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

• The effectiveness of family participation interventions for the prevention of delirium in intensive care units: A systematic review
  Marli Lopo Vitorino, Adriana Henriques, Graça Melo, Helga Rafael Henriques
  Intensive and Critical Care Nursing.2025; 89: 103976.     CrossRef
• Promoting Family Involvement in the Management of Delirium in Intensive Care: Scoping Review
  Sandra Lange, Wioletta Mędrzycka-Dąbrowska
  Medicina.2024; 60(12): 1934.     CrossRef
• Microteoria de enfermagem na prevenção do delirium em pessoas idosas na unidade de terapia intensiva
  Sandra da Silva Kinalski, Margrid Beuter, Eliane Raquel Rieth Benetti, Marinês Tambara Leite, Larissa Venturini, Marcos Antônio Gomes Brandão
  Revista Latino-Americana de Enfermagem.2023;[Epub]     CrossRef
• Factors Affecting Delirium in ICU Patients
  I Seul Jeong, Mi-Kyoung Cho
  International Journal of Environmental Research and Public Health.2023; 20(10): 5889.     CrossRef
• Nursing microtheory in the prevention of delirium in older adult in the intensive care unit
  Sandra da Silva Kinalski, Margrid Beuter, Eliane Raquel Rieth Benetti, Marinês Tambara Leite, Larissa Venturini, Marcos Antônio Gomes Brandão
  Revista Latino-Americana de Enfermagem.2023;[Epub]     CrossRef
• Educational intervention for family caregivers of older adults with delirium: An integrative review
  JuHee Lee, Insun Yeom, Subin Yoo, Soomin Hong
  Journal of Clinical Nursing.2023; 32(19-20): 6987.     CrossRef
• Microteoría de enfermería en la prevención del delirium en personas mayores en la unidad de cuidados intensivos
  Sandra da Silva Kinalski, Margrid Beuter, Eliane Raquel Rieth Benetti, Marinês Tambara Leite, Larissa Venturini, Marcos Antônio Gomes Brandão
  Revista Latino-Americana de Enfermagem.2023;[Epub]     CrossRef

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

• The effect of nurses' perceptions and satisfaction with hospital rapid response teams on burnout related to emergency situations in Korea: a cross-sectional study
  Bumin Kim, Nahyun Kim
  Journal of Korean Biological Nursing Science.2025; 27(2): 234.     CrossRef
• Early Prediction of Sepsis in the Intensive Care Unit Using the GRU-D-MGP-TCN Model
  Seunghee Lee, Geonchul Shin, Jeongseok Hwang, Yunjeong Hwang, Hyunwoo Jang, Ju Han Park, Sunmi Han, Kyeongmin Ryu, Jong-Yeup Kim
  IEEE Access.2024; 12: 148294.     CrossRef
• Nursing Students’ Clinical Judgment and Performance in Simulation of Recognizing and Responding of the Deterioriating Patient ; a retrospective mixed-methods
  Yi Kyung Ha
  Journal of Korean Critical Care Nursing.2023; 16(2): 42.     CrossRef
• Effects of a Rapid Response Team on the Clinical Outcomes of Cardiopulmonary Resuscitation of Patients Hospitalized in General Wards
  Mi-Jung Yoon, Jin-Hee Park
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 491.     CrossRef

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

• Effects of a spousal participation health promotion program for middle-aged and old men who have undergone percutaneous coronary intervention based on Cox’s Interaction Model: A quasi-experimental study with nonequivalent control group pre- and post-test
  Kyung Shim Lee, Kyung Mi Sung
  Journal of Korean Gerontological Nursing.2025; 27(2): 119.     CrossRef
• Influence of Illness Uncertainty on Health Behavior in Individuals with Coronary Artery Disease: A Path Analysis
  Hyesun Jeong, Yesul Lee, Jin Sup Park, Yoonju Lee
  Journal of Korean Academy of Nursing.2024; 54(2): 162.     CrossRef
• An Integrated Literature Review on Cardiac Rehabilitation Program for Patients with Coronary Artery Disease
  Hong-A Lim, Yeoungsuk Song
  Journal of Health Informatics and Statistics.2024; 49(3): 205.     CrossRef
• An Education-Counseling Program for Young Prehypertensive Adults
  Eunhee Jo, Soon-jung Hwang, Eun- jin Jeong, Minsun Kim
  Clinical Nursing Research.2023; 32(2): 349.     CrossRef
• Prognostic implications for patients after myocardial infarction: an integrative literature review and in-depth interviews with patients and experts
  Seon Young Hwang, Sun Hwa Kim, In Ae Uhm, Jeong-Hun Shin, Young-Hyo Lim
  BMC Cardiovascular Disorders.2022;[Epub]     CrossRef
• The Influence of Knowledge of Coronary Artery Disease and Self-Efficacy on Health Behavior Compliance among Patients with Coronary Artery Disease
  A Ram Kil, Yong Soon Shin
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 57.     CrossRef
• Development and evaluation of the Coronary Artery Disease Empowerment Scale (CADES) in Korea
  Jiyoung Kim, Nayeon Shin, Kyungmi Lee
  Clinical Nursing Research.2021; 30(8): 1241.     CrossRef