The Effect of Clinical Nursing Practice Guidelines on Delirium Prevention among Patients Undergoing Treatment in Cardiac Intensive Care Unit at Somdej Pranangchaosirikit Hospital

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Warunthorn Phromsont
Kanoklekha Suwannapong

Abstract

         The purpose of this quasi-experimental research was to study the effect of clinical nursing practice guidelines on delirium prevention among patients undergoing treatment in the cardiac intensive care unit at Somdej Pranangchaosirikit hospital. The sample group consisted of 44 patients, divided into a control group and an experimental group with 22 patients per group who were matched by sex, age, and Modified Early Warning Score (MEWS). The control group received routine nursing care, while the experimental group followed a clinical nursing practice guideline for delirium prevention. The research tools included: (1) clinical nursing practice guidelines for delirium prevention, which were evaluated by 5 experts and had a content validity of 1; (2) personal information record form; and (3) Confusion Assessment Method of the ICU (CAM-ICU). Data were analyzed using descriptive statistics and Fisher’s exact test. The findings revealed that the acute delirium occurrences between experimental group and control group had no statistical significant difference (p = .412).

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Research Article

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