https://doi.org/10.4081/scenario.2013.117
Utilizzo della scala RASS e dello strumento CAMICU per la valutazione del livello di sedazione e della presenza di delirium nelle persone ricoverate in una terapia intensiva polivalente
Submitted: 23 January 2018
Accepted: 23 January 2018
Published: 23 January 2018
Accepted: 23 January 2018
Abstract Views: 3056
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Materiali e metodi: valutare l’applicazione della Richmond Agitation-Sedation Scale (RASS) e della Confusion Assessment Method for the ICU
(CAM-ICU) nei pazienti ricoverati in una terapia intensiva polivalente. Studio osservazionale retrospettivo nel periodo gennaio 2007- dicembre 2011. La somministrazione della RASS è stata fatta almeno una volta per turno e ad ogni variazione dello stato di coscienza, mentre la CAM-ICU è stata somministrata quando l’infermiere sospettava la presenza di segni di delirium.
Risultati: su una popolazione di 1523 pazienti sono state ottenute 25.813 misurazioni RASS con un punteggio medio di -1,05 (±1,22). Le rilevazioni totali di CAM-ICU sono state 678 e i pazienti che sono stati oggetto di valutazione di delirium (11,03%).
Le rilevazioni positive sono state in totale 78 (11,50%). Il numero di pazienti con CAM-ICU positiva è stato pari a 45 (26,79%) rispetto a tutte le misurazioni effettuate e pari al 2,95% della popolazione totale.
Conclusioni: al fine di migliorare l’assistenza infermieristica è importante valutare lo stato di coscienza e l’insorgenza di delirium e applicare tutte le strategie assistenziali atte a ridurne l’incidenza. La RASS e la CAM-ICU sono strumenti semplici, facilmente utilizzabili dagli infermieri di area critica.
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How to Cite
Doni, V., Re, R., Tancredi, V., Cannizzo, L., Bondi, H., Coppolecchia, G., & Lucchini, A. (2018). Utilizzo della scala RASS e dello strumento CAMICU per la valutazione del livello di sedazione e della presenza di delirium nelle persone ricoverate in una terapia intensiva polivalente. Scenario® - Il Nursing Nella Sopravvivenza, 30(1), 24–28. https://doi.org/10.4081/scenario.2013.117
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