[Non-pharmacological steps for the treatment of acute confusional syndrome in the intensive care unit]

Abstract

The incidence of delirium in intensive care units is high and it has been under-diagnosed and under-treated.

Objective: To describe the experiences of ICU nurses in the identification and application of non-pharmacological treatments.

Method: A qualitative phenomenological research study was performed, based on focus groups.

Inclusion criteria: ICU nurses with one year of more of experience were included. Sample Purpose and snowball technique.

Data collection: Data from the focus groups were transcribed for analysis and a thematic analysis of the texts was performed.

Results: Four themes were identified: a) the physical and social structure of the ICU b) family involvement, c) need for training of health professionals, and d) encouraging the sleep-wake cycle.

Conclusions: It is necessary to control the ICU environment to make it more friendly, to change the routine work to promote relaxation, implement training activities and to make visiting hours flexible.

Keywords: Critical care; Cuidados críticos; Delirio; Delirium; Non-pharmacological treatment; Tratamiento no farmacológico.