Yoğun Bakım Ünitesinde Takip Edilen Hastalarda Deliryumun Önlenmesinde ABCDEF Bakım Paketi ve Hemşirelik Bakımı

Öz

Deliryum, hastalık, ilaç ve madde yoksunluğu, benzodiazepin grubu ilaç kullanımı gibi nedenlerle dikkat, farkındalık, gibi bilişsel fonksiyonlarda bozukluk belirti veren bir sendromdur. Dünyada yoğun bakım hastalarının %64’ünün deliryum deneyimlediği bildirilmiştir. Yoğun bakım hastalarında sıklıkla görülen bu durum bireylerin hastanede kalış sürelerinin uzamasına ve mortalitenin artmasına neden olmaktadır. Bakım paketleri, özellikle sağlık hizmetlerinde işlem basamaklarının atlanmaması ve hasta bireylerin maksimum fayda görmesi için tasarlanmıştır. Özellikle deliryumun önlenmesi amacıyla geliştirilen ABCDEF Bakım Paketi yoğun bakım hastalarının ağrı takibi, spontan solunum ve uyanıklık değerlendirmesi, sedasyon gerekliliği, deliryum skalaları değerlendirme yapılması, erken mobilizasyon ve ailenin bakıma katılması uygulamalarıyla deliryum gelişmesinin önlenmesine katkı sağlamaktadır.

Anahtar Kelimeler

• ABCDEF Bakım Paketi
• Hemşirelik Bakımı
• Yoğun Bakım
• Deliryum

The ABCDEF Care Bundle and Nursing Care in the Prevention of Delirium Among Patients in Intensive Care Unit

Abstract

Delirium is a syndrome characterized by symptoms affecting cognitive functions such as attention and awareness, caused by factors including illness, medication or substance withdrawal, and the use of benzodiazepine drugs. It has been reported that approximately 64% of intensive care patients worldwide experience delirium. This condition, which is frequently observed in intensive care units, leads to prolonged hospital stays and increased mortality rates. Care bundles are designed to ensure that no essential clinical steps are overlooked in healthcare services and to maximize patient benefit. Specifically developed to prevent delirium, the ABCDEF Care Bundle contributes to the prevention of delirium development in intensive care patients through practices such as pain assessment, spontaneous awakening and breathing trials, evaluation of sedation necessity, delirium scale assessments, early mobilization, and family engagement in care.

Keywords

• ABCDEF Bundle
• Nursing Care
• Critical Care
• Delirium

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