Association between intensive care unit delirium and delusional memory after critical care in mechanically ventilated patients

Nursing Open

Hideaki Sakuramoto¹  Takeshi Unoki²  Haruhiko Hoshino³  Akira Ouchi³  Yujiro Matsuishi³  Taro Mizutani⁴  Yasuyo Yoshino⁵ 

[1] Department of Adult Health Nursing College of Nursing Ibaraki Christian University Hitachi Japan;Department of Adult Health Nursing School of Nursing Sapporo City University Sapporo Japan;Department of Emergency and Critical Care Medicine Faculty of Medicine University of Tsukuba Tsukuba Japan;Ibaraki Western Medical Center Ibaraki Japan;Kanto Gakuin University College of Nursing Yokohama Japan;

关键词: delirium;    delusional memory;    intensive care unit;    mechanical ventilation;   

DOI  :  10.1002/nop2.760

来源: DOAJ

【 摘 要 】

Abstract Aim To determine the relationship between the delirium of patients with mechanical ventilation during intensive care unit (ICU) stay and delusional memory after ICU discharge. Design Prospective cohort study. Methods Delirium in adult patients who received mechanical ventilation for more than 24 hr was assessed twice daily using the Confusion Assessment Method for the ICU. Delusional memories were evaluated using the ICU Memory Tool 5–10 days after ICU discharge. The associations between the presence of delirium during the ICU stay and delusional memories were evaluated. Results Of 60 enrolled patients, 62% had delirium during their ICU stay, and 68% experienced delusional memories 5–10 days after discharge. Delirium during ICU stay was an independent factor to experience delusional memories following discharge. Preventing delirium during ICU stay might reduce delusional memory. We recommend that patients with delirium during their ICU stay should be carefully followed up after discharge from the ICU.

【 授权许可】

Unknown