DELIRIUM AND RELATED FACTORS IN PATIENTS HOSPITALIZED IN THE INTERNAL INTENSIVE CARE UNIT

Year 2025, Volume: 10 Issue: 1, 62 - 75, 28.02.2025

Melik Aksin , Leyla Zengin Aydın

https://doi.org/10.33457/ijhsrp.1600313

Abstract

This study was conducted to examine delirium and its associated factors in patients hospitalized in the internal intensive care unit. The study was conducted in the internal medicine intensive care unit of the University of Health Sciences, Gazi Yaşargil Training and Research Hospital between July 2022 and February 2023. The sample consisted of 103 patients admitted to the internal intensive care unit. Data were collected using the Patient Information Form, Glasgow Coma Scale (GCS), the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU), the Nursing Delirium Screening Scale (Nu-DESC), and the Standardized Mini-Mental Test (SMMT). There were statistically significant differences found in SMMT scores across age groups (F=4.376; p<0.01). Nu-DESC scores varied significantly according to education levels (χ²=12.504; p<0.01). There were significant differences in SMMT scores were observed based on cohabitation status (Z=-2.246; p=0.025). Nu-DESC scores differed significantly based on nasogastric tube (NG) use (Z=-2.316; p=0.021), and SMMT scores also showed significant differences concerning NG use (Z=-2.695; p=0.007). A negative, moderate, and statistically significant correlation was found between Nu-DESC and SMMT scores (r=-0.617; p<0.001). This study identified age, education level, cohabitation status, and nasogastric tube use as factors associated with delirium in patients hospitalized in the intensive care unit. A significant relationship was also found between Nu-DESC and SMMT scores. As delirium is a multifactorial syndrome, understanding the factors predisposing patients to delirium is crucial for its prevention. Therefore, it is recommended to develop educational programs for early identification of delirium and to monitor patients for signs of delirium.

Keywords

Delirium,, İntensive Care Unit,, Nursing

Ethical Statement

Before data collection, written approval was taken from the ethics committee of Health Sciences University Gazi Yaşargil Training and Research Hospital Sciences University Ethics Committee (Decision date and number: 22/07/2022-137) and the institution where the study was conducted.

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