A comparative study of the effectiveness of routine care and ABCDEF bundle implementation based on appreciative leadership theory

A comparative study of the effectiveness of two methods of routine care and the implementation of the ABCDEF bundle based on the theory of appreciative leadership on pain and delirium of intensive care unit patients.

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20221019056240N1

Enrollment

100

Registered

2022-12-29

Start date

2022-11-01

Completion date

Unknown

Last updated

2023-02-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Intensive Care.

Interventions

Intervention 1: Intervention group: implementation of the ABCDEF care bundle, which includes the recommendations of the American Society of Critical Care for assessment, prevention and management of p

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Inclusion criteria

Inclusion criteria: Obtaining informed consent from the patient or family Hospitalization for more than 72 hours in the intensive care unit Patients with internal diseases 18 years and older patients Non-psychotic patients Non-pregnant Patients Patients who do not have severe dementia Lack of major damage to the nervous system leads to severe cognitive and motor deficits

Exclusion criteria

Exclusion criteria: Dying patients Patients having active seizures

Design outcomes

Primary

Measure	Time frame
Pain intensity. Timepoint: three times a day and at 8, 16 and 24 hours and for 3 days. Method of measurement: using a visual analogue scale.;Delirium. Timepoint: three times a day and at 8, 16 and 24 hours and for 3 days. Method of measurement: Using the Persian version of the CAM-ICU tool.;Weaning from mechanical ventilation. Timepoint: Daily. Method of measurement: Record the hours of successful weaning from mechanical ventilation or reintubation (unsuccessful weaning).	—

Measure

Time frame

Pain intensity. Timepoint: three times a day and at 8, 16 and 24 hours and for 3 days. Method of measurement: using a visual analogue scale.;Delirium. Timepoint: three times a day and at 8, 16 and 24 hours and for 3 days. Method of measurement: Using the Persian version of the CAM-ICU tool.;Weaning from mechanical ventilation. Timepoint: Daily. Method of measurement: Record the hours of successful weaning from mechanical ventilation or reintubation (unsuccessful weaning).

—

Secondary

Measure	Time frame
Mortality Rate. Timepoint: At the end of the study. Method of measurement: Census of patients of both groups.;ICU length of stay. Timepoint: At the end of the study. Method of measurement: Counting the days of patients staying in the intensive care unit.	—

Countries

Iran (Islamic Republic of)

Contacts

Public ContactSeyed Tayyeb Moradian

Bagheiat-allah University of Medical Sciences

t.moradyan@yahoo.com+98 21 8804 0060

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026