Using simulated family presence to decrease agitation in older hospitalized delirious patients: A randomized controlled trial

International Journal of Nursing Studies
Christine WaszynskiSheila L Molony

Abstract

Simulated family presence has been shown to be an effective nonpharmacological intervention to reduce agitation in persons with dementia in nursing homes. Hyperactive or mixed delirium is a common and serious complication experienced by hospitalized patients, a key feature of which is agitation. Effective nonpharmacological interventions to manage delirium are needed. To examine the effect of simulated family presence through pre-recorded video messages on the agitation level of hospitalized, delirious, acutely agitated patients. Single site randomized control trial, 3 groups×4 time points mixed factorial design conducted from July 2015 to March 2016. Acute care level one trauma center in an inner city of the state of Connecticut, USA. Hospitalized patients experiencing hyperactive or mixed delirium and receiving continuous observation were consecutively enrolled (n=126), with 111 participants completing the study. Most were older, male, Caucasian, spouseless, with a pre-existing dementia. Participants were randomized to one of the following study arms: view a one minute family video message, view a one minute nature video, or usual care. Participants in experimental groups also received usual care. The Agitated Behavior Scale ...Continue Reading

Citations

Sep 4, 2019·The Cochrane Database of Systematic Reviews·Lisa BurryLouise Rose
Apr 21, 2020·The Cochrane Database of Systematic Reviews·Iosief AbrahaAntonio Cherubini
Jan 22, 2021·Health Affairs·Terry FulmerKimberly S Johnson
Apr 18, 2021·Emergency Medicine Clinics of North America·Debra Eagles, Danya Khoujah
Dec 24, 2021·Current Opinion in Supportive and Palliative Care·Shane O'HanlonAnnmarie Hosie

❮ Previous
Next ❯

Related Concepts

Related Feeds

Attention Disorders

Attention is involved in all cognitive activities, and attention disorders are reported in patients with various neurological diseases. Here are the latest discoveries pertaining to attention disorders.