Impact of Nursing Intervention Protocol on the Incidence of Intensive Care Syndrome among Critically ill Patients at Cairo University Hospitals

Abstract

OBJECTIVE: To assess the impact of a nursing protocol of actions on the incidence of Intensive Care Syndrome (ICS) among critically ill patients. METHODOLOGY: The study was conducted at Emergency Hospital ICUs affiliated with Cairo university hospitals from April 2020 to December 2021. The study's five research hypotheses were formulated "Critically ill patients who will receive the designed nursing intervention protocol will have; a decreased frequency of (ICS), improved knowledge & practices level regards (ICS), decreased depression, anxiety, and delirium. A quasi-experimental (one group pretest-posttest) research design was utilized. A convenient sample of 31 critically ill adult patients participated in the current study. A nursing intervention protocol as an independent variable includes "early mobility, Range of motion exercises and enhancing patient knowledge through effective communication". Patients have assessed pre-intervention then, and then daily follow-up from day four to seven before discharge. Assessment sheets of intensive care syndrome were used for data collection. RESULTS: Three hypotheses were supported as there is a significant statistical difference before and after implementation of the intervention protocol regarding knowledge (p .00), practice (p .00), and delirium scores (p =.001); however, the other two hypotheses can't be supported as there were no significant statistical differences regarding depression and anxiety scores after implementation and ICS incidence. CONCLUSION: implementing the nursing intervention protocol can improve critically ill patients' functional and cognitive outcomes after having a critical illness.

Keywords

• intensive care syndrome
• early mobility
• delirium
• nursing intervention protocol
• critically ill patients