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Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-21232
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dc.contributor.authorBode, Leonie-
dc.contributor.authorFuchs, Simon-
dc.contributor.authorGehrke, Samuel-
dc.contributor.authorErnst, Jutta-
dc.contributor.authorSchubert, Maria-
dc.contributor.authorNuñez, David Garcia-
dc.contributor.authorvon Känel, Roland-
dc.contributor.authorBoettger, Soenke-
dc.date.accessioned2021-01-11T09:26:03Z-
dc.date.available2021-01-11T09:26:03Z-
dc.date.issued2020-07-30-
dc.identifier.issn1478-9515de_CH
dc.identifier.issn1478-9523de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/21232-
dc.descriptionErworben im Rahmen der Schweizer Nationallizenzen (http://www.nationallizenzen.ch)de_CH
dc.description.abstractObjective: Nursing instruments have the potential for daily screening of delirium; however, they have not yet been evaluated. Therefore, after assessing the functional domains of the electronic Patient Assessment — Acute Care (ePA-AC), this study evaluates the cognitive and associated domains. Methods: In this prospective cohort study in the intensive care unit, 277 patients were assessed and 118 patients were delirious. The impacts of delirium on the cognitive domains, consciousness and cognition, communication and interaction, in addition to respiration, pain, and wounds were determined with simple logistic regressions and their respective odds ratios (ORs). Results: Delirium was associated with substantial impairment throughout the evaluated domains. Delirious patients were somnolent (OR 6), their orientation (OR 8.2–10.6) and ability to acquire knowledge (OR 5.5–11.6) were substantially impaired, they lost the competence to manage daily routines (OR 8.2–22.4), and their attention was compromised (OR 12.8). In addition, these patients received psychotropics (OR 3.8), were visually impaired (OR 1.8), unable to communicate their needs (OR 5.6–7.6), displayed reduced self-initiated activities (OR 6.5–6.9) and challenging behaviors (OR 6.2), as well as sleep–wake disturbances (OR 2.2–5), Furthermore, delirium was associated with mechanical ventilation, abdominal/thoracic injuries or operations (OR 4.2–4.4), and sensory perception impairment (OR 3.9–5.8). Significance of results: Delirium caused substantial impairment in cognitive and associated domains. In addition to the previously described functional impairments, these findings will aid the implementation of nursing instruments in delirium screening.de_CH
dc.language.isoende_CH
dc.publisherCambridge University Pressde_CH
dc.relation.ispartofPalliative & Supportive Carede_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectAssessmentde_CH
dc.subjectCognitive domainsde_CH
dc.subjectDeliriumde_CH
dc.subjectElectronic Patient Assessment - Acute Care (ePA-AC)de_CH
dc.subjectNursingde_CH
dc.subject.ddc610.73: Pflegede_CH
dc.titleAssessing delirium with nursing care instruments : evaluation of the cognitive and associated domainsde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Pflege (IPF)de_CH
dc.identifier.doi10.1017/S1478951520000620de_CH
dc.identifier.doi10.21256/zhaw-21232-
dc.identifier.pmid32729445de_CH
zhaw.funding.euNode_CH
zhaw.issue1de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end16de_CH
zhaw.pages.start11de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume19de_CH
zhaw.embargo.end2026-01-01de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
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Bode, L., Fuchs, S., Gehrke, S., Ernst, J., Schubert, M., Nuñez, D. G., von Känel, R., & Boettger, S. (2020). Assessing delirium with nursing care instruments : evaluation of the cognitive and associated domains. Palliative & Supportive Care, 19(1), 11–16. https://doi.org/10.1017/S1478951520000620
Bode, L. et al. (2020) ‘Assessing delirium with nursing care instruments : evaluation of the cognitive and associated domains’, Palliative & Supportive Care, 19(1), pp. 11–16. Available at: https://doi.org/10.1017/S1478951520000620.
L. Bode et al., “Assessing delirium with nursing care instruments : evaluation of the cognitive and associated domains,” Palliative & Supportive Care, vol. 19, no. 1, pp. 11–16, Jul. 2020, doi: 10.1017/S1478951520000620.
BODE, Leonie, Simon FUCHS, Samuel GEHRKE, Jutta ERNST, Maria SCHUBERT, David Garcia NUÑEZ, Roland VON KÄNEL und Soenke BOETTGER, 2020. Assessing delirium with nursing care instruments : evaluation of the cognitive and associated domains. Palliative & Supportive Care. 30 Juli 2020. Bd. 19, Nr. 1, S. 11–16. DOI 10.1017/S1478951520000620
Bode, Leonie, Simon Fuchs, Samuel Gehrke, Jutta Ernst, Maria Schubert, David Garcia Nuñez, Roland von Känel, and Soenke Boettger. 2020. “Assessing Delirium with Nursing Care Instruments : Evaluation of the Cognitive and Associated Domains.” Palliative & Supportive Care 19 (1): 11–16. https://doi.org/10.1017/S1478951520000620.
Bode, Leonie, et al. “Assessing Delirium with Nursing Care Instruments : Evaluation of the Cognitive and Associated Domains.” Palliative & Supportive Care, vol. 19, no. 1, July 2020, pp. 11–16, https://doi.org/10.1017/S1478951520000620.


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