Risk factors for the incidence of delirium in cerebrovascular patients in a Neurosurgery Intensive Care Unit: A prospective study.

Abstract:

AIMS AND OBJECTIVES:To explore the incidence of delirium in cerebrovascular patients admitted in our Neurosurgery Intensive Care Unit and analyse the risk factors leading to delirium. BACKGROUND:Delirium is one of the most common mental disorders in general hospitals, but the incidence of different kinds of diseases and studies varies. Cerebrovascular patients in our Neurosurgery Intensive Care Unit are high-risk groups for delirium; identifying risk factors for delirium and taking early interventions are crucial for patient prognosis. DESIGN:A prospective study. METHODS:A convenience sampling method was used to collect data from 128 patients in the Neurosurgery Intensive Care Unit of Xuanwu Hospital, Capital Medical University, Beijing, China, between May 2016-January 2017. Researchers used Confusion Assessment Method for the Intensive Care Unit (Chinese version) to assess each patient's delirium statement twice a day at regular times. We also collected other independent data variables and followed up the short-term clinical outcomes daily. RESULTS:On the basis of Confusion Assessment Method for the Intensive Care Unit evaluation, patients were divided into a delirium group and a nondelirium group. The prevalence of delirium among the 128 patients was 42.2%. Multivariate analysis showed that severity of illness, fever, the use of physical restraints and sleep deprivation were independent predictors of delirium in cerebrovascular patients in the Neurosurgery Intensive Care Unit. CONCLUSIONS:Cerebrovascular patients in the Neurosurgery Intensive Care Unit with a critical condition, fever or use of physical restraints or experiencing sleep deprivation were more prone to delirium. RELEVANCE TO CLINICAL PRACTICE:Cerebrovascular patients in the Neurosurgery Intensive Care Unit showed a high incidence of delirium. There are many risk factors leading to delirium, some of which are independent predictors of intensive care delirium. Patients with delirium will suffer various adverse effects upon their short-term clinical outcomes. Therefore, nurses should pay close attention to changes in a patient's mental state and learn about the risk factors associated with delirium, in order to be able to take early measures to prevent delirium.

journal_name

J Clin Nurs

authors

Wang J,Ji Y,Wang N,Chen W,Bao Y,Qin Q,Xiao Q,Li S

doi

10.1111/jocn.13943

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

407-415

issue

1-2

eissn

0962-1067

issn

1365-2702

journal_volume

27

pub_type

杂志文章
  • Patient self-medication--a change in hospital practice.

    abstract:AIMS AND OBJECTIVES:The purpose of this study was to evaluate the effectiveness of a self-medication programme (SMP) for inpatients of the Nursing Convalescent Unit, a 26-bed unit with medical and surgical patients. BACKGROUND:Self-medication is an important part of self-management of chronic illness. Self-medication ...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2702.2006.01398.x

    authors: Grantham G,McMillan V,Dunn SV,Gassner LA,Woodcock P

    更新日期:2006-08-01 00:00:00

  • Finding privacy from a public death: a qualitative exploration of how a dedicated space for end-of-life care in an acute hospital impacts on dying patients and their families.

    abstract:AIMS AND OBJECTIVES:To explore the experiences and perceptions of hospital staff caring for dying patients in a dedicated patient/family room (named Lotus Room). BACKGROUND:Dying in hospital is a common outcome for people across the world. However, noise and activity in acute environments present barriers to quality e...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/jocn.12845

    authors: Slatyer S,Pienaar C,Williams AM,Proctor K,Hewitt L

    更新日期:2015-08-01 00:00:00

  • A causal model of contraceptive intention and its gender comparison among Taiwanese sexually inexperienced adolescents.

    abstract:AIMS AND OBJECTIVES:To test latent constructs of social influences, contraceptive attitude and self-efficacy for contraception as a causal model of contraceptive intention among adolescents and to search for possible gender differences in the causal model of contraceptive intention. BACKGROUND:A greater understanding ...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2702.2007.02088.x

    authors: Wang RH,Cheng CP,Chou FH

    更新日期:2008-04-01 00:00:00

  • Doctors' and nurses' perceptions of interdisciplinary collaboration in the NICU, and the impact of a neonatal nurse practitioner model of practice.

    abstract:BACKGROUND:The importance of interdisciplinary collaboration has been attested to by a number of authors. Some have suggested that Nurse Practitioners (NPs) may be able to improve collaboration between doctors and nurses, but this assertion does not appear to have been researched. AIMS AND OBJECTIVES:To investigate do...

    journal_title:Journal of clinical nursing

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1046/j.1365-2702.2003.00827.x

    authors: Copnell B,Johnston L,Harrison D,Wilson A,Robson A,Mulcahy C,Ramudu L,McDonnell G,Best C

    更新日期:2004-01-01 00:00:00

  • Depressive symptoms among older residents at nursing homes in Taiwan.

    abstract:AIMS AND OBJECTIVES:To examine the depressive symptoms of older residents at nursing homes and the relationship between their depressive symptoms and certain selected variables. BACKGROUND:Depression has become a major healthcare concern among the older people, but nursing home-based studies on risk factors of depress...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2702.2007.01743.x

    authors: Lin PC,Wang HH,Huang HT

    更新日期:2007-09-01 00:00:00

  • Interventions for women exposed to acute intimate partner violence: emergency professionals' perspective.

    abstract::Aims and objectives. To examine interventions and practices carried out by the emergency department professionals. Background. Developing the related practices provides an opportunity for early intervention in women exposed to intimate partner violence who visit the emergency department. Design. The descriptive, cross...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2702.2012.04202.x

    authors: Leppäkoski T,Paavilainen E

    更新日期:2013-08-01 00:00:00

  • Association of distress symptoms and use of complementary medicine among patients with cancer.

    abstract:AIMS AND OBJECTIVES:The aim of this study was to investigate the association between distress symptoms and the types of complementary and alternative medicine use in patients with cancer. BACKGROUND:Patients diagnosed with cancer have increasingly turned to the use of complementary and alternative medicine to manage i...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2702.2011.03884.x

    authors: Ku CF,Koo M

    更新日期:2012-03-01 00:00:00

  • A comparison of written materials vs. materials and counselling for women with sexual dysfunction and multiple sclerosis.

    abstract:AIM:Evaluate whether symptoms of vaginal dryness, low libido, less intense or delayed orgasm could be improved in women with multiple sclerosis who took part in an education or education plus counselling programme. BACKGROUND:Sexual dysfunction, a prevalent symptom in women with multiple sclerosis, can negatively affe...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2702.2005.01437.x

    authors: Christopherson JM,Moore K,Foley FW,Warren KG

    更新日期:2006-06-01 00:00:00

  • Patients' experience with heart failure treatment and self-care-A qualitative study exploring the burden of treatment.

    abstract:AIMS AND OBJECTIVES:To explore chronic heart failure patients' perceptions of the burden related to treatment and self-care. BACKGROUND:Living with chronic heart failure entails following a demanding treatment regimen, with daily self-care, which could make patients vulnerable to experiencing treatment burden. Burden ...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/jocn.14799

    authors: Nordfonn OK,Morken IM,Bru LE,Husebø AML

    更新日期:2019-05-01 00:00:00

  • Clinical indicators of ineffective airway clearance in children with congenital heart disease.

    abstract:AIMS AND OBJECTIVES:To analyse the sensitivity and specificity of clinical indicators of ineffective airway clearance in children with congenital heart disease and to identify the indicators that have high predictive power. BACKGROUND:The precise establishment of nursing diagnoses has been found to be one of the facto...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:

    authors: da Silva VM,Lopes MV,de Araujo TL,Ciol MA,de Carvalho EC

    更新日期:2009-03-01 00:00:00

  • The impact of Early Warning Score and Rapid Response Systems on nurses' competence: An integrative literature review and synthesis.

    abstract:AIMS AND OBJECTIVES:To describe, interpret and synthesise the current research findings on the impact of the Early Warning Score and Rapid Response Systems on nurses' competence in identifying and managing deteriorating patients in general hospital wards. BACKGROUND:As patient safety initiatives designed to ensure the...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章,评审

    doi:10.1111/jocn.14239

    authors: Jensen JK,Skår R,Tveit B

    更新日期:2018-04-01 00:00:00

  • Changes in decisional conflict and decisional regret in patients with localised prostate cancer.

    abstract:AIMS AND OBJECTIVES:To identify the changes and associated factors in decisional conflict and regret in patients with localised prostate cancer up to six months postprimary treatment. BACKGROUND:Various treatments of differing qualities can be used for patients with localised prostate cancer; these treatments may caus...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/jocn.12470

    authors: Chien CH,Chuang CK,Liu KL,Li CL,Liu HE

    更新日期:2014-07-01 00:00:00

  • A life shaped by pain: women and endometriosis.

    abstract:AIMS AND OBJECTIVES:The research aim was to explore women's perceptions of living with endometriosis, its effects on their lives and the strategies used to manage their disease. BACKGROUND:Symptomatic endometriosis significantly affects women's quality of life. Characteristically the condition causes severe pain and h...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2702.2005.01231.x

    authors: Huntington A,Gilmour JA

    更新日期:2005-10-01 00:00:00

  • Communication in nursing care for patients requesting euthanasia: a qualitative study.

    abstract:AIM:To describe the communication during the euthanasia care process for mentally competent, terminally ill patients in general hospitals in Flanders, as seen from the perspective of the nurse. BACKGROUND:International literature shows that nurses are involved in the care process surrounding euthanasia, regardless of ...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2702.2010.03367.x

    authors: Denier Y,Gastmans C,De Bal N,Dierckx de Casterlé B

    更新日期:2010-12-01 00:00:00

  • Atrophy and anarchy: Third national survey of nursing skill-mix and advanced nursing practice in ophthalmology.

    abstract:AIMS AND OBJECTIVES:The aims of the study were to investigate the advanced nursing practice and the skill-mix of nurses working in ophthalmology. BACKGROUND:The expansion of new nursing roles in the United Kingdom in the past decade is set against the background of a nursing shortage. The plan to modernize the Nationa...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2702.2005.01455.x

    authors: Czuber-Dochan WJ,Waterman CG,Waterman HA

    更新日期:2006-12-01 00:00:00

  • A description of nurses' decision-making in managing electrocardiographic monitor alarms.

    abstract:AIMS AND OBJECTIVES:To describe the cues and factors that nurses use in their decision-making when responding to clinical alarms. BACKGROUND:Alarms are designed to be very sensitive, and as a result, they are not very specific. Lack of adherence to the practice standards for electrocardiographic monitoring in hospital...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/jocn.12625

    authors: Gazarian PK,Carrier N,Cohen R,Schram H,Shiromani S

    更新日期:2015-01-01 00:00:00

  • eHealth versus equity: Using a feminist poststructural framework to explore the influence of perinatal eHealth resources on health equity.

    abstract:AIMS AND OBJECTIVES:To explore whether and how eHealth resources targeted to families during the perinatal period effectively reach a diverse population or further oppress marginalised groups. BACKGROUND:eHealth is often intended to reach a broad population, thus health content must be relatively generalised which lim...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章,评审

    doi:10.1111/jocn.14592

    authors: Richardson B,Goldberg L,Aston M,Campbell-Yeo M

    更新日期:2018-11-01 00:00:00

  • Learning for heart failure patients (The L-HF patient study).

    abstract:AIM AND OBJECTIVE:To investigate the learning style and preferences for information delivery of heart failure patients for the purpose of informing the design of educational resources. BACKGROUND:Patient education is a vital component of heart failure management programmes however the content and delivery of education...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2702.2008.02716.x

    authors: Boyde M,Tuckett A,Peters R,Thompson D,Turner C,Stewart S

    更新日期:2009-07-01 00:00:00

  • The effect of health education through the internet on university female students' hepatitis B knowledge and cognition.

    abstract:AIMS AND OBJECTIVES:The purpose of this study was to investigate the effect of internet health education on female university students' knowledge and cognition regarding hepatitis B. BACKGROUND:One of the focal points of preventing hepatitis B is to improve students' knowledge of hepatitis B. The internet is thought t...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2702.2009.02907.x

    authors: Huang YW,Hung CH

    更新日期:2009-12-01 00:00:00

  • Never-ending making sense: towards a substantive theory of the information-seeking behaviour of newly diagnosed cancer patients.

    abstract:AIM:The aim of this paper was to report a study which explored the information-seeking behaviour of patients newly diagnosed with cancer in the immediate postdiagnosis period. BACKGROUND:Information is an important tool for cancer patients. There is evidence that patients' information needs are not being adequately me...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2702.2006.01817.x

    authors: McCaughan E,McKenna H

    更新日期:2007-11-01 00:00:00

  • Reading research critically. I. An introduction to appraisal: designs and objectives.

    abstract::This is the first of two articles providing an introduction to appraising published research critically. In this paper three styles of research are presented and the basic types of research objectives and designs are briefly described. ...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2702.1994.tb00393.x

    authors: Avis M

    更新日期:1994-07-01 00:00:00

  • Questioning skills of clinical facilitators supporting undergraduate nursing students.

    abstract:AIMS AND OBJECTIVES:To report on a study investigating questioning skills of clinical facilitators who support the learning of undergraduate nursing students. BACKGROUND:The ability to think critically is integral to decision-making and the provision of safe and quality patient care. Developing students' critical thin...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章,多中心研究

    doi:10.1111/jocn.13761

    authors: Phillips NM,Duke MM,Weerasuriya R

    更新日期:2017-12-01 00:00:00

  • Safety profiles of second-line tyrosine kinase inhibitors in patients with chronic myeloid leukaemia.

    abstract:AIMS AND OBJECTIVES:To review the use of second-line tyrosine kinase inhibitors in patients with chronic myeloid leukaemia (CML) and provide recommendations for managing adverse events (AEs) to maximise patient benefit. BACKGROUND:Treatment of CML has been revolutionised with the advent of tyrosine kinase inhibitors (...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2702.2009.03167.x

    authors: Tinsley SM

    更新日期:2010-05-01 00:00:00

  • Online information on dysmenorrhoea: An evaluation of readability, credibility, quality and usability.

    abstract:AIMS AND OBJECTIVES:To evaluate online information on dysmenorrhoea, including readability, credibility, quality and usability. BACKGROUND:Menstrual pain impacts 45%-95% of women of reproductive age globally and is the leading cause of school and work absences among women. Women often seek online information on dysmen...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章,评审

    doi:10.1111/jocn.14954

    authors: Lovett J,Gordon C,Patton S,Chen CX

    更新日期:2019-10-01 00:00:00

  • The clinical nurse specialist: perceptions of practising CNSs of their role and development needs.

    abstract::This study was carried out to determine the role and development needs of Clinical Nurse Specialists (CNSs) in two acute hospital trusts. One of the aims was to obtain a detailed understanding of the current professional experience of Clinical Nurse Specialists. Data were collected using focus groups and analysed desc...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2702.2000.00354.x

    authors: Bamford O,Gibson F

    更新日期:2000-03-01 00:00:00

  • Nursing home nurses' experiences of resident transfers to the emergency department: no empathy for our work environment difficulties.

    abstract:AIMS AND OBJECTIVES:To explore the experiences of nursing home nurses when they transfer residents from nursing homes to the emergency department in Taiwan. BACKGROUND:The transfer of residents between nursing homes and emergency departments challenges continuity of care. Understanding nursing home nurses' experiences...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/jocn.13084

    authors: Tsai HH,Tsai YF,Huang HL

    更新日期:2016-03-01 00:00:00

  • Association of work environment and resilience with transition shock in newly licensed nurses: A cross-sectional study.

    abstract:AIMS AND OBJECTIVES:To examine transition shock in newly licensed nurses and the association of work environment and resilience with nurses' transition shock. BACKGROUND:Although work environment is related to transition shock in newly licensed nurses, little is known about the factors of nursing work environment asso...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/jocn.15649

    authors: Kim SO,Kim JS

    更新日期:2021-01-12 00:00:00

  • Ipsilateral shoulder pain in patients following lung resection in the decubitus position.

    abstract:AIMS AND OBJECTIVES:To examine the frequency, influencing factors and clinical course of shoulder pain in patients following lung resection. BACKGROUND:Thoracoscopes have been introduced in the surgical treatment of lung cancer and allow for less invasive surgery with a minimal incision. However, decubitus position-re...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/jocn.14163

    authors: Bando T,Kondo K,Onishi C,Kajiura K,Takizawa H,Yamada K,Sato H,Imai Y

    更新日期:2018-03-01 00:00:00

  • Supplementary nurse prescribing for patients with skin conditions: a national questionnaire survey.

    abstract:AIM:To examine the prescribing practices of supplementary nurse prescribers (working in both primary and secondary care) who prescribe medicines for patients with skin conditions and the factors that facilitate or inhibit this mode of prescribing. BACKGROUND:Nurses work in a variety of roles, with varying levels of ex...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2702.2007.01641.x

    authors: Carey N,Courtenay M,Burke J

    更新日期:2007-07-01 00:00:00

  • A qualitative study of factors in nurses' and physicians' decision-making related to family presence during resuscitation.

    abstract:AIMS AND OBJECTIVES:To explore the similarities and differences in factors that influence nurses' and physicians' decision-making related to family presence during resuscitation. BACKGROUND:Despite the growing acceptance of family presence during resuscitation worldwide, healthcare professionals continue to debate the...

    journal_title:Journal of clinical nursing

    pub_type: 杂志文章

    doi:10.1111/jocn.13948

    authors: Twibell R,Siela D,Riwitis C,Neal A,Waters N

    更新日期:2018-01-01 00:00:00