Effect of Family Multisensory Stimulation on the Occurrence of Delirium among Mechanically Ventilated Patients

Document Type : Original Article

Authors

1 Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt,

2 Prof of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt

3 Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Menoufia University, Egypt

Abstract

Multisensory stimulation is a key element of non-pharmacological treatments for prevention and management of delirium.  It offers a setting that is similar to the actual world and stimulates conscious mechanically ventilated patients in a safe and controlled manner. This study aimed to evaluate the effect of family multisensory stimulation on the occurrence of delirium among mechanically ventilated patients. Design: - Quasi experimental research design was utilized. Setting: this study was conducted at Surgical Intensive Care Unit of Emergency Tanta University Hospital, Egypt. Convenience sample of 80 adult conscious mechanically ventilated patients was selected and divided equally into two groups; 30 patients in each. Tools of the study: Three tools were used: Mechanically ventilated patients' assessment tool, Delerium Assessment Tool, and Family Satisfaction Questionnaire Assessment tool. Results: the current study results indicated that the intervention group showed significant reductions in delirium incidence (20.00% & 16.66%) than the control group (50.00% and 60.0%) during the fifth and seventh day, respectively. Additionally, highly statistically significant differences were found between the two groups regarding family satisfaction level during the fifth day and the seventh day with p= 0.001 and 0.000, respectively.  In conclusion, family multi-sensory stimulation proved to be an efficient non-pharmacological intervention in decreasing the occurrence of delirium and increasing family's satisfaction. Recommendations, the study recommends integrating multisensory stimulation in nursing care of mechanically ventilated patients to prevent delirium and suggests replication of the study with a larger sample.

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