Effect of ABCDE Bundle Implementation on Prevention of Delirium on Mechanical Ventilation Patients in Intensive Care Unit

Abstract

Background: Delirium is a major mental impairment that causes clouded thinking and diminished environmental awareness. The intensive care unit frequently deals with the serious issue of delirium. Early hospitalization for a number of acute and chronic disorders sometimes involves it. It is linked to higher mortality, extended mechanical ventilation, and extended hospital stays. ABCDE tool was an effective tool for prevention of delirium. Hence the study was aimed to conduct the study to determine the effect of ABCDE bundle implementation on prevention of delirium on mechanical ventilation patients. Methods: Quasi experimental research design with 60 samples who met the inclusion criteria at Saveetha Medical College and Hospital. Samples were selected by purposive sampling technique and were assigned into the experimental group (n=30) and the control group (n=30). Pre-test assessment on delirium was assessed by using intensive care delirium screening checklist for both groups. Experimental group were received ABCDE bundle care. The control group was received the routine care of the hospital. Post-test assessment of delirium was by using same tool was done at the end assessed after the extubation for both groups. Results: The comparison of pretest level of delirium among mechanical ventilation patients between the experimental and control group revealed that the calculated student independent ‘t’ test value of t = 1.190 were not found to be statistically significant. The comparison of post test level of delirium among mechanical ventilation patients between the experimental and control group revealed that the calculated student independent‘t’ test value of t = 4.584 were found to be statistically significant at (p