Date of Award

11-30-2020

Degree Type

Thesis

Degree Name

MSc in Nursing

First Advisor

Dr Rubina Barolia

Second Advisor

Ms. Lubna Ghazal

Third Advisor

Dr. Sobiya Sawani

Department

School of Nursing and Midwifery, Pakistan

Abstract

Background: Delirium is the most avoidable, serious, and developing problem or complication that develops during the intensive care unit stay. It has several undesirable consequences, such as aggravated length of stay, deteriorated health outcomes and high chances of mortality. As per the researcher’s knowledge, no research has been carried out in Pakistan to assess delirium and its associated factors among mechanically ventilated patients.
/="/">Aim of the Study: The study aimed to evaluate the prevalence of delirium and its associated factors among mechanically ventilated patients in the ICUs, in public and private tertiary care hospitals in Karachi, Pakistan.
/="/">Methodology An analytical cross-sectional study design was used to respond to the research questions in the study. The purposive sampling method was used to recruit 150 participants, admitted in the medical and surgical ICUs of public and private sector hospitals. Data collection was done through Intensive Care Delirium Screening Checklist (ICDSC)for assessing delirium among mechanically ventilated patients. Findings of the Study The findings of this study showed that the study participants from hospital A had 71.4% delirium, whereas, those in hospital B showed 58.8% delirium. The overall delirium prevalence was 64.7% among mechanically ventilated patients admitted in both the hospitals. Along with this, mobilization and raised lactate were found to havesignificant association withdelirium, among the study participants. It is concluded that patients who are not mobilized are at 34.8% v increased risk of developing delirium, as compared to mobilized patients. Lastly, patients with raised lactate are at 22.2% greater risk of development of delirium, as compared to ones with normal lactate.
/="/">Conclusion :The study concluded that approximately three-fourth patients admitted in intensive care units, with mechanical ventilation, suffer from delirium. The factors that were responsible for delirium are lack of mobilization and raised lactate levels. The study offers recommendations at the education level, practice level, and research level.

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Last Page

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