الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 163 |  |  |
| | | from | 163 | | |
Abstract
Background: Delirium is considered as one of the principal complications in patients in the intensive care unit (ICU), particularly in those receiving mechanical ventilation (MV), which is a disturbance of consciousness, attention, cognition and perception that develops over a short period of time usually hours to days. It is associated with increased mortality, prolonged MV, and prolonged hospital length of stay (LOS). The ABCDE is stand for Awakening and Breathing Coordination, Delirium monitoring/management, and Early mobility bundle that has been proposed intervention in ICUs to reduce incidence of delirium. Aim of study: this study aims to evaluate the effect of implementing the ABCDE bundle on reduction of delirium among mechanically ventilated patients at Damietta hospital in Egypt. Methods: A quasi experimental research pre/post intervention design used to conduct this study. The study was carried out at ICU of Damietta Chest Disease Hospital. A purposive sample of 65 adult mechanically ventilated critically patients aged between 18 and 60 of both genderwere included. Riker Sedation Agitation Scale and Intensive Care Delirium Screening Checklist tools were used. Result: This study shows that mechanically ventilated patients who exposed to implementation of ABCDE bundle were experienced less delirium signs than prior to ABCDE bundle implementation (routin care). So; there were significant differences in delirium scores among the studied patients before and after intervention with x2=52.52 and p-value=0.001*. Conclusion: The implementation of ABCDE bundle will reduce delirium among mechanically ventilated patients at Damietta hospital in Egypt. Recommendations: ABCDE bundle should be implemented on mechanically ventilated patients.