Original Articles
Vol. 30 No. 1 (2013): Scenario 1 2013
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
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Received: 23 January 2018
Accepted: 23 January 2018
Accepted: 23 January 2018
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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
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. (2018). Scenario® - Il Nursing Nella Sopravvivenza, 30(1), 24-28. https://doi.org/10.4081/scenario.2013.117