| Min Young Kim | 3 Articles |
Purpose
This study aimed to investigate the effects of a Multicomponent Intervention Program for Preventing Delirium (MIPPD) on the incidence of delirium, self-extubation or self-removal of the catheter, and length of stay among elderly patients in the Intensive Care Unit (ICU). Methods This study employed a nonequivalent control group pretest-posttest non-synchronized design to verify the MIPPD effects. The participants, 73 patients aged over 65 years were admitted to a university hospital's ICU in J province between December 2015 and July 2016. The MIPPD contained the following elements: family caregiver education, delirium assessment, reorientation activities, therapeutic communication, sensory intervention for vision and hearing impairments, management of immobility or limited mobility, family support, and maintenance of sleeping patterns. Under the program, nurses and family members provided immediate intervention to elderly patients with an expected length of stay of at least 48 hours. Results After the MIPPD application, the incidence of delirium in the intervention group was significantly lower (odds ratio=0.19, 95% confidence interval=0.03~0.97) than that in the control group. However, there were no significant differences between the groups in terms of self-extubation or catheter self-removal and length of stay. Conclusions This program can effectively reduce the incidence of delirium. Because prevention is optimal for delirium management, a proactive intervention must be considered; given that, in this study, there were no problems in terms of family engagement, an MIPPD involving family participation should be actively implemented in intensive care unit practice. Citations Citations to this article as recorded by
Purpose
This study aimed to identify the influence of the activation of the Rapid Response Team (RRT) through screening unplanned Intensive Care Unit (ICU) admissions. Methods A total of 539 cases in which the RRT was activated, from January 1, 2016 to December 31, 2017, were analyzed. Data were collected by reviewing rapid response team activity reports and electronic medical records and analyzed using the Chi-squared test and multiple logistic regression analysis. The analyzed types of RRT activation were electronic medical record-based screening and activation through direct call. Results Patients admitted to the ICU following RRT activation through direct call were twice as likely to experience an unplanned ICU admission than patients for which the RRT was activated through electronic medical record screening (Odds Ratio [OR]=2.05, 95% Confidence Interval [CI]=1.27~3.30). Other variables, including the medical department, activation duration in minutes, total national early warning score, and respiratory distress as the reason for activation (compared to sepsis or septic shock) predicted unplanned ICU admissions. Conclusion Electronic medical record screening by RRT may facilitate the early detection and monitoring of physiological deterioration in patients in the general medical ward. This strategy may help prevent unplanned ICU admissions and potentially reduce mortality. Citations Citations to this article as recorded by
PURPOSE
This study was to develop the patient-tailored education and counseling program (PTECP) for patients with coronary artery disease (CAD) undergoing percutaneous coronary intervention (PCI), and to identify the effects of PTECP on awareness of risk factors, knowledge, self-efficacy, self-care behavior, and blood cholesterol profile (BCP). METHODS A non-equivalent control group pre-post design was used. Sixty patients who were newly diagnosed with CAD and treated PCI were recruited and participated either in an intervention group or a control group, thirty each. The PTECP focused on managing their own risk factors consisted of two individual educations, two individual counselings, three telephone counselings, and two short message services for eight weeks. Data were collected two times at baseline and 8 weeks after beginning of the program. RESULTS After eight weeks, the patients' awareness of risk factor (p < .001), knowledge (p=.015), self-efficacy (p < .001), and self-care behavior (p < .001) in the intervention group were significantly different from those of the control group. However, no difference in BCP was found between the groups. CONCLUSION The PTECP was effective in improving the patients' awareness of CAD risk factors, knowledge, self-efficacy, and self-care behavior. Successful PTECP might lead to better health outcome in patients with CAD through effective self-management. Citations Citations to this article as recorded by
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