Nightingale Journal of Nursing, vol. 23, no. 2, 2015, pp. 146-51, doi:10.17672/fnhd.10963.
Vancouver Özsaban A, Acaroğlu R. Delirium in Intensive Care Unit Patients and Care in the Accordance with the Model of Living. Florence Nightingale Journal of Nursing. 2015;23(2):146-51.