Nursing Management of Delirium in the Postanesthesia Care Unit and Intensive Care Unit

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Abstract

Purpose:

The purpose of the study was to examine nurses' approaches to care of patients with postoperative delirium in the postanesthesia care unit and intensive care unit.

Design:

A descriptive survey design was used.

Methods:

Eighty-seven nurses who have been working at a Training and Research Hospital in Erzurum, east of Turkey, were enrolled in this study between October 1 and November 20, 2012.

Findings:

83.9% of the nurses reported that they had given pharmacologic therapy for pain management in delirium patients, 39.1% massage, 31.0% rhythmic breathing exercise, and 26.4% music therapy. 90.8% of nurses also stated that they reduced noise and lighting at night to ensure normal sleep pattern.

Conclusions:

Nurses need to be supported to take part in courses, conferences, and training seminars. A standard data tool or scale needs to be used to assess delirium routinely in all patients admitted.

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