Other Titles
Global research in the acute care setting
Abstract
Purpose: An ICU patient's probability of occurrence of acute confusion is higher than that of a general inpatient. Acute confusion is likely to not only cause accidental injury and prolong ICU stay, but also increase the mortality. Accordingly, this triggers the motivation to explore it. This study incidence of acute confusion, the related factors and predictors of acute confusion.
Methods: A descriptive correlational design was adopted. This study recruited patients, transferred to ICU after the surgery and had been in ICU for more than 24 hours as subjects, totaling 263 people.
Results: The results showed acute confusion was 79.41% and the incidence was the highest after one day of ICU stay, accounting for up to 33.1% of the population. The predictor of acute confusion was catheterization p-value, which was 0.004 (OR, 13.465; 95% CI, 2.266 ~ 79.99). The age p-value was 0.002 (OR, 2.339; 95% CI, 1.356 ~ 4.033). The pain index p-value was 0.002(OR, 2.339; 95% CI, 1.356 ~ 4.033). PSQI score p-value was smaller than <0.001 (OR, 1.823; 95% CI, 1.342 ~ 2.475). APACHE II and acute confusion there is a significant positive correlation (r =. 389, p <.000). Linear regression analysis APACHE II (R2 = .092%, P <.000).
Conclusion: These four variables are statistically significant and therefore can be the predictor for SICU patients with acute confusion (R2 = 0.538). APACHE II and predictable 9.2% of the variance in acute confusion. It is hoped that this study can be used in clinical practice for early detection of high risk of acute confusion to prevent further damage so that ICU nurses can establish a care model that prevent risk factors of acute confusion and improve the quality of health care.
Sigma Membership
Non-member
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Descriptive/Correlational
Research Approach
N/A
Keywords:
Acute Confusion, ICU Nurses, SICU Patients
Recommended Citation
Hsiao, Li Yu, "Acute confusion among the patients in surgical intensive care units" (2014). INRC (Congress). 148.
https://www.sigmarepository.org/inrc/2014/presentations_2014/148
Conference Name
25th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Hong Kong
Conference Year
2014
Rights Holder
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Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Acute confusion among the patients in surgical intensive care units
Hong Kong
Purpose: An ICU patient's probability of occurrence of acute confusion is higher than that of a general inpatient. Acute confusion is likely to not only cause accidental injury and prolong ICU stay, but also increase the mortality. Accordingly, this triggers the motivation to explore it. This study incidence of acute confusion, the related factors and predictors of acute confusion.
Methods: A descriptive correlational design was adopted. This study recruited patients, transferred to ICU after the surgery and had been in ICU for more than 24 hours as subjects, totaling 263 people.
Results: The results showed acute confusion was 79.41% and the incidence was the highest after one day of ICU stay, accounting for up to 33.1% of the population. The predictor of acute confusion was catheterization p-value, which was 0.004 (OR, 13.465; 95% CI, 2.266 ~ 79.99). The age p-value was 0.002 (OR, 2.339; 95% CI, 1.356 ~ 4.033). The pain index p-value was 0.002(OR, 2.339; 95% CI, 1.356 ~ 4.033). PSQI score p-value was smaller than <0.001 (OR, 1.823; 95% CI, 1.342 ~ 2.475). APACHE II and acute confusion there is a significant positive correlation (r =. 389, p <.000). Linear regression analysis APACHE II (R2 = .092%, P <.000).
Conclusion: These four variables are statistically significant and therefore can be the predictor for SICU patients with acute confusion (R2 = 0.538). APACHE II and predictable 9.2% of the variance in acute confusion. It is hoped that this study can be used in clinical practice for early detection of high risk of acute confusion to prevent further damage so that ICU nurses can establish a care model that prevent risk factors of acute confusion and improve the quality of health care.