Investigation of Nurses' Early Identification of Delirium in Geriatric Patients

Abstract

Objective: This study was planned to evaluate the ability of nurses working in the intensive care unit to detect delirium in geriatric patients at an early stage using the CAM-ICU scale. Method: The study was a descriptive study. The sample of the study consisted of 88 nurses working in the intensive care units of a university hospital. Data were obtained using the 'Patient Identification Form', 'Nurse Identification Form' and 'Confusion Assessment Scale in Intensive Care Unit (CAM-ICU)'. Pearson Chi-Square, Fisher's Exact Test and Multiple Chi-Square tests were used in statistical analysis. Results: Of the nurses who participated in the study, 84% were female, 72% were undergraduate graduates, and 72% had been working in the profession for eleven years or more. The mean age of the patients cared for by the nurses was 70 years, 62.5% of the patients were treated in the surgical intensive care unit and 37.5% underwent coronary artery bypass graft surgery. In our study, a statistically significant relationship was found between the department in which the nurse worked and the determination of delirium (p<0.05). A statistically significant relationship was found between the departments in which nurses with bachelor's degree worked and the determination of delirium (p<0.05). A statistically significant relationship was found between the departments in which the nurses working eleven years or more in the profession worked and the determination of delirium (p<0.05). Conclusion: In our study, it was found that nurses working in a surgical intensive care unit, with a bachelor's degree and eleven years or more in the profession could detect delirium without a physician diagnosis using the CAM-ICU scale. In line with these data, it was concluded that nurses working in intensive care units should routinely use delirium assessment scales to detect delirium at an early stage and in-service planning on delirium should be made. Keywords: Delirium geriatric, nursing, intensive care

Keywords

• Delirium
• geriatric
• intensive care
• nursing

Geriatri Hastalarında Hemşirelerin Deliryumu Erken Tanımlayabilme Durumunun İncelenmesi

Öz

Özet Amaç: Bu araştırma, yoğun bakım ünitesinde çalışan hemşirelerin CAM-ICU ölçeğini kullanarak geriatri hastalarında deliryumu erken dönemde tanımlayabilme durumunu değerlendirmek amacıyla planlanmıştır. Yöntem: Araştırma, tanımlayıcı bir çalışmadır. Çalışmanın örneklemini bir üniversite hastanesinin yoğun bakım ünitelerinde çalışan 88 hemşire oluşturmuştur. Veriler, ‘Hasta Tanıtım Formu’, ‘Hemşire Tanıtım Formu’ ve ‘Yoğun Bakım Ünitesinde Konfüzyon Değerlendirme Ölçeği (CAM-ICU)’ kullanılarak elde edilmiştir. İstatistiksel analizde Pearson Ki Kare, Fisher’s Exact Testi ve Çoklu Ki Kare testleri kullanılmıştır. Bulgular: Araştırmaya katılan hemşirelerin %84’ü kadın ve %72’si lisans mezunu, %72’si on bir yıl ve üzerinde meslekte çalıştığını bildirmiştir. Hemşirelerin bakım verdiği hastaların yaş ortalamasının 70 olduğu, hastaların %62,5’nin cerrahi yoğun bakım ünitesinde tedavi gördüğü ve %37,5’inin koroner arter bypass greft cerrahisi geçirdiği belirlenmiştir. Çalışmamızda; hemşirenin çalıştığı bölüm ile deliryum belirleme durumu arasında istatistiksel olarak anlamlı bir ilişki bulunmuştur (p<0,05). Lisans mezunu olan hemşirelerin çalıştıkları bölümler ile deliryum belirleme durumu arasında istatistiksel olarak anlamlı bir ilişki bulunmuştur (p<0,05). Meslekte çalışma süresi on bir yıl ve üzerinde olan hemşirelerin çalıştıkları bölümler ile deliryum belirleme durumu arasında istatistiksel olarak anlamlı bir ilişki bulunmuştur. (p<0,05). Sonuç: Çalışmamızda; lisans mezunu olan, çalışma süresi on bir yıl ve üzerinde olan, cerrahi yoğun bakım ünitesinde çalışan hemşirelerin deliryumu CAM-ICU ölçeğini kullanarak hekim tanısı koymadan tanımlayabildiği saptanmıştır. Bu veriler doğrultusunda; yoğun bakımda çalışan hemşirelerin deliryumu erken dönemde saptayabilmek için deliryum değerlendirme ölçeklerini rutin olarak kullanması ve deliryum konusunda hizmet içi eğitim planlamalarının yapılması gerektiği sonucuna varılmıştır. Anahtar Kelimeler: Deliryum, geriatri, hemşire, yoğun bakım ünitesi

Anahtar Kelimeler

• Hemşire
• geriatri
• deliryum
• yoğun bakım ünitesi

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