Condition 1: Physical restraint. Condition 2: Delirium. Condition 3: Non-pharmaceutical care package. Condition 4: Restlessness. Condition 5: Patients undergoing mechanical ventilation. Mental and behavioural disorders due to use of sedatives or hypnotics Other specified extrapyramidal and movement disorders
Conditions
Interventions
Intervention group: Patients undergoing mechanical ventilation in the intensive care unit who met the inclusion criteria for the study.
Sponsors
Bagheiat-allah University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1) Patients undergoing mechanical ventilation over 18 and under 70 years of age Not having alcohol or drug addiction 3) No visual and hearing disorders in target patients Absence of movement disorders before hospital admission in target patients Absence of restlessness and delirium in patients before mechanical ventilation Availability of family members to participate in the study if desired Absence of mental health problems or a history of mental illness or cognitive problems
Exclusion criteria
Exclusion criteria: 1) Any continuous infusion of sedatives or muscle relaxants via an infusion pump 2) Obtaining a score of minus 3 to minus 5 on the RASS scale according to clinical assessment and medical and nursing reports 3) Death of the patients studied during the study 4) The occurrence of severe disorders such as shock, bleeding, or brain injuries during the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of physical restraint. Timepoint: At the beginning of endotracheal intubation and 6 hours after the effects of anesthetic drugs wear off and on the second and third days after implementing a non-pharmacological care package. Method of measurement: Hours of physical restraint.;Restlessness. Timepoint: At the beginning of endotracheal intubation and 6 hours after the effects of anesthetic drugs wear off and on the second and third days after implementing a non-pharmacological care package. Method of measurement: Based on RASS criteria.;Delirium. Timepoint: At the beginning of endotracheal intubation and 6 hours after the effects of anesthetic drugs wear off and on the second and third days after implementing a non-pharmacological care package. Method of measurement: Presence of delirium according to CAM ICU criteria. | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of mechanical ventilation. Timepoint: After endotracheal intubation and during the study. Method of measurement: By the hour.;Use of benzodiazepines and painkillers. Timepoint: During the study and 6 hours after endotracheal intubation. Method of measurement: Yes or no. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Maliheh Al-Sadat Moyed
Bagheiat-allah University of Medical Sciences
Outcome results
None listed