Effect Of Delirium Care Bundle On Pain And Sleep Promotion Among Icu Acquired Delirium Patients A Randomized Controlled Trial

Abstract

Introduction: Delirium is characterized as rapid and unpredictable condition of impaired attention, consciousness, and comprehension. It is frequent in older adults at hospitals, especially those admitted to Intensive Care Units. Sleep deprivation and delirium are clinically associated with similar clinical characteristics. Moreover, elevated pain level has been identified as a predisposing risk factor for delirium. Objective: Aim of the study is to determine the effectiveness of a delirium care bundle on pain and sleep patternsamong ICU-acquired delirium patients with mechanical ventilation. Materials and methods: Randomized Controlled Trial was conducted to implement a delirium care bundle intervention. The bundle has been implemented daily for the seven days of ICU admission. The level of pain was assessed with Behavioural Pain Scale, and the sleep pattern Richards – Campbell Sleep Questionnaire. Statistical analysis was done by using SPSS 16.0 version. Results: The statistical mean scores revealed that there is a significant reduction of pain from day 1 to day 7 (8.14±2.01 to 3.64±0.12) in the experimental group than the control group (10.1±2.15 to 8.21±2.91). The sleep quality mean scores show that there is a significant improvement from day 1 to day 7 (32.5±3.01 to 71.89±3.09) in the experimental group than the control group (31.5±2.18 to 48.7±1.46). There is an overall effect of the delirium care bundle intervention on reducing the level of pain (t₍₅₄₎=-5.762, p˂0.001*) and sleep quality (t₍₅₄₎=9.714_, p=0.001*) among ICU acquired delirium patients. Conclusion: Delirium care bundle intervention has been marked to significantly reduce patient pain and improve sleep quality. Nurses play a significant role in identifying the risk factors, and symptoms of delirium at the initial stage.