The Effect of Care Plan Based on Roy Adaptation Model on the Incidence and Severity of Delirium in Intensive Care Unit Patients: A Randomised Controlled Trial

Abstract

Introduction: Delirium is an acute transient brain disorder which is common in patients who are hospitalised in intensive care unit. Nurses play a key role in its prevention, early detection and also in its treatment. Aim: The aim of this study was to evaluate the effect of care plan based on Roy Adaptation model on the incidence and severity of delirium in intensive care patients. Materials and Methods: This triple-blind randomised control trial was conducted on 100 hospitalised patients in intensive care units in Besat hospital, Sanandaj, Iran in 2016. Two intensive care units of hospital were selected as the intervention and control units. Nurses who were in the intervention group were trained according to Roy adaptation model. Delirium was measured by the NEECHAM Confusion Scale two times a day for seven days for each patient. Data was analysed using descriptive statistics and parametric tests. Results: There was a significant difference between intervention and control groups in terms of the mean of delirium on fourth day (17.40) in control group vs. 20.58 in intervention group with (p<0.028) and fourth night with values 16.78 in control group vs. 21.35 in intervention group with (p<0.001). The mean of delirium in the control group was less than the intervention group at different times. This difference was not significant initially but from the fourth day the difference in the mean between the groups was found statistically significant. Conclusion: The care plan based on Roy adaptation model reduced the incidence and severity of delirium in patients hospitalised in ICU. Using this model to modify incompatible behaviours in ICU patients is recommended.

Keywords

• neecham confusion scale
• nursing care plans
• physiological adaptation